{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:18:02Z","timestamp":1792059482489,"version":"4.4.0"},"reference-count":88,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acamh.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Ment Health"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although post\u2010disaster interventions can reduce mental health problems in children and adolescents, no systematic review and meta\u2010analysis has synthesized the effects of school\u2010based randomized controlled trials (RCTs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study assessed the effects of school\u2010based RCTs on post\u2010traumatic stress disorder (PTSD) symptoms, depression, and anxiety in children and adolescents (6\u201318\u2009years of age) in post\u2010natural disaster settings. Outcomes were evaluated immediately, and in the short term (&lt;6\u2009months) and long term (\u22656\u2009months) after the intervention. Eligible studies included RCTs. Seven databases and gray literature were searched through March 2025. Risk of bias was assessed using the\n                      <jats:italic>Cochrane Handbook for Systematic Reviews of Interventions<\/jats:italic>\n                      vers. 6.2.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirteen studies (with 2418 participants) were included. School\u2010based interventions showed significantly large effects on PTSD symptoms (\n                      <jats:italic>g<\/jats:italic>\n                      \u2009=\u2009\u22121.203, 95% confidence interval (CI)\u2009=\u2009\u22122.202 to \u22120.203), significant small effects on depression (\n                      <jats:italic>g<\/jats:italic>\n                      \u2009=\u2009\u22120.337, CI\u2009=\u2009\u22120.673 to \u22120.001) immediately after the intervention, with sustained medium effects at the short\u2010 and long\u2010term follow\u2010ups for PTSD symptoms, but not depression in the long term. Anxiety showed a significantly large immediate effect immediately after the intervention (\n                      <jats:italic>g<\/jats:italic>\n                      \u2009=\u2009\u22124.602, CI\u2009=\u2009\u22128.807 to 0.396). All tested moderator variables\u2014including the intervention approach, control group type, intervention protocol (duration, length, total sessions), type of analysis, risk of bias, interventionist, country type, and publication time\u2014significantly influenced immediate PTSD outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>School\u2010based interventions are effective in reducing PTSD symptoms, depression, and anxiety in children and adolescents following natural disasters. The intervention format and implementation context matter. Future research should strengthen the evidence base for depression and anxiety outcomes and assess long\u2010term effectiveness and scalability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/camh.70029","type":"journal-article","created":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T01:54:13Z","timestamp":1757987653000},"page":"41-56","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Review: School\u2010based interventions for child and adolescent survivors of natural disasters \u2013 a systematic review and meta\u2010analysis of randomized controlled trials"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4071-3895","authenticated-orcid":false,"given":"Okki Dhona","family":"Laksmita","sequence":"first","affiliation":[{"name":"School of Occupational Therapy College of Medicine, National Taiwan University  Taipei Taiwan, R.O.C."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0517-5913","authenticated-orcid":false,"given":"Min\u2010Huey","family":"Chung","sequence":"additional","affiliation":[{"name":"School of Nursing College of Nursing, Taipei Medical University  Taipei Taiwan, R.O.C."},{"name":"Department of Nursing Taipei Medical University\u2010Shuang Ho Hospital  New Taipei City Taiwan, R.O.C."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2683-0825","authenticated-orcid":false,"given":"Joseph Kondwani","family":"Banda","sequence":"additional","affiliation":[{"name":"School of Nursing College of Nursing, Taipei Medical University  Taipei Taiwan, R.O.C."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9207-2949","authenticated-orcid":false,"given":"Yann\u2010Yann","family":"Shieh","sequence":"additional","affiliation":[{"name":"Office of Special Education 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