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首页> 外文期刊>Conflict and Health >Mechanisms of change for interventions aimed at improving the wellbeing, mental health and resilience of children and adolescents affected by war and armed conflict: a systematic review of reviews
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Mechanisms of change for interventions aimed at improving the wellbeing, mental health and resilience of children and adolescents affected by war and armed conflict: a systematic review of reviews

机译：干预措施改变机制旨在改善受战争和武装冲突影响的儿童和青少年的福祉，心理健康和韧性：对评论的系统审查

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Despite increasing research and clinical interest in delivering psychosocial interventions for children affected by war, little research has been conducted on the underlying mechanisms of change associated with these interventions. This review aimed to identify these processes in order to inform existing interventions and highlight research gaps. A systematic review of reviews was conducted drawing from academic databases (PubMed, PILOTS, Cochrane Library for Systematic Reviews) and field resources (e.g. Médecins Sans Frontières and the Psychosocial Centre of the International Federation of Red Cross and Red Crescent Societies), with extracted data analysed using Thematic Content Analysis. Thirteen reviews of psychosocial or psychological interventions for children and adolescents (?25?years old) affected by war, armed conflict or political violence were identified, covering over 30 countries worldwide. Qualitative analysis identified 16 mechanisms of change, one of which was an adverse mechanism. Themes included protection from harm, play, community and family capacity building, strengthening relationships with caregivers, improved emotional regulation, therapeutic rapport, trauma processing, and cognitive restructuring; with the adverse mechanism relating to the pathologising of normal reactions. However, only 4 mechanisms were supported by strong empirical evidence, with only moderate or poor quality evidence supporting the other mechanisms. The poor quality of supporting evidence limits what can be inferred from this review's findings, but serves to highlight clinically informed mechanisms of change for existing and widely used non-specialist interventions in the field, which urgently need rigorous scientific testing to inform their continued practice.
机译：尽管对受战争影响的儿童的心理社会干预增加了研究和临床兴趣，但在与这些干预措施相关的改变的潜在机制上进行了很少的研究。该审查旨在识别这些流程，以便于现有干预措施和突出研究差距。对评论的系统审查是从学术数据库（PubMed，Pilots，Cochrane图书馆进行系统评论）和现场资源（例如MédecinsSansFrontières和国际红十字会和红新月会联合会的心理社会）的审查进行了绘制，提取数据使用主题内容分析进行分析。已经确定了由受战争，武装冲突或政治暴力影响的儿童和青少年（<25？岁）的心理社会或心理干预的13条点评，涵盖全球30多个国家。定性分析确定了16种变化机制，其中一个是不利机制。主题包括保护免受危害，发挥，社区和家庭能力建设，加强与护理人员的关系，改善情绪调节，治疗性规则，创伤加工和认知重组;具有与正常反应的病理有关的不利机制。但是，强有力的经验证据，只有4项机制得到支持，只有适度或差的质量证据支持其他机制。支持证据的质量差限制可以从本次审查的调查结果中推断出什么，但有助于突出现有和广泛使用的非专业干预措施的临床知识的变革机制，这迫切需要严格的科学检验，以告知其持续的实践。

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