Efficacy of Child Psychosocial Interventions: Synthesis of Cluster Randomized Trials in Burundi, Indonesia, Nepal, and Sri Lanka Wietse A. Tol - HealthNet TPO, Amsterdam, the Netherlands Mark J.D. Jordans - HealthNet TPO, Amsterdam, the Netherlands Ivan H. Komproe - HealthNet TPO & Utrecht University, the Netherlands Joop T.V.M. de Jong - VU University, Amsterdam, the Netherlands & Boston University School
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Wietse A. Tol-HealthNet TPO, Amsterdam, the Netherlands
Efficacy of Child Psychosocial Interventions: Synthesis of Cluster Randomized Trials in Burundi, Indonesia, Nepal, and Sri Lanka. Wietse A. Tol-HealthNet TPO, Amsterdam, the Netherlands Mark J.D. Jordans-HealthNet TPO, Amsterdam, the Netherlands - PowerPoint PPT Presentation
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Efficacy of Child Psychosocial Interventions: Synthesis of Cluster Randomized Trials in Burundi, Indonesia, Nepal, and Sri Lanka
Wietse A. Tol - HealthNet TPO, Amsterdam, the Netherlands
Mark J.D. Jordans - HealthNet TPO, Amsterdam, the Netherlands
Ivan H. Komproe - HealthNet TPO & Utrecht University, the Netherlands
Joop T.V.M. de Jong - VU University, Amsterdam, the Netherlands & Boston University School of Medicine
Introduction
• In 2007, 34 armed conflicts• 191 million lives lost in 25 largest wars in 20th
century• 60% not engaged in fighting• 67 million displaced, out of whom 26 million
conflict-related Internally Displaced Persons
Introduction
• Psychiatric epidemiology with conflict-affected populations (Steel et al, JAMA 2009)
depression 30.8%• Torture, potentially traumatic events, level of
political terror in country are risk factors; time since conflict associated with decrease in symptoms
Introduction
• Despite the mental health burden of political violence, and evidence for mental health treatments in developing countries, there is a lack of evidence for treatments in war-affected settings
• E.g. among children, only 4 rigorous studies have been published– 2 Bosnia (Layne et al, 2009)– 1 Uganda (Bolton et al, – 1 Indonesia (Tol et al, 2008)
Methods: Intervention• A secondary preventive
intervention; aimed at children with psychosocial problems, at risk of developing disorders