Cénat Jude Mary, Mukunzi Joana N, Noorishad Pari-Gole, Rousseau Cécile, Derivois Daniel, Bukaka Jacqueline
School of Psychology, University of Ottawa, Ontario, Canada.
School of Psychology, University of Ottawa, Ontario, Canada.
J Psychosom Res. 2020 Feb 13;131:109966. doi: 10.1016/j.jpsychores.2020.109966.
The Ebola virus disease (EVD) is associated with major mental health consequences (e.g., depression, anxiety, PTSD). Studies have shown a need for relevant and effective programs to address mental health consequences associated to EVD. This systematic review aimed to describe programs implemented following EVD outbreaks and to evaluate their effectiveness and relevance in order to provide evidence-based data to improve mental health services.
We first searched EMBASE, PubMed, PsycINFO, PILOTS, Cochrane Library and MEDLINE for a systematic review on EVD and on MHPSS programs. Then, we searched the grey literature. The search generated 2827 publications. Eleven studies were retained according to the PRISMA statement.
This systematic review revealed that most programs were implemented by international organizations in collaboration with local partners. Many of them were implemented following WHO mhGAP and Psychological First Aid guidelines. Programs were implemented in hospitals, Ebola treatment centres, communities among different categories of individuals exposed to EVD (survivors, health workers and volunteers, other frontline workers, children, adults, etc.). Only two of the identified programs which integrated cultural factors were empirically evaluated. Results from the evaluations showed mental health improvement for both children and adults.
This study provides the first systematic review on MHPSS programs among communities affected by EVD. This study shows the need to increase efforts to systematically document and evaluate the implemented programs. Results also provide preliminary evidence about the value of culturally sensitive MHPSS programs and of the implication of local mental health professionals.
埃博拉病毒病（EVD）会引发严重的心理健康后果（如抑郁、焦虑、创伤后应激障碍）。研究表明，需要有相关且有效的项目来应对与埃博拉病毒病相关的心理健康后果。本系统评价旨在描述埃博拉病毒病疫情爆发后实施的项目，并评估其有效性和相关性，以便提供循证数据来改善心理健康服务。
我们首先在EMBASE、PubMed、PsycINFO、PILOTS、Cochrane图书馆和MEDLINE中检索关于埃博拉病毒病和心理健康与社会心理支持（MHPSS）项目的系统评价。然后，我们检索了灰色文献。检索共产生2827篇出版物。根据PRISMA声明保留了11项研究。
本系统评价显示，大多数项目是由国际组织与当地合作伙伴合作实施的。其中许多项目是按照世界卫生组织的mhGAP和心理急救指南实施的。项目在医院、埃博拉治疗中心、社区中针对不同类别的埃博拉病毒病暴露个体（幸存者、卫生工作者和志愿者、其他一线工作者、儿童、成年人等）实施。所确定的项目中只有两项整合了文化因素的项目经过了实证评估。评估结果显示儿童和成年人的心理健康均有改善。
本研究首次对受埃博拉病毒病影响社区的心理健康与社会心理支持项目进行了系统评价。本研究表明需要加大力度对实施的项目进行系统记录和评估。研究结果还提供了初步证据，证明了具有文化敏感性的心理健康与社会心理支持项目的价值以及当地心理健康专业人员的作用。
