The effectiveness of therapeutic interventions on psychological distress in refugee children : A systematic review

Journal article

Cowling, Misha M. and Anderson, Joel R.. (2023). The effectiveness of therapeutic interventions on psychological distress in refugee children : A systematic review. Journal of Clinical Psychology. 79(8), pp. 1857-1874. https://doi.org/10.1002/jclp.23479
AuthorsCowling, Misha M. and Anderson, Joel R.
Abstract

Objective
To systematically review existing research exploring the effectiveness of psychological interventions in reducing symptoms of distress amongst refugee and asylum-seeker children.

Method
Six databases were searched to identify English studies presenting original empirical quantitative data (published before September 2022) testing the efficacy of psychological interventions for children from refugee and asylum-seeking backgrounds. Quality of studies were assessed through the Appraisal Tool for Cross-Sectional Studies as well as the Cochrane Risk of Bias Tool. Relevant data were extracted to facilitate a narrative synthesis.

Results
Seventy-one eligible articles were identified (n > 10,000). A number of cognitive-behavioral, psychosocial, and trauma-focused interventions that catered specifically to children and their families were identified. A synthesis of these results suggest that interventions may assist in the reduction of various psychopathologies, although the effects were mixed across intervention types.

Conclusions
While the review yielded promising findings, most findings were derived from small pilot and empirical studies, leading to difficulties with drawing conclusions. There remains a need for studies using more rigorous research methodologies to expand and ratify this valuable knowledge base. Clinical significance: Forced displacement is at an all-time high. Many children are being forced to seek asylum and refuge, and they become vulnerable to the development of poor mental health, with limited understanding surrounding how to appropriately intervene. This review aims to equip clinicians with increased knowledge and confidence in working therapeutically alongside clients from refugee or asylum-seeking background, with the goal of fostering positive mental health and wellbeing.

Keywordsasylum‐seeker; children; interventions; refugee; review
Year2023
JournalJournal of Clinical Psychology
Journal citation79 (8), pp. 1857-1874
PublisherWiley Periodicals
ISSN0021-9762
Digital Object Identifier (DOI)https://doi.org/10.1002/jclp.23479
PubMed ID36634291
Scopus EID2-s2.0-85146324975
Web address (URL)https://onlinelibrary.wiley.com/doi/10.1002/jclp.23479
Open accessPublished as ‘gold’ (paid) open access
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Online12 Jan 2023
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Accepted27 Dec 2022
Deposited19 Jun 2023
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© 2023 The Authors. Journal of Clinical Psychology published by Wiley Periodicals LLC.

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
https://creativecommons.org/licenses/by/4.0/

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Anderson, Joel. (2016). The person-based approach to measuring attitudes toward gay men and lesbians [Thesis]. https://doi.org/10.4226/66/5a9cbed8b0ba0
The academic adjustment scale : Measuring the adjustment of permanent resident or sojourner students
Anderson, Joel R., Guan, Yao and Koc, Yasin. (2016). The academic adjustment scale : Measuring the adjustment of permanent resident or sojourner students. International Journal of Intercultural Relations. 54, pp. 68-76. https://doi.org/10.1016/j.ijintrel.2016.07.006
The legacy of medicalising 'homosexuality': A discussion on the historical effects of non-heterosexual diagnostic classifications
Anderson, Joel and Holland, Elise. (2015). The legacy of medicalising 'homosexuality': A discussion on the historical effects of non-heterosexual diagnostic classifications. Sensoria: A Journal of Mind Brain and Culture. 11(1), pp. 4 - 15.
Sensoria special edition on sexual orientation and gender: Editorial
Anderson, Joel and Holland, Elise. (2015). Sensoria special edition on sexual orientation and gender: Editorial. Sensoria: A Journal of Mind Brain and Culture. 11(1), pp. 1 - 3.
Framing (implicitly) matters : The role of religion in attitudes toward immigrants and Muslims in Denmark
Anderson, Joel and Antalikova, Radka. (2014). Framing (implicitly) matters : The role of religion in attitudes toward immigrants and Muslims in Denmark. Scandinavian Journal of Psychology. 55(6), pp. 593 - 600. https://doi.org/10.1111/sjop.12161
Improving retention and graduation of Aboriginal and Torres Strait Islander students in initial teacher education programs
Lampert, Jo, Burnett, Bruce, Patton, Wendy A., Lee Hong, Anita and Anderson, Joel. (2013). Improving retention and graduation of Aboriginal and Torres Strait Islander students in initial teacher education programs. Journal of Australian Indigenous Issues. 16(4), pp. 27-42.
Report into the retention and graduation of Aboriginal and Torres Strait Islander students enrolled in initial teacher education
Lampert, Jo, Burnett, Bruce and Anderson, Joel. (2012). Report into the retention and graduation of Aboriginal and Torres Strait Islander students enrolled in initial teacher education Australia: University of South Australia.
Teachers' use of national test data to focus numeracy instruction
White, Paul and Anderson, J.. (2011). Teachers' use of national test data to focus numeracy instruction. In J. Clark, B. Kissane and J. Mousley (Ed.). Mathematics: Traditions and [new] practices: Proceedings of the 2011 AAMT-MERGA conference. Australia: AAMT and MERGA. pp. 777 - 785