Post-traumatic stress in former Ugandan child soldiers
Post-traumatic stress in former Ugandan child soldiers
复制标题
DOI：
10.1016/s0140-6736(04)15734-6
复制
发表时间：
2004-03-13
期刊：
影响因子：
168.9
通讯作者：
De Temmerman, E
中科院分区：
文献类型：
--
作者：
Derluyn, I;Broekaert, E;De Temmerman, E
在世界范围内，30万儿童目前在武装冲突中被用作儿童兵。我们采访了301名被乌干达北部叛乱运动上帝抵抗军绑架的前儿童兵。所有儿童都是在很小的时候(平均12.9岁)长时间(平均744天)被绑架的。几乎所有的孩子都经历了几次创伤事件(平均六次)；233人(77%)目睹了有人被杀，118人(39%)不得不自己杀人。71名儿童也填写了事件影响量表-修订后的量表用于评估他们的创伤后应激反应。69人(97%)报告了具有临床重要性的创伤后应激反应。父母的死亡，尤其是母亲的死亡，导致回避症状的得分显著增加(母亲在世1.6.4分，母亲去世21.6分；p=0.04)，其中女孩的增加幅度很大(从15.1分增加到25.8分)，但男孩几乎没有变化(从17.7分增加到17.4分；p=0.02)。我们的发现揭示了这组儿童经历的严重创伤的性质，并显示出创伤后应激反应的高比率。
Worldwide, 300 000 children are currently used as child soldiers in armed conflicts. We interviewed 301 former child soldiers who had been abducted by the northern Ugandan rebellion movement Lord's Resistance Army. All the children were abducted at a young age (mean 12.9 years) and for a long time (mean 744 days). Almost all the children experienced several traumatic events (mean six events); 233 (77%) saw someone being killed, and 118 (39%) had to kill someone themselves. 71 children also filled in the impact of event scale-revised to assess their post-trauma stress reactions. 69 (97%) reported post-traumatic stress reactions of clinical importance. The death of a parent, especially of the mother, led to an important increase in score for avoidance symptoms (mother alive 1.6.4, mother not alive 21.6; p=0.04), with a high increase for girls (from 15.1 to 25.8), but almost no change for boys (from 17.7 to 17.4; p=0.02). Our findings shed light on the nature of severe trauma experienced by this group of children, and show a high rate of post-traumatic stress reactions.