Xinyuan Li, Weiwei Zhou, Guangsheng Hu
The association between non-alcoholic fatty liver disease and urinary incontinence among adult females in the United States
BMC public health
democratic republic congo drc prevalence mental health issues could greater lowincome middleincome countries major risk factors related armed conflicts poverty given mental health essential component health surprising systematic evaluation mental health drc yet undertaken study aims undertake first systematic review mental health literacy service provision drc bridge gap inform need develop evidence base could support policymakers tackling issues related limited mental health systems service provision drc following cochrane prisma guidelines systematic web science medline public health psycinfo google scholar search conducted january 2000 august 2023 combinations key blocks terms used search drc war zone mental health posttraumatic stress disorder ptsd anxiety depression sexual violence war trauma resilience mental health systems service provision followed additional sources reference lists included studies screening completed two stages title abstract search fulltext screening relevance quality overall 50 studies included review majority studies n 31 conducted eastern region drc region devastated war sexual violence different instruments used measure participants mental health hopkins symptoms checklist hscl25 harvard trauma questionnaire patient health questionnaire phq9 general anxiety disorder gad7 positive negative symptoms scale panss study found wartime sexual violence extreme poverty highly traumatic cause multiple longterm mental health difficulties found depression anxiety ptsd common problems drc psychosocial interventions group therapy family support socioeconomic support effective reducing anxiety depression ptsd symptoms systematic review calls attention need support sexual violence survivors many congolese people affected traumatic events review also highlights need validating culturally appropriate measures need welldesigned controlled intervention studies lowincome settings drc better public mental health systems service provision could help improve community cohesion human resilience mental wellbeing also urgent need address wider social issues poverty stigma gender inequality drc