Interventions addressing family violence and mental illness or substance use in low- and middle-income countries: A systematic review.
| Autor: | Mootz JJ; Department of Psychiatry, Columbia University, New York, USA.; New York State Psychiatric Institute, New York, USA., Fennig M; Department of Psychiatry, Washington University in St. Louis, St. Louis, USA., Giusto A; Department of Psychiatry, Columbia University, New York, USA.; New York State Psychiatric Institute, New York, USA., Mumey A; Department of Psychology, Columbia University, New York, USA., Greene CM; Mailman School of Public Health, Columbia University, New York, USA., Wainberg ML; Department of Psychiatry, Columbia University, New York, USA.; New York State Psychiatric Institute, New York, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Global mental health (Cambridge, England) [Glob Ment Health (Camb)] 2023 Oct 18; Vol. 10, pp. e71. Date of Electronic Publication: 2023 Oct 18 (Print Publication: 2023). |
| DOI: | 10.1017/gmh.2023.62 |
| Abstrakt: | Most family violence research has been conducted in high-income countries, although family violence rates are higher in low- and middle-income countries (LMICs), and outcomes more severe. Given the strong associations of family violence with substance use and mental illness, the aim of this systematic review was to examine interventions that targeted familial violence and at least one other condition of substance use or mental illness to determine effective treatments in LMICs. We conducted a systematic review of interventions that addressed family violence and mental illness or substance use. A committee of three researchers independently screened titles and abstracts and conducted full-text eligibility assessments. Two researchers conducted a risk of bias assessment. Data were extracted using a structured spreadsheet and narratively synthesized. Our search identified 29 articles produced from 19 studies conducted in 13 LMICs. Most ( n = 15) studies randomized to study condition. Lack of blinding was the most common threat. The external validity of studies was generally poor. Fourteen studies had a primary intervention target of family violence, mental health, substance use, economic improvement, or HIV. None of the studies showed improvements in all intervention areas. Child maltreatment was less likely to be addressed than intimate partner violence (IPV). Targeted interventions for substance and mental health mostly improved primary outcomes, although they were less effective in reducing IPV. Evidence-based treatments must be rigorously evaluated before innovations in implementation can occur. Interventions overwhelmingly addressed IPV victimization and should consider how to work with couples and include men and children. Competing Interests: The authors declare no competing interests exist. (© The Author(s) 2023.) |
| Databáze: | MEDLINE |
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