<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Panter-Brick, C.</style></author><author><style face="normal" font="default" size="100%">Dajani, R.</style></author><author><style face="normal" font="default" size="100%">Eggerman, M.</style></author><author><style face="normal" font="default" size="100%">Hermosilla, S.</style></author><author><style face="normal" font="default" size="100%">Sancilio, A.</style></author><author><style face="normal" font="default" size="100%">Ager, A.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Insecurity, distress and mental health: experimental and randomized controlled trials of a psychosocial intervention for youth affected by the Syrian crisis</style></title><secondary-title><style face="normal" font="default" size="100%">J Child Psychol Psychiatry</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">evaluation</style></keyword><keyword><style  face="normal" font="default" size="100%">forced displacement</style></keyword><keyword><style  face="normal" font="default" size="100%">implementation science</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental health and psychosocial support</style></keyword><keyword><style  face="normal" font="default" size="100%">Refugees</style></keyword><keyword><style  face="normal" font="default" size="100%">War</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2018</style></year><pub-dates><date><style  face="normal" font="default" size="100%">May</style></date></pub-dates></dates><number><style face="normal" font="default" size="100%">5</style></number><volume><style face="normal" font="default" size="100%">59</style></volume><pages><style face="normal" font="default" size="100%">523-541</style></pages><isbn><style face="normal" font="default" size="100%">1469-7610 (Electronic)&lt;br/&gt;0021-9630 (Linking)</style></isbn><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">BACKGROUND: Strengthening the evidence base for humanitarian interventions that provide psychosocial support to war-affected youth is a key priority. We tested the impacts of an 8-week programme of structured activities informed by a profound stress attunement (PSA) framework (Advancing Adolescents), delivered in group-format to 12-18 year-olds in communities heavily affected by the Syrian crisis. We included both Syrian refugee and Jordanian youth. METHODS: We followed an experimental design, comparing treatment youth and wait-list controls over two programme implementation cycles, randomizing to study arm in cycle 2 (ClinicalTrials.gov ID: NCT03012451). We measured insecurity, distress, mental health difficulties, prosocial behaviour and post-traumatic stress symptoms at three time-points: baseline (n = 817 youth; 55% Syrian, 43% female), postintervention (n = 463; 54% Syrian, 47% female), and follow-up (n = 212, 58% Syrian, 43% female). Regression models assessed: prospective intervention impacts, adjusting for baseline scores, trauma exposure, age, and gender; differential impacts across levels of trauma exposure and activity-based modality; and sustained recovery 1 year later. We analysed cycle-specific and cycle-pooled data for youth exclusively engaged in Advancing Adolescents and for the intent-to-treat sample. RESULTS: We found medium to small effect sizes for all psychosocial outcomes, namely Human Insecurity (beta = -7.04 (95% CI: -10.90, -3.17), Cohen's d = -0.4), Human Distress (beta = -5.78 (-9.02, -2.54), d = -0.3), and Perceived Stress (beta = -1.92 (-3.05, -0.79), d = -0.3); and two secondary mental health outcomes (AYMH: beta = -3.35 (-4.68, -2.02), d = -0.4; SDQ: beta = -1.46 (-2.42, -0.50), d = -0.2). We found no programme impacts for prosocial behaviour or post-traumatic stress reactions. Beneficial impacts were stronger for youth with exposure to four trauma events or more. While symptoms alleviated for both intervention and control groups over time, there were sustained effects of the intervention on Human Insecurity. CONCLUSIONS: Findings strengthen the evidence base for mental health and psychosocial programming for a generation affected by conflict and forced displacement. We discuss implications for programme implementation and evaluation research.</style></abstract><accession-num><style face="normal" font="default" size="100%">28967980</style></accession-num><notes><style face="normal" font="default" size="100%">Panter-Brick, Catherine&lt;br/&gt;Dajani, Rana&lt;br/&gt;Eggerman, Mark&lt;br/&gt;Hermosilla, Sabrina&lt;br/&gt;Sancilio, Amelia&lt;br/&gt;Ager, Alastair&lt;br/&gt;eng&lt;br/&gt;Wellcome Trust/United Kingdom&lt;br/&gt;T32 MH096724/MH/NIMH NIH HHS/&lt;br/&gt;England&lt;br/&gt;2017/10/03 06:00&lt;br/&gt;J Child Psychol Psychiatry. 2018 May;59(5):523-541. doi: 10.1111/jcpp.12832. Epub 2017 Oct 2.</style></notes><custom2><style face="normal" font="default" size="100%">5972454</style></custom2><auth-address><style face="normal" font="default" size="100%">Department of Anthropology and Jackson Institute for Global Affairs, Yale University, New Haven, CT, USA.&lt;br/&gt;Department of Biology and Biotechnology, Hashemite University, Zarqa, Jordan.&lt;br/&gt;MacMillan Center for International and Area Studies, Yale University, New Haven, CT, USA.&lt;br/&gt;Columbia University Medical Center, Columbia University, New York, NY, USA.&lt;br/&gt;Department of Anthropology, Yale University, New Haven, CT, USA.&lt;br/&gt;Institute for Global Health and Development, Queen Margaret University, Edinburgh, UK.</style></auth-address></record></records></xml>