War experiences, general functioning and barriers to care among former child soldiers in Northern Uganda: the WAYS study.
War experiences, general functioning and barriers to care among former child soldiers in Northern Uganda: the WAYS study.
复制标题
DOI：
10.1093/pubmed/fdt126
复制
发表时间：
2014-12
期刊：
影响因子：
--
通讯作者：
Ovuga E
中科院分区：
文献类型：
--
作者：
Amone-P'Olak K;Jones P;Meiser-Stedman R;Abbott R;Ayella-Ataro PS;Amone J;Ovuga E
暴露于战争与长期心理健康问题（MHP）和功能不良的相当大的风险。然而，人们对前儿童兵（FCS）的功能和心理健康服务（MHS）的使用知之甚少。我们评估了不同类别的战争经验是否可以预测FCS中MHS的功能和感知需求、来源和障碍。数据来自乌干达正在进行的FCS受战争影响青年（WAYS）队列研究。参与者完成了关于战争经验，运作和感知需要，MHS的来源和障碍的问卷调查。使用回归分析和参数检验来评估组间差异。死亡，物质损失，对亲人的威胁和性虐待显着预测功能不良。接受MHS的FCS功能优于未接受MHS的FCS。女性报告的情绪和行为问题更多，比男性更需要MHS。功能不佳的FCS比功能良好的FCS显示出更多的MHS障碍。耻辱、对家庭破裂的恐惧和缺乏卫生工作者被认为是MHS的障碍。不同的战争经历对功能的影响不同。在MHS的障碍中存在着对MHS的重大需求。尽管如此，FCS对接收MHS感兴趣，并相信这将使他们受益。
Exposure to war is associated with considerable risks for long-term mental health problems (MHP) and poor functioning. Yet little is known about functioning and mental health service (MHS) use among former child soldiers (FCS). We assessed whether different categories of war experiences predict functioning and perceived need for, sources of and barriers to MHS among FCS. Data were drawn from an on-going War-affected Youths (WAYS) cohort study of FCS in Uganda. Participants completed questionnaires about war experiences, functioning and perceived need for, sources of and barriers to MHS. Regression analyses and parametric tests were used to assess between-group differences. Deaths, material losses, threat to loved ones and sexual abuse significantly predicted poor functioning. FCS who received MHS function better than those who did not. Females reported more emotional and behavioural problems and needed MHS more than males. FCS who function poorly indicated more barriers to MHS than those who function well. Stigma, fear of family break-up and lack of health workers were identified as barriers to MHS. Various war experiences affect functioning differently. A significant need for MHS exists amidst barriers to MHS. Nevertheless, FCS are interested in receiving MHS and believe it would benefit them.
登录
查看更多内容
影响因子：
15.8
作者：
Jordans MJ;Tol WA;Susanty D;Ntamatumba P;Luitel NP;Komproe IH;de Jong JT
通讯作者：
de Jong JT
影响因子：
4.4
作者：
Betancourt, Theresa S.;Bass, Judith;Borisova, Ivelina;Neugebauer, Richard;Speelman, Liesbeth;Onyango, Grace;Bolton, Paul
通讯作者：
Bolton, Paul
DOI：
10.1016/j.jaac.2010.03.008
发表时间：
2010-06-01
影响因子：
13.3
作者：
Betancourt, Theresa S.;Brennan, Robert T.;Gilman, Stephen E.
通讯作者：
Gilman, Stephen E.
影响因子：
120.7
作者：
Bayer, Christophe Pierre;Klasen, Fionna;Adam, Hubertus
通讯作者：
Adam, Hubertus
DOI：
10.1097/chi.0b013e3181a1f77b
发表时间：
2009-06-01
影响因子：
13.3
作者：
Wessells, Michael
通讯作者：
Wessells, Michael