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First published online December 9, 2023

Promoting mental health and preventing mental health problems in child and adolescent refugees and asylum seekers: A systematic review on psychosocial interventions

Abstract

Background:

According to the United Nations Commissioner for Refugees (UNHCR), children and adolescents represent 41% of all forcibly displaced individuals. They have to deal with conflicts, violence, and the many difficulties of flight and resettlement during a critical stage of their emotional, social, cognitive, and physical development. They are more likely to experience mental health problems during migration. Despite the several known risk factors, it is frequently challenging for refugees and asylum seekers to get mental health care. In this paper we review available studies on interventions aimed at promoting mental health and at preventing common mental disorders in immigrant adolescents and children.

Methods:

The relevant PubMed, Scopus, PsychINFO and Web of Science databases were searched for papers published until March 21, 2023, using (“immigrants” OR “migration” OR “asylum seekers” OR “refugees”) AND (“promotion” OR “prevention”) AND (“mental health” OR “mental disorders” OR “psych*”) AND (“children” OR “adolescents” OR “young adults”) as search string. Fourteen articles qualified for the detailed review.

Results and Conclusions:

The majority of available interventions, although highly heterogeneous in format and content, showed significant improvement in several psychopathological dimensions, including trauma-related symptoms, psychological stress, anxiety, depressive and cognitive symptoms. Available studies on interventions for the prevention of mental disorders and the promotion of mental health in refugees and asylum seekers children and adolescents indicate that provided interventions were associated with a global improvement for participants. Implementation strategies to improve their scalability are highly needed.

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Article first published online: December 9, 2023

Keywords

  1. Promotion
  2. prevention
  3. migrants
  4. displacement
  5. forced migration
  6. youth refugees

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Affiliations

Bianca Della Rocca
Department of Psychiatry, University of Campania “Luigi Vanvitelli,” Largo Madonna delle Grazie, Naples, Italy
Rosaria Bello
Department of Psychiatry, University of Campania “Luigi Vanvitelli,” Largo Madonna delle Grazie, Naples, Italy
Marco Carbone
Department of Psychiatry, University of Campania “Luigi Vanvitelli,” Largo Madonna delle Grazie, Naples, Italy
Pasquale Pezzella
Department of Psychiatry, University of Campania “Luigi Vanvitelli,” Largo Madonna delle Grazie, Naples, Italy
Claudia Toni
Department of Psychiatry, University of Campania “Luigi Vanvitelli,” Largo Madonna delle Grazie, Naples, Italy
Gaia Sampogna
Department of Psychiatry, University of Campania “Luigi Vanvitelli,” Largo Madonna delle Grazie, Naples, Italy
Lorenzo Tarsitani
Mario Luciano
Department of Psychiatry, University of Campania “Luigi Vanvitelli,” Largo Madonna delle Grazie, Naples, Italy
Andrea Fiorillo
Department of Psychiatry, University of Campania “Luigi Vanvitelli,” Largo Madonna delle Grazie, Naples, Italy

Notes

Bianca Della Rocca, Department of Psychiatry, University of Campania “Luigi Vanvitelli”, Largo Madonna delle Grazie, Naples, 80138, Italy. Email: [email protected]

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