Limits...
Sexual and gender-based violence in areas of armed conflict: a systematic review of mental health and psychosocial support interventions.

Tol WA, Stavrou V, Greene MC, Mergenthaler C, van Ommeren M, García Moreno C - Confl Health (2013)

Bottom Line: The seven studies, while very limited, tentatively suggest beneficial effects of mental health and psychosocial interventions for this population, and show feasibility of evaluation and implementation of such interventions in real-life settings through partnerships with humanitarian organizations.Robust conclusions on the effectiveness of particular approaches are not possible on the basis of current evidence.More rigorous research is urgently needed.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Hampton House Room 863, Baltimore, MD 21205-1996, USA. wtol@jhsph.edu.

ABSTRACT

Background: Sexual and other forms of gender-based violence are common in conflict settings and are known risk factors for mental health and psychosocial wellbeing. We present findings from a systematic review of the academic and grey literature focused on the effectiveness of mental health and psychosocial support interventions for populations exposed to sexual and other forms of gender-based violence in the context of armed conflicts.

Methods: We searched the Cochrane Database of Systematic Reviews, Cochrane Controlled Trials Register, PubMed/ Medline, psycINFO, and PILOTS, as well as grey literature to search for evaluations of interventions, without date limitations.

Results: Out of 5,684 returned records 189 full text papers were assessed for eligibility. Seven studies met inclusion criteria: 1 non-randomized controlled study; 3 non-controlled pre- post-test designs; 1 retrospective cohort with a matched comparison group; and 2 case studies. Studies were conducted in West and Central Africa; Albania; UK and USA, included female participants, and focused on individual and group counseling; combined psychological, medical, social and economic interventions; and cognitive behavioral therapy (two single case studies).

Conclusions: The seven studies, while very limited, tentatively suggest beneficial effects of mental health and psychosocial interventions for this population, and show feasibility of evaluation and implementation of such interventions in real-life settings through partnerships with humanitarian organizations. Robust conclusions on the effectiveness of particular approaches are not possible on the basis of current evidence. More rigorous research is urgently needed.

No MeSH data available.


Related in: MedlinePlus

Systematic review flow chart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3750365&req=5

Figure 1: Systematic review flow chart.

Mentions: After (a) excluding all articles returned by the searches that were clearly not relevant based on abstract and title and (b) excluding duplicate records, two reviewers independently reviewed all manuscripts in full for inclusion and exclusion criteria (for a flowchart see Figure 1). If two reviewers disagreed on relevance of a manuscript, a third reviewer was consulted.


Sexual and gender-based violence in areas of armed conflict: a systematic review of mental health and psychosocial support interventions.

Tol WA, Stavrou V, Greene MC, Mergenthaler C, van Ommeren M, García Moreno C - Confl Health (2013)

Systematic review flow chart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750365&req=5

Figure 1: Systematic review flow chart.
Mentions: After (a) excluding all articles returned by the searches that were clearly not relevant based on abstract and title and (b) excluding duplicate records, two reviewers independently reviewed all manuscripts in full for inclusion and exclusion criteria (for a flowchart see Figure 1). If two reviewers disagreed on relevance of a manuscript, a third reviewer was consulted.

Bottom Line: The seven studies, while very limited, tentatively suggest beneficial effects of mental health and psychosocial interventions for this population, and show feasibility of evaluation and implementation of such interventions in real-life settings through partnerships with humanitarian organizations.Robust conclusions on the effectiveness of particular approaches are not possible on the basis of current evidence.More rigorous research is urgently needed.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Hampton House Room 863, Baltimore, MD 21205-1996, USA. wtol@jhsph.edu.

ABSTRACT

Background: Sexual and other forms of gender-based violence are common in conflict settings and are known risk factors for mental health and psychosocial wellbeing. We present findings from a systematic review of the academic and grey literature focused on the effectiveness of mental health and psychosocial support interventions for populations exposed to sexual and other forms of gender-based violence in the context of armed conflicts.

Methods: We searched the Cochrane Database of Systematic Reviews, Cochrane Controlled Trials Register, PubMed/ Medline, psycINFO, and PILOTS, as well as grey literature to search for evaluations of interventions, without date limitations.

Results: Out of 5,684 returned records 189 full text papers were assessed for eligibility. Seven studies met inclusion criteria: 1 non-randomized controlled study; 3 non-controlled pre- post-test designs; 1 retrospective cohort with a matched comparison group; and 2 case studies. Studies were conducted in West and Central Africa; Albania; UK and USA, included female participants, and focused on individual and group counseling; combined psychological, medical, social and economic interventions; and cognitive behavioral therapy (two single case studies).

Conclusions: The seven studies, while very limited, tentatively suggest beneficial effects of mental health and psychosocial interventions for this population, and show feasibility of evaluation and implementation of such interventions in real-life settings through partnerships with humanitarian organizations. Robust conclusions on the effectiveness of particular approaches are not possible on the basis of current evidence. More rigorous research is urgently needed.

No MeSH data available.


Related in: MedlinePlus