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Global Mental Health

C Echeverri, J Le Roy, B Worku, P Ventevogel
Background: In 2015, the United Nations High Commissioner for Refugees started a process of mental health capacity building in refugee primary health care settings in seven countries in Sub-Saharan Africa, ultimately aiming to decrease the treatment gap of mental, neurological and substance use (MNS) conditions in these operations. In 2015 and 2016, a specialized non-governmental organization, the War Trauma Foundation, trained 619 staff with the mental health gap action programme (mhGAP) Humanitarian Intervention Guide (HIG), a tool designed to guide clinical decision making in humanitarian settings...
2018: Global Mental Health
F L Brown, K Carswell, J Augustinavicius, A Adaku, M R Leku, R G White, P Ventevogel, C S Kogan, C García-Moreno, R A Bryant, R J Musci, M van Ommeren, W A Tol
Background: Exposure to armed conflict and forced displacement constitute significant risks for mental health. Existing evidence-based psychological interventions have limitations for scaling-up in low-resource humanitarian settings. The WHO has developed a guided self-help intervention, Self Help Plus (SH+), which is brief, implemented by non-specialists, and designed to be delivered to people with and without specific mental disorders. This paper outlines the study protocol for an evaluation of the SH+ intervention in northern Uganda, with South Sudanese refugee women...
2018: Global Mental Health
Susan Rees, Mohammed Mohsin, Alvin Kuowei Tay, Zachary Steel, Natalino Tam, Zelia da Costa, Cesarina Soares, Wietse Tol, Valsamma Eapen, Mark Dadds, Derrick Silove
[This corrects the article DOI: 10.1017/gmh.2018.16.].
2018: Global Mental Health
W A Tol, J Augustinavicius, K Carswell, F L Brown, A Adaku, M R Leku, C García-Moreno, P Ventevogel, R G White, M van Ommeren
Background: In this period of unprecedented levels of displacement, scalable interventions are needed to address mental health concerns of forced migrants in low-resource settings. This paper describes the adaptation and piloting of a guided, multi-media, self-help intervention, Self-Help Plus (SH+), which was developed to reduce psychological distress in large groups of people affected by adversity. Methods: Using a phased approach that included community consultations, cognitive interviewing, facilitator training, pilot implementation, and a qualitative process evaluation, we adapted SH+ for use among South Sudanese refugees in a refugee settlement in northern Uganda...
2018: Global Mental Health
Erica Breuer, Mary De Silva, Crick Lund
No abstract text is available yet for this article.
2018: Global Mental Health
Susan Rees, Mohammed Mohsin, Alvin Kuowei Tay, Zachary Steel, Natalino Tam, Zelia da Costa, Cesarina Soares, Wietse Tol, Valsamma Eapen, Mark Dadds, Derrick Silove
Background: A key issue in need of empirical exploration in the post-conflict and refugee mental health field is whether exposure to torture plays a role in generating risk of intimate partner violence (IPV), and whether this pathway is mediated by the mental health effects of torture-related trauma. In examining this question, it is important to assess the impact of socio-economic hardship which may be greater amongst survivors of torture in low-income countries. Methods: The study data were obtained from a cohort of 870 women (recruited from antenatal clinics) and their male partners in Dili district, Timor-Leste...
2018: Global Mental Health
S Ashaba, C Cooper-Vince, S Maling, G Z Rukundo, D Akena, A C Tsai
Background: Studies conducted in sub-Saharan Africa suggest a high prevalence of depression and suicidality among adolescents living with HIV (ALWH). This is an important public health issue because depression is known to compromise HIV treatment adherence. However, the drivers of depression and suicidality in this population are unclear. We conducted a cross-sectional study to estimate the associations between internalized stigma, bullying, major depressive disorder, and suicidality...
2018: Global Mental Health
Kelly Dickson, Mukdarut Bangpan
Background: Humanitarian emergencies can impact people's psychosocial well-being and mental health. Providing mental health and psychosocial support (MHPSS) is an essential component of humanitarian aid responses. However, factors influencing the delivery MHPSS programmes have yet to be synthesised. We undertook a systematic review on the barriers to, and facilitators of, implementing and receiving MHPSS programmes delivered to populations affected by humanitarian emergencies in low- and middle-income countries...
2018: Global Mental Health
Nancy Glass, Anjalee Kohli, Pamela J Surkan, Mitma Mpanano Remy, Nancy Perrin
Background: Prolonged conflict and economic instability challenge the existing support networks in families and society places significant stress on both adults and adolescents. Exploring individual, family and social factors that increase the likelihood of or protect adolescents from negative outcomes are important to the development of evidence-based prevention and response programing in global settings. Objective: Examine the relationship between parent mental health and experience/perpetration of intimate partner violence (IPV) and adolescent behaviors, stigma, and school attendance...
2018: Global Mental Health
Z Mahmooth, W M Weiss, G A S Zangana, P Bolton
Background: Common mental health problems experienced by survivors of systematic violence include trauma, depression, and anxiety. A trial of mental health interventions by community mental health workers for survivors of systematic violence in southern Iraq showed benefits from two psychotherapies on trauma, depression, anxiety, and function: Common Elements Treatment Approach (CETA) and cognitive processing therapy (CPT). This study assessed whether other non-predetermined changes reported by intervention participants were more common than in the control group...
2018: Global Mental Health
M Malan, M F Spedding, K Sorsdahl
Background: Intimate partner violence (IPV) during pregnancy is prevalent across the world, but more so in low- and middle-income countries. It is associated with various adverse outcomes for mothers and infants. This study sought to determine the prevalence and predictors of IPV among pregnant women attending one midwife and obstetrics unit (MOU) in the Western Cape, South Africa. Methods: A convenience sample of 150 pregnant women was recruited to participate in the study...
2018: Global Mental Health
Jessica Spagnolo, François Champagne, Nicole Leduc, Wahid Melki, Imen Guesmi, Nesrine Bram, Ann-Lise Guisset, Myra Piat, Marc Laporta, Fatma Charfi
Background: In order to make mental health services more accessible, the Tunisian Ministry of Health, in collaboration with the School of Public Health at the University of Montreal, the World Health Organization office in Tunisia and the Montreal World Health Organization-Pan American Health Organization Collaborating Center for Research and Training in Mental Health, implemented a training programme based on the Mental Health Gap Action Programme (mhGAP) Intervention Guide (IG) (version 1...
2018: Global Mental Health
L K Murray, B J Hall, S Dorsey, A M Ugueto, E S Puffer, A Sim, A Ismael, J Bass, C Akiba, L Lucid, J Harrison, A Erikson, P A Bolton
Background: This paper reports on: (1) an evaluation of a common elements treatment approach (CETA) developed for comorbid presentations of depression, anxiety, traumatic stress, and/or externalizing symptoms among children in three Somali refugee camps on the Ethiopian/Somali border, and (2) an evaluation of implementation factors from the perspective of staff, lay providers, and families who engaged in the intervention. Methods: This project was conducted in three refugee camps and utilized locally validated mental health instruments for internalizing, externalizing, and posttraumatic stress (PTS) symptoms...
2018: Global Mental Health
Agnes Tiwari, Denise Shuk Ting Cheung, Vivian Hui
No abstract text is available yet for this article.
2018: Global Mental Health
P Hyland, R Ceannt, F Daccache, R Abou Daher, J Sleiman, B Gilmore, S Byrne, M Shevlin, J Murphy, F Vallières
Background: The World Health Organization will publish its 11th revision of the International Classification of Diseases (ICD-11) in 2018. The ICD-11 will include a refined model of posttraumatic stress disorder (PTSD) and a new diagnosis of complex PTSD (CPTSD). Whereas emerging data supports the validity of these proposals, the discriminant validity of PTSD and CPTSD have yet to be tested amongst a sample of refugees. Methods: Treatment-seeking Syrian refugees ( N  = 110) living in Lebanon completed an Arabic version of the International Trauma Questionnaire ; a measure specifically designed to capture the symptom content of ICD-11 PTSD and CPTSD...
2018: Global Mental Health
M Schneider, E Baron, T Davies, M Munodawafa, C Lund
Background: A combination of intimate partner violence (IPV) and depression is a common feature of the perinatal period globally. Understanding this association can provide indications of how IPV can be addressed or prevented during pregnancy. This paper aims to determine the prevalence and correlates of IPV among pregnant low-income women with depressive symptoms in Khayelitsha, South Africa, and changes in IPV reports during the course of the perinatal period. Methods: This study is a secondary analysis of data collected as part of a randomised controlled trial testing a psychosocial intervention for antenatal depression...
2018: Global Mental Health
M T H Le, S Holton, M Kirkman, J Fisher
Background: The experiences of and reflections on interpersonal violence and victimisation among adolescents living in low- and middle-income countries are poorly understood. The aim was to describe Vietnamese adolescents' reflections on their experiences of victimisation. Method: A self-completed, cross-sectional survey investigating exposure to violence among high school students in Hanoi, Vietnam was conducted during 2013-2014. The last section invited participants to write about any of the matters covered in the questionnaire...
2018: Global Mental Health
C Contreras, M Aguilar, B Eappen, C Guzmán, P Carrasco, A K Millones, J T Galea
Background: Mental health is an important factor in responding to natural disasters. Observations of unmet mental health needs motivated the subsequent development of a community-based mental health intervention following one such disaster affecting Peru in 2017. Methods: Two informal human settlements on the outskirts of Lima were selected for a mental health intervention that included: (1) screening for depression and domestic violence, (2) children's activities to strengthen social and emotional skills and diminish stress, (3) participatory theater activities to support conflict resolution and community resilience, and (4) community health worker (CHW) accompaniment to government health services...
2018: Global Mental Health
Ali Giusto, Eve Puffer
Background: Problem drinking accounts for 9.6% of disability-adjusted life years worldwide. It disproportionally affects men and has disabling physical, psychological, and behavioral consequences. These can lead to a cascade of negative effects on men's families, with documented ties to intimate partner violence (IPV) and child maltreatment. These multi-level problems are often exacerbated where poverty rates are high, including low and middle-income countries (LMICs). In contexts where strong patriarchal norms place men in positions of power, family-level consequences are often even more pronounced...
2018: Global Mental Health
Anvita Bhardwaj, Christine Bourey, Sauharda Rai, Ramesh Prasad Adhikari, Carol M Worthman, Brandon A Kohrt
Background: Suicide risk reduction is crucial for 15-29-year-old youth, who account for 46% of suicide deaths in low- and middle-income countries. Suicide predictors in high-resource settings, specifically depression, do not adequately predict suicidality in these settings. We explored if interpersonal violence (IPV) was associated with suicidality, independent of depression, in Nepal. Methods: A longitudinal cohort of child soldiers and matched civilian children, enrolled in 2007 after the People's War in Nepal, were re-interviewed in 2012...
2018: Global Mental Health
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