Meta-analysis of interventions for posttraumatic stress disorder and depression in adult survivors of mass violence in low- and middle-income countries

Morina, Nexhmedin; Malek, Mina; Nickerson, Angela; Bryant, Richard A.

doi:10.1002/da.22618

Cited by 61 publications

(52 citation statements)

References 66 publications

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“…In addition, more research is needed to investigate the efficacy of existing psychological interventions for depression in civilian war survivors, especially in LMICs (Bolton et al, 2003;Morina, Malek, Nickerson, & Bryant, 2017b). A recent systematic review of randomized controlled trials (RCTs) on depression and PTSD among adult survivors of mass violence in LMICs concluded that in the18 RCTs conducted in this population, only one trial had treatment of depression as the main focus whereas PTSD was the main treatment focus in nine trials (Morina et al, 2017a).…”

Section: Discussionmentioning

confidence: 99%

Prevalence of depression and posttraumatic stress disorder in adult civilian survivors of war who stay in war-afflicted regions. A systematic review and meta-analysis of epidemiological studies

Morina

Stam

Pollet

et al. 2018

Journal of Affective Disorders

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113

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Our findings suggest that both depression and PTSD are highly prevalent in war survivors who stayed in the area of conflict. Yet, future research on this topic need to focus on psychometric properties of instruments used to assess psychopathology among war survivors. Notwithstanding this limitation, there is an urgent need for large-scale mental health programs that are appropriate for war-affected countries with limited resources and address depression as much as PTSD.

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Section: Discussionmentioning

confidence: 99%

Prevalence of depression and posttraumatic stress disorder in adult civilian survivors of war who stay in war-afflicted regions. A systematic review and meta-analysis of epidemiological studies

Morina

Stam

Pollet

et al. 2018

Journal of Affective Disorders

Self Cite

113

View full text Add to dashboard Cite

show abstract

“…Although interventions that are effective in high-resource settings have also been shown to be effective in low-resource settings and for migrant populations (Morina, Malek, Nickerson, & Bryant, 2017), cultural adaptation of the original intervention protocols to the local culture is essential. During cultural adaptation, the intervention protocol is systematically modified considering language, culture, and context compatible with the client’s cultural meanings and values.…”

Section: Evidence-based Interventions For Refugeesmentioning

confidence: 99%

Strengthening mental health care systems for Syrian refugees in Europe and the Middle East: integrating scalable psychological interventions in eight countries

Sijbrandij¹,

Acartürk

Bird³

et al. 2017

European Journal of Psychotraumatology

218

202

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The crisis in Syria has resulted in vast numbers of refugees seeking asylum in Syria’s neighbouring countries as well as in Europe. Refugees are at considerable risk of developing common mental disorders, including depression, anxiety, and posttraumatic stress disorder (PTSD). Most refugees do not have access to mental health services for these problems because of multiple barriers in national and refugee specific health systems, including limited availability of mental health professionals. To counter some of challenges arising from limited mental health system capacity the World Health Organization (WHO) has developed a range of scalable psychological interventions aimed at reducing psychological distress and improving functioning in people living in communities affected by adversity. These interventions, including Problem Management Plus (PM+) and its variants, are intended to be delivered through individual or group face-to-face or smartphone formats by lay, non-professional people who have not received specialized mental health training,We provide an evidence-based rationale for the use of the scalable PM+ oriented programmes being adapted for Syrian refugees and provide information on the newly launched STRENGTHS programme for adapting, testing and scaling up of PM+ in various modalities in both neighbouring and European countries hosting Syrian refugees.

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“…NET is one of the few PTSD interventions that has been developed for and extensively tested with populations exposed to multiple traumatic events, particularly in post-conflict settings (Gwozdziewycz & Mehl-Madrona, 2013). Past research suggests that NET and several other trauma-focused CBT interventions are effective in reducing PTSD (and comorbid depression) in survivors of mass violence in low-and middle-income countries (Morina, Malek, Nickerson, & Bryant, 2017;Nickerson et al, 2011).…”

Section: Collaborating Authorshipmentioning

confidence: 99%

Bioecological Implications of Narrative Exposure Therapy in Low‐Resource Settings: Individual, Family, Community, and Socio‐Political Contexts

Cooper

Wieling

Pfeiffer³

2019

ANZ J of Family Therapy

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Traumatic stress can have detrimental effects on individuals, families, and communities. Narrative exposure therapy (NET) is an evidence‐based intervention for decreasing individuals’ post‐traumatic stress disorder (PTSD) symptoms and has been tested in some of the most challenging contexts, such as in post‐conflict refugee camps. Although the focus of NET is on reducing individual PTSD symptoms, the impact of NET can be seen beyond the individual level. The purpose of this paper is to examine some of the ecological implications of using NET with trauma‐affected populations in low‐resource settings. We describe the implications of NET at the family, community, and sociopolitical levels using several case examples. Finally, we outline limitations and future directions for improving the delivery of NET in settings with limited resources.

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Meta-analysis of interventions for posttraumatic stress disorder and depression in adult survivors of mass violence in low- and middle-income countries

Abstract: Our findings suggest that psychological interventions can effectively reduce symptoms of PTSD and depression in LMICs. Future research needs to focus on cost-effective interventions that are likely to be disseminated to the large numbers of war survivors in LMICs.

Cited by 61 publications

References 66 publications

Prevalence of depression and posttraumatic stress disorder in adult civilian survivors of war who stay in war-afflicted regions. A systematic review and meta-analysis of epidemiological studies

Prevalence of depression and posttraumatic stress disorder in adult civilian survivors of war who stay in war-afflicted regions. A systematic review and meta-analysis of epidemiological studies

Strengthening mental health care systems for Syrian refugees in Europe and the Middle East: integrating scalable psychological interventions in eight countries

Bioecological Implications of Narrative Exposure Therapy in Low‐Resource Settings: Individual, Family, Community, and Socio‐Political Contexts

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