Panos Vostanis

Panos Vostanis
University of Leicester | LE · School of Neuroscience, Psychology and Behhaviour

MB BS, MD, FRCPsych

About

358
Publications
99,931
Reads
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10,335
Citations
Additional affiliations
December 1998 - present
University of Leicester
Position
  • Professor of Child Psychiatry
Description
  • A research centre on the interface with child mental health services with expertise in applied research.

Publications

Publications (358)
Article
Full-text available
To date, research on refugee mental health has mainly focused on understanding the absence of psychopathology rather than on their well-being and associated positive aspects. The aim of this study was to examine the role of resilience, hope, belongingness, and social support in predicting satisfaction with life and flourishing among 361 minority Sy...
Article
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Introduction Youth mental health support and services vary across sociocultural contexts. It is important to capture the perspectives of youth with lived experiences for planning needs-led interventions and services, especially in Global South Countries (GSC), with limited specialist resources and representative literature. Methods The aim was to...
Article
Death of a parent has well-established adverse effects on the child’s well-being. The surviving parent is often the most important source of support for the child and a close witness of the child bereavement process. The aim of this study was to understand the perceived effects of paternal bereavement on children’s mental health and coping strategi...
Article
Drawing on integrated data from focus groups and diary entries, we explored the impact of the COVID‐19 pandemic on child well‐being for children from five Majority World Countries. We focus on the disruptions the pandemic caused, the adjustments made in response to these, and children's vision of a post‐pandemic world. Underlying children's experie...
Article
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The objective was to establish how stakeholders in low- and middle-income countries (LMIC) conceptualize child mental health impact. Semi-structured interviews were conducted with 18 stakeholders from disadvantaged urban communities in Kenya, South Africa, Turkey and Brazil. Participants represented education, welfare and health care agencies; as w...
Article
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The ICMH-SG started in 2011 as a small network of researchers from undeveloped and developing world regions. Since then, the ICMH-SG has made significant contributions to cross-cultural child and adolescent mental health (CAMH) research. It aspires to future improvements in CAMH practice and excellent cross-cultural CAMH research based on multisite...
Article
Children in low- and middle-income countries (LMIC) have high levels of unmet mental health needs, especially in disadvantaged communities. To address this gap, we developed a child mental health service improvement programme. This was co-facilitated using interprofessional principles and values in four countries, South Africa, Kenya, Turkey and Br...
Article
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Digital technology offers opportunities for child mental health capacity building, which is a priority for Majority World Countries (MWC). The aim of this study was to explore the experiences and perspectives of professionals from different disciplines in Turkey ( n=12) and Pakistan ( n=15), who had completed a two-module digital trauma-informed pr...
Article
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Background Exposure to traumatic events in childhood is associated with the development and maintenance of various psychiatric disorders, but most frequently with posttraumatic stress disorder (PTSD). The aim of this study was to evaluate the types of traumatic events experienced and the presence and predictors of PTSD symptoms among adolescents fr...
Article
The wellbeing of disadvantaged children in low-income countries (LIC) is often compromised by a range of environmental risk factors, as well as by limited access to supports and services. The aim of this exploratory study was to understand service provision barriers for children's wellbeing in an urban informal settlement in Dhaka, Bangladesh, by c...
Article
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Locus of control (LOC) is a modifiable mediator of symptoms of posttraumatic stress disorder (PTSD) among traumatized individuals and a potential target of intervention. Compared with studies involving adults, the potential mediation effect of LOC on PTSD symptoms among trauma-exposed children and adolescents is relatively under-explored. This stud...
Article
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Mixed methods refers to the use of both qualitative and quantitative approaches and methods in one study or sequentially in two or more studies. Without a mixed methods approach there is – to our minds ‐ a risk that only part of a phenomenon or experience is being explored. Our own involvement in mixed methods research has grown out of a shared int...
Article
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The research aimed to establish how psychosocial supports are experienced by children who lived on the streets, juxtaposed with caregivers' views. Semi-structured interviews were conducted with seven children aged 12-16 years recruited from a shelter in Delhi who had lived on the streets, four parents, and five professionals. The data were analysed...
Article
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Background: It is important to understand how parental and community factors can impact on the development of voices. Aim: This cross-sectional study aimed to determine to what extent parental rearing style, attachment security and social supports were associated with mental health problems among young people living in disadvantaged areas of Saudi...
Article
Full-text available
Abstract: Objectives: This is a protocol for a Cochrane Review (intervention). The objective of this review is to assess the effects of interventions for mood disorders, anxiety disorders or self‐harm behaviours in young offenders.
Preprint
Despite the evidence on the role of parental factors, especially attachment relationships, in mediating complex trauma experienced by refugee children, there is limited evidence on the use of attachment‐based interventions. The aim of this study was to explore the feasibility of adapting such an intervention, group theraplay, for refugee children i...
Article
Background: There is limited evidence on the cultural appropriateness of first-stage psychosocial interventions for youth with mental health problems who experience conflict and disadvantage in low- and middle-income countries (LMIC). Aims: To evaluate the feasibility of such an intervention (Writing for Recovery - WfR) among youth with emerging...
Preprint
Full-text available
Objective: The research aimed to establish how psychosocial supports are experienced by children who lived on the streets, juxtaposed with caregivers' views. Methods: Semi-structured interviews were conducted with seven children aged 12-16 years recruited from a shelter in Delhi who had lived on the streets, four parents, and five professionals. Th...
Article
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Background: Stress-related situations play a significant role in children's lives and result in different reaction in children. Among various methods of evaluating the stressful environment of children, 54-item Children's Coping Strategies Checklist-Revision1 (CCSC-R1) has been developed as one of the most powerful tools for assessing different as...
Article
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We consider how the prolonged, complex and uncertain aftermath of the COVID‐19 crisis will present challenges and opportunities for counselling and psychotherapy. Increased mental strain on populations, individuals and professionals is likely to be compounded by further constraints in therapeutic resources. Nevertheless, emerging needs and prioriti...
Article
Background Self‐harm amongst young people is an increasing problem, with looked‐after young people at higher risk. Despite this, little research exists on what young people who self‐harm find helpful. Method One hundred and twenty‐six 11–21 year olds (53 who had experience of the care system and 73 who did not) were recruited from the community an...
Article
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The concept of resilience is increasingly influential in the development of interventions and services for young people, yet there is limited knowledge of how resilience-building strategies are conceptualized by young people across different cultures, particularly in low- and middle-income countries. The aim of this study was to capture 274 young p...
Article
Children in care experience multiple risk factors, particularly in low-income countries such as Pakistan. The aim was to establish rates of mental health problems and their relationship with posttraumatic growth, as reported by 132 children aged 9–19 years, living in three care homes in Pakistan. Children reported high rates of posttraumatic stress...
Article
The concept of resilience is increasingly influential in the development of interventions and services for young people, yet there is limited knowledge of how resilience-building strategies are conceptualized by young people across different cultures, particularly in low-and middle-income countries. The aim of this study was to capture 274 young pe...
Article
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Abstract Child and adolescent psychiatry is in a unique position to respond to the growing public health challenges associated with the large number of mental disorders arising early in life, but some changes may be necessary to meet these challenges. In this context, the future of child and adolescent psychiatry was considered by the Section on Ch...
Article
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Although there has been increasing attention on the impact of risk and resilience factors on refugee children’s mental health, there has been limited evidence on the role of parental factors to inform interventions, and this predominantly relies on adult reports. The aim was to investigate the relationship between perceived parenting styles and att...
Article
A current research trend is the identification of psychosocial variables that moderate and/or mediate the association between stressors and psychopathological symptoms. Research has shown Locus of Control (LoC) is a key cognitive component of this psychological process in adolescents from individualist cultures. It is unclear whether this finding c...
Article
Purpose The purpose of this paper is to develop a child psychosocial framework among stakeholders in areas of disadvantage in three low- and middle-income countries (LMIC), i.e. Kenya, Turkey and Brazil, and to capture their proposed recommendations through action plans according to this framework. Design/methodology/approach Workshops were facili...
Article
The implementation of child protection training programmes can be influenced by a range of societal, policy, service and practice-related factors. The aim of this study was to establish the experiences of implementation barriers from 26 professionals from different disciplines in Saudi Arabia, 18 months after they had completed such training. The t...
Article
Children in low- and middle-income countries (LMICs) have high levels of unmet mental health needs. Barriers include stigma, lack of culturally appropriate interventions, and limited resources and staff competencies. This article describes the capacity-building activities of a global child mental health program that particularly targets vulnerable...
Article
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Background: Children and adolescents are often exposed to traumatic events, which may lead to the development of posttraumatic stress disorder (PTSD). It is therefore important for clinicians to screen for potential symptoms that can be signs of PTSD onset. PTSD in youth is a worldwide problem, thus congruent screening tools in various languages ar...
Article
There is increasing interest in providing resilience-building interventions in low- and middle-income countries (LMIC), but limited evidence on how young people and their carers process mental health and related supports. The aim of this study was to establish stakeholders’ conceptualization of youth mental health in a disadvantaged area of Kenya t...
Article
Background Since 2010, the numbers of refugees have increased and around half are under 18 years of age. It is known that experience of organised violence, displacement and resettlement increases the risk for psychiatric disorders and psychosocial impairment. This review integrates recent research into the risk and protective factors for psychopath...
Article
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Background: Children in out-of-home care are consistently found to have poor mental health compared to children in the general population. However, UK research has so far failed to disentangle the impact of the care system on children's mental health outcomes from the effects of the adverse circumstances that led to their admission to care. Objec...
Article
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The goal of this review is to identify which interventions should be recommended for the treatment of mood disorders, anxiety disorders and self harm behaviours in young offenders. Specifically, the objectives are:1. To determine what specific interventions for...
Article
p>This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The goal of this review is to identify which interventions should be recommended for the treatment of mood disorders, anxiety disorders and self harm behaviours in young offenders. Specifically, the objectives are:1. To determine what specific interventions fo...
Article
There is increasing interest in providing resilience-building interventions in low- and middle-income countries (LMIC), but limited evidence on how young people and their carers process mental health and related supports. The aim of this study was to establish stakeholders’ conceptualisation of youth mental health in a disadvantaged area of Kenya t...
Article
Children exposed to multiple adversities are at high risk of developing complex mental health and related problems, which are more likely to be met through integrated interprofessional working. Combining the expertise of different practitioners for interprofessional care is especially pertinent in low- and middle-income countries (LMIC) in the abse...
Article
Rationale: Self-harm in young people is of significant clinical concern. Multiple psychological, social and clinical factors contribute to self-harm, but it remains a poorly understood phenomenon with limited effective treatment options. Objective: To explore young women's experience of self-harm in the context of interpersonal stressors and sup...
Article
Full-text available
War-torn children are particularly vulnerable through direct trauma exposure as well through their parents’ responses. This study thus investigated the association between trauma exposure and children’s mental health, and the contribution of parent-related factors in this association. A cross-sectional study with 263 Syrian refugee children-parent...
Article
Low‐ and middle‐income countries (LMIC) are faced with disproportionately high levels of unmet child mental health needs. This study explored through interviews the perspectives of 17 inter‐agency service stakeholders from Brazil, Indonesia, Kenya, Pakistan, Rwanda and Turkey on existing supports and challenges. Four themes emerged on the holistic...
Book
Hope for Children of Trauma: An International Perspective synthesizes all the existing evidence, policy and practice from around the world for children and youth who have experienced different forms of complex trauma-such as abuse, neglect and war violence and also presents a real advance in the literature, by covering new material from the author’...
Article
Low- and middle-income countries (LMIC) are faced with disproportionately high levels of unmet child mental health needs. This study explored through interviews the perspectives of 17 inter-agency stakeholders from Brazil, Indonesia, Kenya, Pakistan, Rwanda and Turkey on existing supports and challenges. Four themes emerged on the holistic nature o...
Article
Background: Unaccompanied refugee minors present with disproportionately high prevalence of emotional and psychological morbidities. However, their utilization of mental health services has been shown to be significantly poorer than the indigenous population of the country they seek asylum in. Despite this, there is limited research exploring their...
Article
There is a growing appreciation that child functioning in different domains, levels, or systems are interrelated over time. Here, we investigate links between internalizing symptoms, externalizing problems, and academic attainment during middle childhood and early adolescence, drawing on two large data sets (child: mean age 8.7 at enrolment, n = 5,...
Article
Background: Child mental health services and related agencies are faced with an increasing challenge in responding to the influx of refugee children around the world. There is strong evidence on the prevalence and complexity of these children's mental health problems and broader needs. Aims: To review the research literature on risk and protecti...
Article
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This study aimed to find the prevalence rate of PTSD, anxiety and depression among orphaned children in Gaza Strip. The study sample consisted of 81 orphaned children from Al-Amal Institute for Orphans. We used descriptive, analytical, and for data collection we used sociodemographic sheet; Revised Child Post Traumatic Disorder Index, The Revised C...
Article
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Background: Case-mix classification is a focus of international attention in considering how best to manage and fund services, by providing a basis for fairer comparison of resource utilization. Yet there is little evidence of the best ways to establish case mix for child and adolescent mental health services (CAMHS). Aim: To develop a case mix...
Article
Background Despite growing evidence on the extent of child mental health problems in low‐middle‐income countries, the gap between need and provision remains high. Previous research in high income countries has demonstrated that evidence‐based interventions can be scaled‐up through community consultation, particularly by engaging key stakeholders....
Article
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This project describes the development of the Resilient Systems Scales, created to address conceptual and methodological ambiguities in assessing the ecological systems model of resilience. Across a number of samples (total N = 986), our findings suggest that the Resilient Systems Scales show equivalence to a previously reported assessment (Maltby,...
Article
Children in low- and middle-income countries (LMIC), particularly those living in disadvantaged and conflict-ridden communities, are faced with extensive unmet health and social care needs (UNICEF, 2016). A substantial body of research has also provided evidence specifically relating to children's mental health, thereby increasing our understanding...
Article
Objectives: Young people in the public care system ('looked-after' young people) have high levels of self-harm. Design: This paper reports the first detailed study of factors leading to self-harm over time in looked-after young people in England, using sequence analyses of the Card Sort Task for Self-harm (CaTS). Methods: Young people in care...
Article
M Wolpert and colleagues discuss how the principles of high integrity healthcare can improve mental health services for children and young people Around 1 in 10 children and young people worldwide have mental health difficulties that substantially affect their lives. Even in high income countries only a small minority of these people access specia...
Article
Introduction Refugee children, particularly unaccompanied refugee minors, present with disproportionately high prevalence of mental health and emotional difficulties. However, the mental health service access and treatment engagement of this vulnerable group has been consistently shown to be poorer than the general population. Despite of this, so f...
Article
Introduction Despite fragmented evidence on individual interventions, good practice and child welfare programmes in low and middle-income countries (LMIC), there is no comprehensive model for early interventions, particularly for children who experience complex trauma. Objective The objective of the World Awareness for Children in Trauma (WACIT: w...
Article
Full-text available
Mental health booklets may provide a low-cost means of promoting mental health self-management and help seeking in schools. The aim of the study was to assess the (a) use, (b) acceptability and (c) impact of booklets for students in primary (10–11 years) and secondary school (12–13 years) alone and in conjunction with funding for targeted mental he...
Article
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Aim: This study aims were to find type of work stressors, used coping strategies, and resilience factors and relationship between stressors and coping strategies as mediating factors and resilience as outcome among Palestinian nurses working in Gaza Strip. Method: This study builds on existing evidence by considering exposure to work-related stress...
Article
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Aim The aim of this study was to investigate the efficacy of expressive writing as a therapy for children affected by war and trauma in the Gaza Strip. Method The participants were recruited from four schools in Gaza City, a group 28 girls and 25 boys were chosen for the intervention group. Out of 28 girls in the first assessment, 27 girls complete...
Article
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Aims: The aim of the study was to examine the relationship between war trauma, PTSD, depression, and anxiety among Palestinian children in the Gaza Strip. Method: A sample consisted of 251 children aged 6-16 were selected from 3 summer camps in the Gaza Strip. Children were interviewed using the following scales: sociodemographic scale, Gaza Trauma...
Article
Full-text available
Cross-cultural measurement invariance of the Revised Child Anxiety and Depression Scale across eleven world-wide societies – ERRATUM - Volume 26 Issue 4 - D. Stevanovic, Z. Bagheri, O. Atilola, P. Vostanis, D. Stupar, P. Moreira, T. Franic, N. Davidovic, R. Knez, A. Nikšić, K. Dodig-Ćurković, M. Avicenna, I. Multazam Noor, L. Nussbaum, A. Deljkovic...