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The efficacy of psychological prevention, and health promotion interventions targeting psychological health, wellbeing or resilience among forced migrant children and youth: a systematic review and meta-analysis
Örebro University, School of Behavioural, Social and Legal Sciences.ORCID iD: 0000-0003-4211-0120
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
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2025 (English)In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 34, no 1, p. 123-140Article, review/survey (Refereed) Published
Abstract [en]

There are over 40 million displaced children and youth worldwide and there is a need promote their mental wellbeing. This study aimed to synthesize evidence regarding promotion interventions to increase wellbeing, resilience, and quality of life (primary outcomes), and prevention interventions to reduce internalizing and externalizing symptoms (secondary outcomes) in this population. The review protocol was registered with PROSPERO (CRD42022329978). Medline, PsycINFO, and Web of Science were searched. Inclusion criteria were: ≥ 10 participants, sample ≤ 18 years of age, no parental participation, explicated forced migrant populations, implementation in non-clinical context, and validated measures. Fifteen studies (N interventions = 18, N participants = 5741) were eligible. Two studies included outcomes related to wellbeing and quality of life. The remaining studies reported depression, PTSD, anxiety, internalizing and externalizing behaviours, and behavioural and emotional problems. There was only sufficient data to perform random-effects meta-analysis of depression scores. No significant effects were observed in comparison to control condition in randomized trials (n = 4994, k = 5) but a small significant positive trend was observed in within-group analyses (n = 537, k = 12). Cochrane's risk of bias tools and the GRADE certainty of evidence tool were applied. No studies achieved low risk of bias and certainty of evidence was very low. In sum, there remains a dearth of rigorous intervention studies investigating the effects of promotive and preventative psychological interventions on the wellbeing, resilience, and quality of life of forcibly displaced minors. However, the few eligible studies in this review indicate promise.

Place, publisher, year, edition, pages
Springer, 2025. Vol. 34, no 1, p. 123-140
Keywords [en]
Children and youth, Forcibly displaced, Prevention, Promotion, Psychological interventions, Refugee
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:oru:diva-113205DOI: 10.1007/s00787-024-02424-8ISI: 001415596400001PubMedID: 38627307Scopus ID: 2-s2.0-85190526624OAI: oai:DiVA.org:oru-113205DiVA, id: diva2:1852138
Funder
Örebro UniversitySwedish Research Council, 2018-05756Forte, Swedish Research Council for Health, Working Life and WelfareVinnova
Note

Funding: Open access funding provided by Örebro University. The time of MV, and part of the time of PE, and AG in co-authorship of this study was funded by the PIA Project, a project that aims to develop interventions to promote the adjustment of newly arrived youth and parents in Sweden, developed by Metin Özdemir (PI, Örebro University), in collaboration with Ata Ghaderi (Karolinska Institutet), Birgitta Kimber (Umeå University), Brit Opedal (Norweigan Institute of Public Health), Pia Enebrink (Karolinska Institutet), and Sevgi Bayram Özdemir (Örebro University). The funding was granted by the Swedish Research Council (Vetenskapsrådet), Sweden (Grant code: 2018-05756); FORTE, Sweden; and VINNOVA, Sweden. No funding was received by the remaining authors to assist with the preparation of this manuscript.

Available from: 2024-04-17 Created: 2024-04-17 Last updated: 2026-09-02Bibliographically approved
In thesis
1. Acculturation in a Colder Climate: Immigrant Youths' Acculturation Experiences and Wellbeing Needs in the Swedish context
Open this publication in new window or tab >>Acculturation in a Colder Climate: Immigrant Youths' Acculturation Experiences and Wellbeing Needs in the Swedish context
2026 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Over 190,000, or 8 %, of under eighteens in Sweden were born in another country. Many come from the Middle East and Africa and there is a considerable diversity of ethnic and cultural backgrounds. As most young immigrants are unlikely to return to their homelands there are compelling reasons to better understand the conditions pertinent to these youths’ wellbeing and acculturation. This mixed methods dissertation therefore aimed to develop knowledge about how wellbeing and acculturation among newly arrived Middle Eastern and African immigrant youth in Sweden can be understood and promoted. The dissertation comprises three studies investigating immigrant youth resilience, wellbeing, and acculturation from global, national, individual, and applied perspectives. Study I is a systematic review and meta-analysis of psychosocial promotion and prevention interventions targeting psychological health, wellbeing, or resilience among forced migrant children and youth throughout the world. Study II is a qualitative thematic analysis examining acculturation goals and indications of psychological resilience in response to the contextual risk and resources described by newly arrived Middle Eastern and African youth when recalling their early experiences in Sweden. Study III is a comparative Delphi study examining newly arrived youths’ and youth workers’ perspectives on activities to promote acculturation and wellbeing in youths’ social- and cultural integration process. Cumulatively, these studies contribute to the conceptual understanding of youth acculturation as a resource intensive process that requires reciprocity from dominant society throughout multiple socioecological systems if youth are to succeed in reaching their acculturation goals, maintain resilience, and experience long-term wellbeing.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2026. p. 173
Series
Örebro Studies in Psychology, ISSN 1651-1328 ; 51
Keywords
Acculturation, immigrant, youth, newly arrived, promotion, resilience, socioecological, Sweden, wellbeing
National Category
Psychology (Excluding Applied Psychology)
Identifiers
urn:nbn:se:oru:diva-128821 (URN)9789175297958 (ISBN)9789175297965 (ISBN)
Public defence
2026-09-25, Örebro universitet, Långhuset, Hörsal L2, Fakultetsgatan 1, Örebro, 09:15 (English)
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Supervisors
Available from: 2026-05-13 Created: 2026-05-13 Last updated: 2026-09-10Bibliographically approved

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