Arega Natnael Terefe
PhD in Applied Developmental Psychology, Institute of Education and Behavioral Sciences, Ambo University, Ambo, Ethiopia.
Child Youth Care Forum. 2023 Mar 7:1-26. doi: 10.1007/s10566-023-09741-0.
. Armed conflicts continue to threaten a vast number of children across the world, especially in low-and middle-income countries (LMICs). Evidence-based interventions are vital to adequately address the mental health needs in these groups.
. This systematic review aims to provide a comprehensive update of the most current developments in mental health and psychosocial support (MHPSS) interventions for children affected by armed conflict in LMICs, since 2016. Such an update may be useful in determining where the current focus of interventions lies and whether there are changes in types of interventions that are commonly implemented.
. The main medical, psychological and social sciences databases (PubMed, PsycINFO, Medline) were searched to identify interventions aimed at improving or treating mental health problems in conflict-affected children in LMICs. For the period 2016-2022, a total of 1243 records were identified. Twenty-three articles met the inclusion criteria. A bio-ecological lens was used to organize the interventions and the presentation of findings.
. Seventeen forms of MHPSS interventions with a wide range of treatment modalities were identified in this review. The reviewed articles focused mainly on family-based interventions. Very few studies empirically evaluated community-level interventions.
. Current focus of interventions is family-based; the addition of caregiver wellbeing and parenting skills components had the potential to enhance the effects of interventions designed to improve children's mental health. Future trials for MHPSS interventions need to give more attention to community-level interventions. Community-level supports such as person-to-person support, solidarity groups, and dialogue groups stand to reach large numbers of children and families.
武装冲突持续威胁着全球大量儿童，尤其是在低收入和中等收入国家（LMICs）。基于证据的干预措施对于充分满足这些群体的心理健康需求至关重要。
本系统综述旨在全面更新自2016年以来低收入和中等收入国家受武装冲突影响儿童的心理健康和社会心理支持（MHPSS）干预措施的最新进展。这样的更新可能有助于确定当前干预措施的重点所在，以及常用干预类型是否有变化。
检索主要的医学、心理学和社会科学数据库（PubMed、PsycINFO、Medline），以识别旨在改善或治疗低收入和中等收入国家受冲突影响儿童心理健康问题的干预措施。在2016 - 2022年期间，共识别出1243条记录。采用生物生态视角来组织干预措施和研究结果的呈现。
本综述确定了17种形式的MHPSS干预措施，具有广泛的治疗方式。综述文章主要关注基于家庭的干预措施。很少有研究对社区层面的干预措施进行实证评估。
当前干预措施的重点是基于家庭的；增加照顾者的幸福感和育儿技能组成部分有可能增强旨在改善儿童心理健康的干预措施的效果。未来MHPSS干预措施的试验需要更多关注社区层面的干预措施。社区层面的支持，如人际支持、团结团体和对话团体，有望惠及大量儿童和家庭。
