Abstract
Wietse Tol and colleagues discuss some of the key challenges for implementation of new WHO guidelines for stress-related mental health disorders in low- and middle-income countries. Please see later in the article for the Editors' Summary.
Highlights
N Formulation of evidence-based guidelines is complicated by limited knowledge regarding (a) the effectiveness of commonly implemented interventions, (b) the effectiveness of established evidence-based interventions when used in situations of ongoing adversity, and (c) the effectiveness of widely used cultural practices in LMICs
The Guideline Development Group (GDG) discovered that there is a dearth of scientifically rigorous research supporting many of the most commonly used interventions for managing conditions associated with stress
A promising direction concerns transdiagnostic approaches in which mental health practitioners learn skills across a variety of therapies to address a range of common mental disorders [34]. This approach seems most desirable given the high levels of comorbidity in the context of major stressors, and the lack of feasibility of training personnel in numerous separate interventions that address single conditions
Summary
World Health Organization Guidelines for Management of Acute Stress, PTSD, and Bereavement: Key Challenges on the Road Ahead. Tol1*, Corrado Barbui, Jonathan Bisson, Judith Cohen, Zeinab Hijazi, Lynne Jones, Joop T. V. M. de Jong, Nicola Magrini, Olayinka Omigbodun, Soraya Seedat, Derrick Silove, Renato Souza, Athula Sumathipala, Lakshmi Vijayakumar, Inka Weissbecker, Douglas Zatzick, Mark van Ommeren
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