Toward an interdisciplinary conceptualization of moral injury : From unequivocal guilt and anger to moral conflict and disorientation

While the concept of moral injury has been embraced in academic, clinical and public discourses, it is still nascent and needs development regarding the ‘moral’ in ‘moral injury’.

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The impact of war and economic sanctions on the mental health system in Iraq from 1990 to 2003 : a preliminary report

This paper explores the effects of war in Iraq in the period between 1991 and 2003, with a focus on the effect of economic sanctions on mental health services. The authors, Iraqi psychiatrists with direct contact with patients and events during this period, review literature and reports published contemporaneously. They describe how the mental health system in Iraq was deteriorated, not only by war, but also by United Nations imposed sanctions during the period between the first and second Iraq war.

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Operational and ethical challenges of applied psychosocial research in humanitarian emergency settings : a case study

Interventions on mental health and psychosocial wellbeing have been largely implemented in low and middle income countries. In order to adapt the support offered, an increasing number of applied research projects in mental health and psychosocial support have been conducted. However, while challenges arising can be related to the specificity of the mental health and psychosocial sector, within a broader perspective they are also strongly linked to difficulties of access to beneficiaries, security and protections issues, and competence of staff.

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Early-life and pubertal stress differentially modulate grey matter development in human adolescents

Animal and human studies have shown that both early-life traumatic events and ongoing stress episodes affect neurodevelopment, however, it remains unclear whether and how they modulate normative adolescent neuro-maturational trajectories. We characterized effects of early-life (age 0–5) and ongoing stressors (age 14–17) on longitudinal changes (age 14 to17) in grey matter volume (GMV) of healthy adolescents (n = 37). Timing and stressor type were related to differential GMV changes.

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Psychological interventions for post-traumatic stress disorder in refugees and asylum seekers : A systematic review and meta-analysis

Abstract

There is a high prevalence of post-traumatic stress disorder (PTSD) in refugee and asylum seeker populations which can pose distinct challenges for mental health professionals.

This review included 16 randomised controlled trials (RCTs) with 1111 participants investigating the effect of psychological interventions on PTSD in these populations.

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‘Our NGO family has suffered a tragedy, and we will survive : ’ Evaluating a crisis response intervention with expatriate aid workers in Afghanistan

In 2008, Taliban forces killed four aid workers in Afghanistan. Immediately afterwards, expatriate and national field staff undertook crisis management activities on the ground. While this was a devastating event, field and headquarters staff agreed that the organisational response to the crisis was positive. Nine months later, 19 expatriate staff members involved in the crisis response participated in an evaluation to reflect on personal and organisational factors that contributed to their post crisis resilience.

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The role and experience of local faith leaders in promoting child protection : a case study from Malawi

Frequently, community based strategies include engagement with local faith leaders. However, there have been few systematic attempts to document how faith leaders themselves define their roles in these initiatives. This study examined local faith leaders and their spouses, in flood affected areas of Malawi, who had been oriented to child protection issues through World Vision workshops aimed explicitly at relating protection concerns to religious teachings.

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Underrepresentation of men in gender based humanitarian and refugee trauma research : a scoping review

Sex and gender are important considerations within refugee studies. Risks to health and wellbeing may manifest differently for refugee women and men, as may the use of health and social services and responses to interventions. Since the 1980s, increased attention has been paid to the experience of girls and women in refugee and humanitarian research, however, much less attention has been paid to boys and men. The purpose of this systematic scoping review was to investigate whether there is a gender bias in refugee and humanitarian research on refugee trauma.

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Marital conflict in the aftermath of genocide in Rwanda : an explorative study within the context of community based sociotherapy

This article explores the ongoing impact of the genocide in Rwanda on marital relationships. Its specific focus are genocide related factors that generate relational trauma and the consequences of this trauma for the everyday lives of spouses affected by it. The qualitative study that informs this article was conducted within the context of a community based sociotherapy programme.

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Closing the gap between disaster mental health research and practice : evidence for socio-ecological mental health interventions through multilevel research

Socio-ecological interventions assume that there are ‘links’ between the individual process that determines disaster mental health and the social context one lives in. However, there is insufficient empirical basis for this claim. This paper summarises the main findings from a research programme, in which two advanced statistical techniques on data from two floods were applied, respectively Uttar Pradesh, India 2008 and Morpeth, England, 2008.

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