Zhang Alexa X D, Osokina Olga, Silwal Sanju, Skokauskas Norbert, Sourander Andre, Hodes Matthew
Central and North West London NHS Foundation Trust, London, UK.
Addiction Psychiatry and Medical Psychology, Donetsk National Medical University, Kropyvnitskyi, Ukraine.
Child Adolesc Ment Health. 2025 Sep;30(3):275-277. doi: 10.1111/camh.70002. Epub 2025 Jun 24.
Given the high level of exposure of children and adolescents (CA) to war and associated adversities (1 in 6 children live in war zones at the time of writing) and very detrimental effects on their mental health, we argue for the need to involve them in mental health research. Although there is abundant literature on CA mental health research in nonwar and postwar settings, the findings cannot be directly extrapolated to war contexts. Viewing CA as too vulnerable, as well as ethical and methodological challenges are among the reasons for the low level of research on this topic. Drawing on the available literature and our experience conducting epidemiological studies on the impact of the war following the Russian invasion of Ukraine, we highlight the complexity and importance of conducting CA mental health research during wars and the key ethical and methodological considerations. We advocate the active inclusion of CA as research participants and beneficiaries as a first step to building an evidence base for treatment and services.
鉴于儿童和青少年(CA)高度暴露于战争及相关逆境之中(撰写本文时,每6名儿童中就有1名生活在战区),且这些对他们的心理健康有非常不利的影响,我们认为有必要让他们参与心理健康研究。尽管有大量关于非战争和战后环境中儿童和青少年心理健康研究的文献,但这些研究结果不能直接外推到战争环境中。将儿童和青少年视为过于脆弱,以及伦理和方法上的挑战,是该主题研究水平较低的部分原因。借鉴现有文献以及我们对俄罗斯入侵乌克兰后战争影响进行流行病学研究的经验,我们强调了在战争期间开展儿童和青少年心理健康研究的复杂性和重要性,以及关键的伦理和方法考量。我们主张积极将儿童和青少年纳入研究参与者和受益者的范畴,作为为治疗和服务建立证据基础的第一步。