Cited by 337Posttraumatic Stress Disorder ResearchChild and Adolescent Psychosocial and Emotional DevelopmentChild Therapy and Development

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Evaluation of a classroom‐based psychosocial intervention in conflict‐affected Nepal: a cluster randomized controlled trial

Jordans, Mark J.D., Komproe, Ivan H., Tol, Wietse A., Kohrt, Brandon A., Luitel, Nagendra P., Macy, Robert D., De Jong, Joop T.V.M.·2010·Journal of Child Psychology and Psychiatry

DOI 10.1111/j.1469-7610.2010.02209.x

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Abstract

Background: In situations of ongoing violence, childhood psychosocial and mental health problems require care. However, resources and evidence for adequate interventions are scarce for children in low‐ and middle‐income countries. This study evaluated a school‐based psychosocial intervention in conflict‐affected, rural Nepal. Methods: A cluster randomized controlled trial was used to evaluate changes on a range of indicators, including psychiatric symptoms (depression, anxiety, posttraumatic stress disorder), psychological difficulties, resilience indicators (hope, prosocial behavior) and function impairment. Children ( n = 325) (mean age = 12.7, SD = 1.04, range 11–14 years) with elevated psychosocial distress were allocated to a treatment or waitlist group. Results: Comparisons of crude change scores showed significant between‐group differences on several outcome indicators, with moderate effect sizes (Cohen d = .41 to .58). After correcting for nested variance within schools, no evidence for treatment effects was found on any outcome variable. Additional analyses showed gender effects for treatment on prosocial behavior (mean change difference: 2.70; 95% CI, .97 to 4.44), psychological difficulties (−2.19; 95% CI, −3.82 to −.56), and aggression (−4.42; 95% CI, −6.16 to −2.67). An age effect for treatment was found for hope (.90; 95% CI, −1.54 to −.26). Conclusions: A school‐based psychosocial intervention demonstrated moderate short‐term beneficial effects for improving social‐behavioral and resilience indicators among subgroups of children exposed to armed conflict. The intervention reduced psychological difficulties and aggression among boys, increased prosocial behavior among girls, and increased hope for older children. The intervention did not result in reduction of psychiatric symptoms.

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Authors: Jordans, M. J. D., Komproe, I. H., Tol, W. A., Kohrt, B. A., Luitel, N. P., Macy, R. D., & De Jong, J. T. V. M.
Affiliations: HealthNet TPO (NL)
Utrecht University (NL)
Emory University (US)
Harvard University (US)
ORCID: Jordans, Mark J.D.
Komproe, Ivan H.
Tol, Wietse A.
Kohrt, Brandon A.
Luitel, Nagendra P.
Macy, Robert D.
Venue: Journal of Child Psychology and Psychiatry
Publisher: Wiley
Published: 2010-06-07
Volume: 51
Issue: 7
Pages: 818-826
ISSN: 0021-9630 (ISSN-L)
1469-7610
DOI: 10.1111/j.1469-7610.2010.02209.x
OpenAlex: W2115543887
Cited by: 337
References: 36
Citations by year: 2026: 14 · 2025: 11 · 2024: 12 · 2023: 36 · 2022: 25 · 2021: 17 · 2020: 48 · 2019: 22 · 2018: 17 · 2017: 23 · 2016: 16 · 2015: 16 · 2014: 24 · 2013: 21 · 2012: 12
FWCI: 19.31
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Child Psychology and Psychiatry (publishedVersion)
PubMed (publishedVersion)
UvA-DARE (University of Amsterdam) (publishedVersion)
Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
UvA-DARE (University of Amsterdam) (submittedVersion)
Research Portal (King's College London) (submittedVersion)
Pure Amsterdam UMC (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
Keywords: post-traumatic stress disorder, depression, anxiety, resilience, hope, prosocial behavior, aggression, psychosocial distress, rural Nepal, gender differences, age differences
MeSH terms: Adaptation, Psychological, Adolescent, Anxiety Disorders, Mental Disorders, Child, Civil Disorders, Combined Modality Therapy, Developing Countries, Female, Humans, Male, Nepal, Psychotherapy, Group, Rural Population, School Health Services, Social Behavior, Socialization, Stress Disorders, Post-Traumatic, Violence, Cognitive Behavioral Therapy, Resilience, Psychological

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Evaluation of a classroom‐based psychosocial intervention in conflict‐affected Nepal: a cluster randomized controlled trial

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