Andrea Danese MD, PhD , Dmytro Martsenkovskyi MD, PhD , Barbara Remberk MD, PhD , Monika Youssef Khalil MD , Emma Diggins MB BChir , Eleanor Keiller MA , Saba Masood MSc , Isang Awah PhD , Corrado Barbui MD , Renée Beer MSc , Rachel Calam MClinPsychol, PhD , Marcio Gagliato PhD , Tine K. Jensen PhD , Zlatina Kostova PhD , James F. Leckman MD, PhD , Stephanie J. Lewis MBBS, PhD , Boris Lorberg MD , Olha Myshakivska MD, PhD , Elisa Pfeiffer PhD , Rita Rosner PhD , John R. Weisz PhD
{"title":"范围界定审查：针对受战争影响的儿童和青少年的数字心理健康干预。","authors":"Andrea Danese MD, PhD , Dmytro Martsenkovskyi MD, PhD , Barbara Remberk MD, PhD , Monika Youssef Khalil MD , Emma Diggins MB BChir , Eleanor Keiller MA , Saba Masood MSc , Isang Awah PhD , Corrado Barbui MD , Renée Beer MSc , Rachel Calam MClinPsychol, PhD , Marcio Gagliato PhD , Tine K. Jensen PhD , Zlatina Kostova PhD , James F. Leckman MD, PhD , Stephanie J. Lewis MBBS, PhD , Boris Lorberg MD , Olha Myshakivska MD, PhD , Elisa Pfeiffer PhD , Rita Rosner PhD , John R. Weisz PhD","doi":"10.1016/j.jaac.2024.02.017","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>More than 200 million children and adolescents live in countries affected by violent conflict, are likely to have complex mental health needs, and struggle to access traditional mental health services. Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support. We performed a scoping review to map existing digital mental health interventions relevant for children and adolescents affected by war, to examine the strength of the evidence base, and to inform the development of future interventions.</div></div><div><h3>Method</h3><div>Based on a pre-registered strategy, we systematically searched MEDLINE, Embase, Global Health, APA PsychInfo, and Google Scholar from the creation of each database to September 30, 2022, identifying k = 6,843 studies. Our systematic search was complemented by extensive consultation with experts from the GROW Network.</div></div><div><h3>Results</h3><div>The systematic search identified 6 relevant studies: 1 study evaluating digital mental health interventions for children and adolescents affected by war, and 5 studies for those affected by disasters. Experts identified 35 interventions of possible relevance. The interventions spanned from universal prevention to specialist-guided treatment. Most interventions directly targeted young people and parents or carers/caregivers and were self-guided. A quarter of the interventions were tested through randomized controlled trials. Because most interventions were not culturally or linguistically adapted to relevant contexts, their implementation potential was unclear.</div></div><div><h3>Conclusion</h3><div>There is very limited evidence for the use of digital mental health interventions for children and adolescents affected by war at present. The review provides a framework to inform the development of new interventions.</div></div><div><h3>Plain language summary</h3><div>Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support for children and adolescents living in war affected regions. In this scoping review, the authors identified 1 study evaluating digital mental health interventions for children and adolescents affected by war and 5 for those affected by disasters. In addition, 35 interventions were identified through expert consultation as of possible relevance. The authors found very limited evidence for the use of digital mental health interventions for children and adolescents affected by war, and given this provide a framework to inform the development of new interventions.</div></div><div><h3>Diversity & Inclusion Statement</h3><div>We actively worked to promote sex and gender balance in our author group.</div></div><div><h3>Study preregistration information</h3><div>Digital mental health interventions for children and young people affected by war: a scoping review; <span><span>https://osf.io/</span><svg><path></path></svg></span>; hrny9.</div></div>","PeriodicalId":17186,"journal":{"name":"Journal of the American Academy of Child and Adolescent Psychiatry","volume":"64 2","pages":"Pages 226-248"},"PeriodicalIF":9.2000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Scoping Review: Digital Mental Health Interventions for Children and Adolescents Affected by War\",\"authors\":\"Andrea Danese MD, PhD , Dmytro Martsenkovskyi MD, PhD , Barbara Remberk MD, PhD , Monika Youssef Khalil MD , Emma Diggins MB BChir , Eleanor Keiller MA , Saba Masood MSc , Isang Awah PhD , Corrado Barbui MD , Renée Beer MSc , Rachel Calam MClinPsychol, PhD , Marcio Gagliato PhD , Tine K. Jensen PhD , Zlatina Kostova PhD , James F. Leckman MD, PhD , Stephanie J. Lewis MBBS, PhD , Boris Lorberg MD , Olha Myshakivska MD, PhD , Elisa Pfeiffer PhD , Rita Rosner PhD , John R. Weisz PhD\",\"doi\":\"10.1016/j.jaac.2024.02.017\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>More than 200 million children and adolescents live in countries affected by violent conflict, are likely to have complex mental health needs, and struggle to access traditional mental health services. Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support. We performed a scoping review to map existing digital mental health interventions relevant for children and adolescents affected by war, to examine the strength of the evidence base, and to inform the development of future interventions.</div></div><div><h3>Method</h3><div>Based on a pre-registered strategy, we systematically searched MEDLINE, Embase, Global Health, APA PsychInfo, and Google Scholar from the creation of each database to September 30, 2022, identifying k = 6,843 studies. Our systematic search was complemented by extensive consultation with experts from the GROW Network.</div></div><div><h3>Results</h3><div>The systematic search identified 6 relevant studies: 1 study evaluating digital mental health interventions for children and adolescents affected by war, and 5 studies for those affected by disasters. Experts identified 35 interventions of possible relevance. The interventions spanned from universal prevention to specialist-guided treatment. Most interventions directly targeted young people and parents or carers/caregivers and were self-guided. A quarter of the interventions were tested through randomized controlled trials. Because most interventions were not culturally or linguistically adapted to relevant contexts, their implementation potential was unclear.</div></div><div><h3>Conclusion</h3><div>There is very limited evidence for the use of digital mental health interventions for children and adolescents affected by war at present. The review provides a framework to inform the development of new interventions.</div></div><div><h3>Plain language summary</h3><div>Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support for children and adolescents living in war affected regions. 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The authors found very limited evidence for the use of digital mental health interventions for children and adolescents affected by war, and given this provide a framework to inform the development of new interventions.</div></div><div><h3>Diversity & Inclusion Statement</h3><div>We actively worked to promote sex and gender balance in our author group.</div></div><div><h3>Study preregistration information</h3><div>Digital mental health interventions for children and young people affected by war: a scoping review; <span><span>https://osf.io/</span><svg><path></path></svg></span>; hrny9.</div></div>\",\"PeriodicalId\":17186,\"journal\":{\"name\":\"Journal of the American Academy of Child and Adolescent Psychiatry\",\"volume\":\"64 2\",\"pages\":\"Pages 226-248\"},\"PeriodicalIF\":9.2000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American Academy of Child and Adolescent Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0890856724002430\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Academy of Child and Adolescent Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0890856724002430","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PEDIATRICS","Score":null,"Total":0}
Scoping Review: Digital Mental Health Interventions for Children and Adolescents Affected by War
Objective
More than 200 million children and adolescents live in countries affected by violent conflict, are likely to have complex mental health needs, and struggle to access traditional mental health services. Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support. We performed a scoping review to map existing digital mental health interventions relevant for children and adolescents affected by war, to examine the strength of the evidence base, and to inform the development of future interventions.
Method
Based on a pre-registered strategy, we systematically searched MEDLINE, Embase, Global Health, APA PsychInfo, and Google Scholar from the creation of each database to September 30, 2022, identifying k = 6,843 studies. Our systematic search was complemented by extensive consultation with experts from the GROW Network.
Results
The systematic search identified 6 relevant studies: 1 study evaluating digital mental health interventions for children and adolescents affected by war, and 5 studies for those affected by disasters. Experts identified 35 interventions of possible relevance. The interventions spanned from universal prevention to specialist-guided treatment. Most interventions directly targeted young people and parents or carers/caregivers and were self-guided. A quarter of the interventions were tested through randomized controlled trials. Because most interventions were not culturally or linguistically adapted to relevant contexts, their implementation potential was unclear.
Conclusion
There is very limited evidence for the use of digital mental health interventions for children and adolescents affected by war at present. The review provides a framework to inform the development of new interventions.
Plain language summary
Digital mental health interventions have the potential to overcome some of the barriers in accessing mental health support for children and adolescents living in war affected regions. In this scoping review, the authors identified 1 study evaluating digital mental health interventions for children and adolescents affected by war and 5 for those affected by disasters. In addition, 35 interventions were identified through expert consultation as of possible relevance. The authors found very limited evidence for the use of digital mental health interventions for children and adolescents affected by war, and given this provide a framework to inform the development of new interventions.
Diversity & Inclusion Statement
We actively worked to promote sex and gender balance in our author group.
Study preregistration information
Digital mental health interventions for children and young people affected by war: a scoping review; https://osf.io/; hrny9.
期刊介绍：
The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families.
We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings.
In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health.
At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
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