School-based mental health intervention for children in war-affected Burundi: a cluster randomized trial.

Abstract:

BACKGROUND:Armed conflicts are associated with a wide range of impacts on the mental health of children and adolescents. We evaluated the effectiveness of a school-based intervention aimed at reducing symptoms of posttraumatic stress disorder, depression, and anxiety (treatment aim); and improving a sense of hope and functioning (preventive aim). METHODS:We conducted a cluster randomized trial with 329 children in war-affected Burundi (aged 8 to 17 (mean 12.29 years, standard deviation 1.61); 48% girls). One group of children (n = 153) participated in a 15-session school-based intervention implemented by para-professionals, and the remaining 176 children formed a waitlist control condition. Outcomes were measured before, one week after, and three months after the intervention. RESULTS:No main effects of the intervention were identified. However, longitudinal growth curve analyses showed six favorable and two unfavorable differences in trajectories between study conditions in interaction with several moderators. Children in the intervention condition living in larger households showed decreases on depressive symptoms and function impairment, and those living with both parents showed decreases on posttraumatic stress disorder and depressive symptoms. The groups of children in the waitlist condition showed increases in depressive symptoms. In addition, younger children and those with low levels of exposure to traumatic events in the intervention condition showed improvements on hope. Children in the waitlist condition who lived on their original or newly bought land showed improvements in hope and function impairment, whereas children in the intervention condition showed deterioration on these outcomes. CONCLUSIONS:Given inconsistent effects across studies, findings do not support this school-based intervention as a treatment for posttraumatic stress disorder and depressive symptoms in conflict-affected children. The intervention appears to have more consistent preventive benefits, but these effects are contingent upon individual (for example, age, gender) and contextual (for example, family functioning, state of conflict, displacement) variables. Results suggest the potential benefit of school-based preventive interventions particularly in post-conflict settings. TRIAL REGISTRATION:The study was registered as ISRCTN42284825.

journal_name

BMC Med

journal_title

BMC medicine

authors

Tol WA,Komproe IH,Jordans MJ,Ndayisaba A,Ntamutumba P,Sipsma H,Smallegange ES,Macy RD,de Jong JT

doi

10.1186/1741-7015-12-56

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

56

issn

1741-7015

pii

1741-7015-12-56

journal_volume

12

pub_type

杂志文章,随机对照试验
  • A mouse model of sitosterolemia: absence of Abcg8/sterolin-2 results in failure to secrete biliary cholesterol.

    abstract:BACKGROUND:Mutations in either of two genes comprising the STSL locus, ATP-binding cassette (ABC)-transporters ABCG5 (encoding sterolin-1) and ABCG8 (encoding sterolin-2), result in sitosterolemia, a rare autosomal recessive disorder of sterol trafficking characterized by increased plasma plant sterol levels. Based upo...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-2-5

    authors: Klett EL,Lu K,Kosters A,Vink E,Lee MH,Altenburg M,Shefer S,Batta AK,Yu H,Chen J,Klein R,Looije N,Oude-Elferink R,Groen AK,Maeda N,Salen G,Patel SB

    更新日期:2004-03-24 00:00:00

  • Combining serological and contact data to derive target immunity levels for achieving and maintaining measles elimination.

    abstract:BACKGROUND:Vaccination has reduced the global incidence of measles to the lowest rates in history. However, local interruption of measles virus transmission requires sustained high levels of population immunity that can be challenging to achieve and maintain. The herd immunity threshold for measles is typically stipula...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1413-7

    authors: Funk S,Knapp JK,Lebo E,Reef SE,Dabbagh AJ,Kretsinger K,Jit M,Edmunds WJ,Strebel PM

    更新日期:2019-09-25 00:00:00

  • Mapping the evidence on pharmacological interventions for non-affective psychosis in humanitarian non-specialised settings: a UNHCR clinical guidance.

    abstract:BACKGROUND:Populations exposed to humanitarian emergencies are particularly vulnerable to mental health problems, including new onset, relapse and deterioration of psychotic disorders. Inadequate care for this group may lead to human rights abuses and even premature death. The WHO Mental Health Gap Action Programme Int...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-017-0960-z

    authors: Ostuzzi G,Barbui C,Hanlon C,Chatterjee S,Eaton J,Jones L,Silove D,Ventevogel P

    更新日期:2017-12-11 00:00:00

  • Chlamydia trachomatis transmission between the oropharynx, urethra and anorectum in men who have sex with men: a mathematical model.

    abstract:BACKGROUND:It has been presumed that Chlamydia trachomatis is transmitted between men only through anal or oral sex, but no mathematical models have tested this presumption. METHODS:To test this presumption, we created 20 compartmental mathematical models of different sexual practices that included both oral and anal ...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-01796-3

    authors: Xu X,Chow EPF,Ong JJ,Hoebe CJPA,Zou Z,Hocking JS,Fairley CK,Zhang L

    更新日期:2020-11-17 00:00:00

  • A dynamic neural network model for predicting risk of Zika in real time.

    abstract:BACKGROUND:In 2015, the Zika virus spread from Brazil throughout the Americas, posing an unprecedented challenge to the public health community. During the epidemic, international public health officials lacked reliable predictions of the outbreak's expected geographic scale and prevalence of cases, and were therefore ...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1389-3

    authors: Akhtar M,Kraemer MUG,Gardner LM

    更新日期:2019-09-02 00:00:00

  • Improving performance of the Tariff Method for assigning causes of death to verbal autopsies.

    abstract:BACKGROUND:Reliable data on the distribution of causes of death (COD) in a population are fundamental to good public health practice. In the absence of comprehensive medical certification of deaths, the only feasible way to collect essential mortality data is verbal autopsy (VA). The Tariff Method was developed by the ...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-015-0527-9

    authors: Serina P,Riley I,Stewart A,James SL,Flaxman AD,Lozano R,Hernandez B,Mooney MD,Luning R,Black R,Ahuja R,Alam N,Alam SS,Ali SM,Atkinson C,Baqui AH,Chowdhury HR,Dandona L,Dandona R,Dantzer E,Darmstadt GL,Das V,Dh

    更新日期:2015-12-08 00:00:00

  • Migration and tuberculosis transmission in a middle-income country: a cross-sectional study in a central area of São Paulo, Brazil.

    abstract:BACKGROUND:Little is known about the impact of growing migration on the pattern of tuberculosis (TB) transmission in middle-income countries. We estimated TB recent transmission and its associated factors and investigated the presence of cross-transmission between South American migrants and Brazilians. METHODS:We stu...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-018-1055-1

    authors: Pescarini JM,Simonsen V,Ferrazoli L,Rodrigues LC,Oliveira RS,Waldman EA,Houben R

    更新日期:2018-04-30 00:00:00

  • The prognostic value of lymph node yield in the earliest stage of colorectal cancer: a multicenter cohort study.

    abstract:BACKGROUND:In patients with stage II colorectal cancer (CRC) the number of surgically retrieved lymph nodes (LNs) is associated with prognosis, resulting in a minimum of 10-12 retrieved LNs being recommended for this stage. Current guidelines do not provide a recommendation regarding LN yield in T1 CRC. Studies evaluat...

    journal_title:BMC medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12916-017-0892-7

    authors: Backes Y,Elias SG,Bhoelan BS,Groen JN,van Bergeijk J,Seerden TCJ,Pullens HJM,Spanier BWM,Geesing JMJ,Kessels K,Kerkhof M,Siersema PD,de Vos Tot Nederveen Cappel WH,van Lelyveld N,Wolfhagen FHJ,Ter Borg F,Offerhaus GJA,L

    更新日期:2017-07-14 00:00:00

  • Food for thought: why does the medical community struggle with research about nutritional therapy in the acute care setting?

    abstract::Although clinical nutrition is a frequently used intervention in inpatient care, high quality trials proving its effectiveness and safety when used in the acutely-ill polymorbid medical inpatient population are largely lacking. From an evolutionary perspective, illness-related low appetite is protective and part of th...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-017-0812-x

    authors: Schuetz P

    更新日期:2017-02-24 00:00:00

  • Pregnancy, pregnancy loss, and the risk of cardiovascular disease in Chinese women: findings from the China Kadoorie Biobank.

    abstract:BACKGROUND:Pregnancy and pregnancy loss may be linked to cardiovascular disease (CVD). However, the evidence is still inconsistent, especially in East Asians, whose reproductive patterns differ importantly from those in the West. We examined the associations of pregnancy, miscarriage, induced abortion, and stillbirth w...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-017-0912-7

    authors: Peters SAE,Yang L,Guo Y,Chen Y,Bian Z,Tian X,Chang L,Zhang S,Liu J,Wang T,Chen J,Li L,Woodward M,Chen Z,China Kadoorie Biobank collaboration group.

    更新日期:2017-08-08 00:00:00

  • Evaluation of a multiple ecological level child obesity prevention program: Switch what you Do, View, and Chew.

    abstract:BACKGROUND:Schools are the most frequent target for intervention programs aimed at preventing child obesity; however, the overall effectiveness of these programs has been limited. It has therefore been recommended that interventions target multiple ecological levels (community, family, school and individual) to have gr...

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1741-7015-7-49

    authors: Gentile DA,Welk G,Eisenmann JC,Reimer RA,Walsh DA,Russell DW,Callahan R,Walsh M,Strickland S,Fritz K

    更新日期:2009-09-18 00:00:00

  • Development and evaluation of the feasibility and effects on staff, patients, and families of a new tool, the Psychosocial Assessment and Communication Evaluation (PACE), to improve communication and palliative care in intensive care and during clinical u

    abstract:BACKGROUND:There are widespread concerns about communication and support for patients and families, especially when they face clinical uncertainty, a situation most marked in intensive care units (ICUs). Therefore, we aimed to develop and evaluate an interventional tool to improve communication and palliative care, usi...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-11-213

    authors: Higginson IJ,Koffman J,Hopkins P,Prentice W,Burman R,Leonard S,Rumble C,Noble J,Dampier O,Bernal W,Hall S,Morgan M,Shipman C

    更新日期:2013-10-01 00:00:00

  • Prostate-specific antigen-based screening: controversy and guidelines.

    abstract::Although prostate-specific antigen (PSA) screening has improved the detection of prostate cancer, allowing for stage migration to less advanced disease, the precise mortality benefit of early detection is unclear. This is in part due to a discrepancy between the two large randomized controlled trials comparing PSA scr...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-015-0296-5

    authors: Kim EH,Andriole GL

    更新日期:2015-03-24 00:00:00

  • Neuromuscular training with injury prevention counselling to decrease the risk of acute musculoskeletal injury in young men during military service: a population-based, randomised study.

    abstract:BACKGROUND:The rapidly increasing number of activity-induced musculoskeletal injuries among adolescents and young adults is currently a true public health burden. The objective of this study was to investigate whether a neuromuscular training programme with injury prevention counselling is effective in preventing acute...

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1741-7015-9-35

    authors: Parkkari J,Taanila H,Suni J,Mattila VM,Ohrankämmen O,Vuorinen P,Kannus P,Pihlajamäki H

    更新日期:2011-04-11 00:00:00

  • Chemical and environmental vector control as a contribution to the elimination of visceral leishmaniasis on the Indian subcontinent: cluster randomized controlled trials in Bangladesh, India and Nepal.

    abstract:BACKGROUND:Bangladesh, India and Nepal are working towards the elimination of visceral leishmaniasis (VL) by 2015. In 2005 the World Health Organization/Training in Tropical Diseases launched an implementation research programme to support integrated vector management for the elimination of VL from Bangladesh, India an...

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1741-7015-7-54

    authors: Joshi AB,Das ML,Akhter S,Chowdhury R,Mondal D,Kumar V,Das P,Kroeger A,Boelaert M,Petzold M

    更新日期:2009-10-05 00:00:00

  • Progress in adjuvant chemotherapy for breast cancer: an overview.

    abstract::Breast cancer is the most common cause of cancer and cancer death worldwide. Although most patients present with localized breast cancer and may be rendered disease-free with local therapy, distant recurrence is common and is the primary cause of death from the disease. Adjuvant systemic therapies are effective in red...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/s12916-015-0439-8

    authors: Anampa J,Makower D,Sparano JA

    更新日期:2015-08-17 00:00:00

  • New directions in migraine.

    abstract::Migraine is a highly prevalent neurological disorder imparting a major burden on health care around the world. The primary pathology may be a state of hyperresponsiveness of the nervous system, but the molecular mechanisms are yet to be fully elucidated. We could now be at a watershed moment in this respect, as the ge...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-9-116

    authors: Weir GA,Cader MZ

    更新日期:2011-10-25 00:00:00

  • Using pay for performance incentives (P4P) to improve management of suspected malaria fevers in rural Kenya: a cluster randomized controlled trial.

    abstract:BACKGROUND:Inappropriate treatment of non-malaria fevers with artemisinin-based combination therapies (ACTs) is a growing concern, particularly in light of emerging artemisinin resistance, but it is a behavior that has proven difficult to change. Pay for performance (P4P) programs have generated interest as a mechanism...

    journal_title:BMC medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12916-015-0497-y

    authors: Menya D,Platt A,Manji I,Sang E,Wafula R,Ren J,Cheruiyot O,Armstrong J,Neelon B,O'Meara WP

    更新日期:2015-10-16 00:00:00

  • CD133(+)CXCR4(+) colon cancer cells exhibit metastatic potential and predict poor prognosis of patients.

    abstract:BACKGROUND:Colorectal cancer (CRC), which frequently metastasizes to the liver, is one of the three leading causes of cancer-related deaths worldwide. Growing evidence suggests that a subset of cells exists among cancer stem cells. This distinct subpopulation is thought to contribute to liver metastasis; however, it ha...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-10-85

    authors: Zhang SS,Han ZP,Jing YY,Tao SF,Li TJ,Wang H,Wang Y,Li R,Yang Y,Zhao X,Xu XD,Yu ED,Rui YC,Liu HJ,Zhang L,Wei LX

    更新日期:2012-08-07 00:00:00

  • Efficacy of aerobic exercise and a prudent diet for improving selected lipids and lipoproteins in adults: a meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:Studies addressing the effects of aerobic exercise and a prudent diet on lipid and lipoprotein concentrations in adults have reached conflicting conclusions. The purpose of this study was to determine the effects of aerobic exercise combined with a prudent diet on lipid and lipoprotein concentrations in adul...

    journal_title:BMC medicine

    pub_type: 杂志文章,meta分析

    doi:10.1186/1741-7015-9-74

    authors: Kelley GA,Kelley KS,Roberts S,Haskell W

    更新日期:2011-06-15 00:00:00

  • Cardiovascular implications of COVID-19 versus influenza infection: a review.

    abstract:BACKGROUND:Due to the overlapping clinical features of coronavirus disease 2019 (COVID-19) and influenza, parallels are often drawn between the two diseases. Patients with pre-existing cardiovascular diseases (CVD) are at a higher risk for severe manifestations of both illnesses. Considering the high transmission rate ...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/s12916-020-01816-2

    authors: Khan MS,Shahid I,Anker SD,Solomon SD,Vardeny O,Michos ED,Fonarow GC,Butler J

    更新日期:2020-12-18 00:00:00

  • Is inhibition of kinase activity the only therapeutic strategy for LRRK2-associated Parkinson's disease?

    abstract::Mutations in the leucine-rich repeat kinase 2 (LRRK2) gene are a common cause of familial Parkinson's disease (PD). Variation around the LRRK2 locus also contributes to the risk of sporadic PD. The LRRK2 protein contains a central catalytic region, and pathogenic mutations cluster in the Ras of complex protein C termi...

    journal_title:BMC medicine

    pub_type: 杂志文章,评审

    doi:10.1186/1741-7015-10-20

    authors: Rudenko IN,Chia R,Cookson MR

    更新日期:2012-02-23 00:00:00

  • Lactate dehydrogenase and susceptibility to deterioration of mild COVID-19 patients: a multicenter nested case-control study.

    abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) has infected more than 4 million people within 4 months. There is an urgent need to properly identify high-risk cases that are more likely to deteriorate even if they present mild diseases on admission. METHODS:A multicenter nested case-control study was conducted in four...

    journal_title:BMC medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12916-020-01633-7

    authors: Shi J,Li Y,Zhou X,Zhang Q,Ye X,Wu Z,Jiang X,Yu H,Shao L,Ai JW,Zhang H,Xu B,Sun F,Zhang W

    更新日期:2020-06-03 00:00:00

  • Valvular regurgitation and surgery associated with fenfluramine use: an analysis of 5743 individuals.

    abstract:BACKGROUND:Use of fenfluramines for weight loss has been associated with the development of characteristic plaques on cardiac valves causing regurgitation. However, previously published studies of exposure to fenfluramines have been limited by relatively small sample size, short duration of follow-up, and the lack of a...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-6-34

    authors: Dahl CF,Allen MR,Urie PM,Hopkins PN

    更新日期:2008-11-06 00:00:00

  • Disparities in access to diagnosis and care in Blantyre, Malawi, identified through enhanced tuberculosis surveillance and spatial analysis.

    abstract:BACKGROUND:A sizeable fraction of tuberculosis (TB) cases go undiagnosed. By analysing data from enhanced demographic, microbiological and geospatial surveillance of TB registrations, we aimed to identify modifiable predictors of inequitable access to diagnosis and care. METHODS:Governmental community health workers (...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-019-1260-6

    authors: MacPherson P,Khundi M,Nliwasa M,Choko AT,Phiri VK,Webb EL,Dodd PJ,Cohen T,Harris R,Corbett EL

    更新日期:2019-01-29 00:00:00

  • Macrophage invasion contributes to degeneration of stria vascularis in Pendred syndrome mouse model.

    abstract:BACKGROUND:Pendred syndrome, an autosomal-recessive disorder characterized by deafness and goiter, is caused by a mutation of SLC26A4, which codes for the anion exchanger pendrin. We investigated the relationship between pendrin expression and deafness using mice that have (Slc26a4+/+ or Slc26a4+/-) or lack (Slc26a4-/-...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-4-37

    authors: Jabba SV,Oelke A,Singh R,Maganti RJ,Fleming S,Wall SM,Everett LA,Green ED,Wangemann P

    更新日期:2006-12-22 00:00:00

  • The normal breast microenvironment of premenopausal women differentially influences the behavior of breast cancer cells in vitro and in vivo.

    abstract:BACKGROUND:Breast cancer studies frequently focus on the role of the tumor microenvironment in the promotion of cancer; however, the influence of the normal breast microenvironment on cancer cells remains relatively unknown. To investigate the role of the normal breast microenvironment on breast cancer cell tumorigenic...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-8-27

    authors: Fleming JM,Miller TC,Quinones M,Xiao Z,Xu X,Meyer MJ,Ginsburg E,Veenstra TD,Vonderhaar BK

    更新日期:2010-05-21 00:00:00

  • Identifying and prioritizing lower value services from Dutch specialist guidelines and a comparison with the UK do-not-do list.

    abstract:BACKGROUND:The term 'lower value services' concerns healthcare that is of little or no value to the patient and consequently should not be provided routinely, or not be provided at all. De-adoption of lower value care may occur through explicit recommendations in clinical guidelines. The present study aimed to generate...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-016-0747-7

    authors: Wammes JJ,van den Akker-van Marle ME,Verkerk EW,van Dulmen SA,Westert GP,van Asselt AD,Kool RB

    更新日期:2016-11-25 00:00:00

  • Safety of occasional ingestion of gluten in patients with celiac disease: a real-life study.

    abstract:BACKGROUND:Gluten-free diet (GFD) decreases the quality of life of celiac disease (CD) patients, who frequently ask to occasionally ingest gluten-containing food. We evaluated CD patients reporting voluntary and occasional transgressions to their GFD. METHODS:From October 2017 to September 2018, the patients reporting...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/s12916-020-1511-6

    authors: Elli L,Bascuñán K,di Lernia L,Bardella MT,Doneda L,Soldati L,Orlando S,Ferretti F,Lombardo V,Barigelletti G,Scricciolo A,Fabiano S,Vecchi M,Roncoroni L

    更新日期:2020-03-16 00:00:00

  • Associations between selected immune-mediated diseases and tuberculosis: record-linkage studies.

    abstract:BACKGROUND:Previous studies have suggested that there may be an association between some immune-mediated diseases and risk of tuberculosis (TB). METHODS:We analyzed a database of linked statistical records of hospital admissions and death certificates for the whole of England (1999 to 2011), and a similar database (th...

    journal_title:BMC medicine

    pub_type: 杂志文章

    doi:10.1186/1741-7015-11-97

    authors: Ramagopalan SV,Goldacre R,Skingsley A,Conlon C,Goldacre MJ

    更新日期:2013-04-04 00:00:00