Caregiver and community insights on coping strategies used by adolescents living in conflict-affected communities.

Caregiver and community insights on coping strategies used by adolescents living in conflict-affected communities.
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DOI:
10.1080/17441692.2017.1395471
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发表时间:
2018-09
影响因子:
3.3
通讯作者:
Glass N
Glass N
中科院分区:
医学3区
文献类型:
--
作者:
Cherewick M;Glass N

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这项定性研究的目的是从受冲突影响的农村村庄的母亲/女性照顾者和主要告密者的角度,提供对青少年(10-15岁)接触和应对创伤的具体背景的了解。在刚果民主共和国东部瓦伦古地区的四个村庄,与母亲/女性照料者(4个小组,共26人,n=26人)进行了重点小组讨论,并与关键信息提供人(n=9)进行了面谈。焦点小组和访谈指南的设计是为了促使参与者就青少年暴露于创伤和应对策略做出反应。一种扎根的理论方法被用来确定紧急主题。母亲/女性照顾者和关键信息提供者报告青少年使用认知和行为应对策略。认知应对策略包括回避和试图忘记。行为策略包括自我隔离、冒险和寻求社会支持行为。调查结果表明,社区社会支持是青少年的一项重要资源,特别是对于没有得到家庭足够支持的青少年。支持积极的同伴、家庭和社区关系可以帮助防止冒险行为,并教授积极的应对策略,以打破这些社区报告的暴力循环。重点介绍了针对性别的干预方案的建议。
The aim of this qualitative study was to provide a context specific understanding of adolescent (10–15 years of age) exposure and coping with trauma from the perspective of mothers/female caregivers and key informants in rural conflict-affected villages. Focus groups were conducted with mothers/female caregivers (4 groups with total participants n=26) and interviews were conducted with key informants (n=9) in four villages in the Walungu Territory, Eastern Democratic Republic of Congo. Focus group and interview guides were designed to elicit responses by participants on adolescent exposures to trauma and coping strategies. A grounded theory approach was used to identify emergent themes. Mothers/female caregivers and key informants reported use of both cognitive and behavioral coping strategies by adolescents. Cognitive coping strategies included avoidance and trying to forget. Behavioral strategies included self-imposed isolation, risk taking and social support seeking behaviors. Findings indicated community social support was a critical resource for adolescents, particularly for adolescents that did not have adequate support from their family. Supporting positive peer, family and community relationships can help prevent risk taking behaviors and teach positive coping strategies to break a cycle of violence reported in these communities. Recommendations for gender specific intervention programing are highlighted.
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