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2022| July-December | Volume 20 | Issue 2
Online since October 31, 2022

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ARTICLES

Highlighting Complementary Benefits of Problem Management Plus (PM+) and Doing What Matters in Times of Stress (DWM) Interventions Delivered Alongside Broader Community MHPSS Programming in Zummar, Ninewa Governorate of Iraq
Protus Musotsi, Phiona Koyiet, Neenib Bihnan Khoshaba, Aveen Hussein Ali, Fahad Elias, Muhammad Waduallah Abdulmaleek, Ken Simiyu, Eva Rosenkranz
July-December 2022, 20(2):139-150
DOI:10.4103/intv.intv_7_22

Internally displaced persons (IDPs), refugees, returnees and host communities in conflict settings experience high rates of mental health problems associated with prolonged and repeated exposure to multiple exposure to distress, as is the case in Iraq. We sought to highlight the outcomes and complementarity of Problem Management Plus (PM+) and Doing What Matters in Times of Stress (DWM) in addressing the mental health and psychosocial support needs of IDPs, returnees and host community teens and adults in Zummar, Iraq. A total of 290 adults were included in the PM+ intervention, while DWM included 648 adults and 282 teens. DWM was delivered to adults with accessibility barriers to receiving PM+ and to all teens in the study due to security reasons and COVID-19 restrictions. The Patient Health Questionnaire (PHQ-9) and World Health Organization Disability Assessment Schedule (WHODAS 2.0) were used to measure psychological distress and functioning in adults, respectively. The Revised Children Anxiety and Depression Scale (RCADS) was also used to measure symptoms of depression and anxiety in teens pre and postintervention. Personally identified problems were measured using the Psychological Outcome Profiles (PSYCHLOPS) for adults and teens. Psychological and emotional challenges were the main problem faced by both teens and adults at baseline. For PM+ and DWM interventions in adults, the mean difference in PSYCHLOPS, WHODAS and PHQ-9 scores between preintervention and postintervention assessment were significant (P < 0.001). For DWM teens, the paired mean difference for pre and postintervention RCADS and PSYCHLOPS teens was 55.9 (SD = 8.0) and 4.8 (SD = 2.40), respectively (P < 0.001, Cohen’s d > 2). There was a significant reduction in the number of days off work and increased ability to carry out usual activities after both interventions. The study findings highlight the applicability of PM+ and DWM in conflict settings of Iraq when there are barriers to applying one.

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Mental Health and Perceived Social Support of Humanitarian Workers in Bangladesh During the COVID-19 Pandemic
Tahmina Parvin, Simon Rosenbaum, Sanem Ozen, Lilian Ewagata, Peter Ventevogel
July-December 2022, 20(2):151-160
DOI:10.4103/intv.intv_18_21

Humanitarian workers are at risk of experiencing emotional distress and mental health problems. The COVID-19 pandemic created additional stress and challenges for staff in ongoing emergencies who had to continue delivering humanitarian assistance. The primary objective of this study was to assess the mental health status of humanitarian staff working in the Rohingya refugee operation in Cox’s Bazar, Bangladesh, amid the COVID-19 pandemic. A sample of 307 national and international humanitarian staff working in person or remotely within the Rohingya refugee operation in Cox’s Bazar anonymously completed an online questionnaire. Outcome measures included 1) the WHO-UNHCR Assessment Schedule of Serious Symptoms in Humanitarian Settings which measures six symptoms related to mental health problems, 2) the Perceived Social Support Questionnaire and 3) questions about help-seeking. The self-reported mental health burden among humanitarian workers was high. The result demonstrates that most participants felt so afraid and severely upset about the emergency/COVID-19 pandemic that they avoided people or places. One in three respondents felt so angry that they were unable to carry out essential activities at least some of the time. Significant differences between national and international staff were found, with national staff more likely than international staff to feel afraid, angry, hopeless and unable to carry out essential activities (all P-values < 0.05). Nearly three out of 10 humanitarian workers reported a lack of social support. Less than one in five had sought professional help, while around half of all respondents indicated that they would want mental health support. The need for mental health support for humanitarian staff in Cox’s Bazar, Bangladesh, during the COVID-19 pandemic was high. It is important to strengthen strategies to proactively make services for mental health support available and accessible to humanitarians, building upon existing structures and allocating appropriate resources.

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EDITORIAL

Approaching 20 Years of Publishing Intervention Journal
Wendy Ager
July-December 2022, 20(2):137-138
DOI:10.4103/intv.intv_18_22

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ARTICLES

“Doing What Matters in Times of Stress” to Decrease Psychological Distress During COVID-19: A Randomised Controlled Pilot Trial
Ceren Acarturk, Gulsah Kurt, Zeynep Ilkkursun, Ersin Uygun, Akfer Karaoglan-Kahilogullari
July-December 2022, 20(2):170-178
DOI:10.4103/intv.intv_29_21

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Cognitive Processing Therapy for the Treatment of PTSD, Depression and Anxiety in Syrian Refugees in Egypt
Amani Safwat ElBarazi, Rajiv Tikamdas, Salma Ahmed, Salma Ramadan
July-December 2022, 20(2):179-187
DOI:10.4103/intv.intv_33_21

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Mechanisms of Change for Child Mental Health and Psychosocial Support in Conflict Settings: A Systematic Review
Tania Bosqui, Anas Mayya, Aws Al-Kadasi
July-December 2022, 20(2):161-169
DOI:10.4103/intv.intv_25_21

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COMMENTARY

The Accumulating Evidence-Base Regarding Child Friendly Spaces: Policy and Practice Implications
Alastair Ager, Janna Metzler
July-December 2022, 20(2):188-192
DOI:10.4103/intv.intv_12_22

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LETTER TO EDITOR

Assessment of Mental Health and Psychosocial Support Limitations, Needs, and Recommendations in Iraq
Darya Rostam Ahmed
July-December 2022, 20(2):193-194
DOI:10.4103/intv.intv_13_22

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ERRATUM

Erratum: Drama Therapy as a Mental Health Intervention for Women in the Shatila Refugee Camp, Lebanon

July-December 2022, 20(2):195-195
DOI:10.4103/1571-8883.359984

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