War trauma experience and behavioral screening of Bosnian refugee children resettled in Massachusetts.
War trauma experience and behavioral screening of Bosnian refugee children resettled in Massachusetts.
复制标题
对在马萨诸塞州定居的波斯尼亚难民儿童的战争创伤经历和行为筛查。
DOI：
10.1097/00004703-200008000-00001
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
Groves,BM
中科院分区：
文献类型：
--
作者：
Geltman,PL;Augustyn,M;Barnett,ED;Klass,PE;Groves,BM
：作者评估了马萨诸塞州波斯尼亚难民儿童的战争暴力暴露和行为症状，以及新抵达难民要求的难民健康评估 (RHA) 期间对难民进行行为筛查的效用。该研究是 1996 年在波士顿医疗中心国际诊所对 31 名波斯尼亚难民儿童进行的调查，波士顿医疗中心是该州最大的 RHA 签约提供者。还向受试者推荐适当的心理健康服务。百分之六十八的人经历过与父母长期分离。百分之八十一直接面临武装战斗。百分之七十一的人经历过亲密朋友或亲戚的去世。百分之五十二经历过经济匮乏。家庭报告 77% 的儿童有行为症状。只有一个家庭表示对任何类型的心理社会服务感兴趣。大量波斯尼亚难民可能经历过战争暴力造成的创伤，并面临出现行为症状的风险。 RHA 提供筛查行为问题的机会，但不进行干预。初级保健提供者和其他临床医生应该意识到此类高危儿童的症状可能会复发。
: The authors assessed war violence exposure and behavioral symptoms in Bosnian refugee children in Massachusetts and the utility of behavioral screening of refugees during the Refugee Health Assessment (RHA), required of newly arrived refugees. The study was a survey of 31 Bosnian refugee children in 1996 at the International Clinic of Boston Medical Center, the state's largest contracted provider of the RHA. Subjects were also offered referrals to appropriate mental health services. Sixty-eight percent experienced long-term separation from a parent. Eighty-one percent were directly exposed to armed combat. Seventy-one percent experienced the death of a close friend or relative. Fifty-two percent experienced economic deprivation. Families reported behavioral symptoms for 77% of children. Only one family expressed interest in psychosocial services of any kind. Large numbers of Bosnian refugees are likely to have experienced traumatic war violence and are at risk of behavioral symptoms. The RHA affords opportunities to screen for behavioral problems but not to intervene. Primary care providers and other clinicians should be aware of likely recurrences of symptoms in high-risk children such as these.