Protective and risk factors of psychosocial wellbeing related to the reintegration of former child soldiers in Nepal
Protective and risk factors of psychosocial wellbeing related to the reintegration of former child soldiers in Nepal
复制标题
DOI：
10.1097/wtf.0000000000000056
复制
发表时间：
2014-11-01
影响因子：
1.4
通讯作者：
Jordans, Mark J. D.
中科院分区：
文献类型：
--
作者：
Adhikari, Ramesh Prasad;Kohrt, Brandon A.;Jordans, Mark J. D.
本文通过纵向研究，对300名童兵(经核实的未成年人)的心理健康和心理社会幸福感的保护性因素和危险因素进行了探讨。霍普金斯症状检查表和创伤后应激障碍检查表(平民版)都被用来衡量心理健康问题，而通用的估计方程被用来确定随着时间的推移保护性因素和风险因素。在九个月的时间里，焦虑和创伤后应激障碍有所下降，而抑郁症的患病率没有变化。社会支持、种姓婚姻、低种姓和居住在遥远的西部地理区域都与更大的心理健康问题有关。康复套餐与心理健康的改善无关，参加职业课程的前儿童士兵有更严重的创伤后应激障碍症状。研究结果表明，需要强有力的社会支持，因为仅有康复方案可能不足以改善精神健康。
This paper explores protective and risk factors for mental health and psychosocial wellbeing among 300 child solders (verified minors) through a longitudinal study. Both the Hopkins Symptoms Check list and the Posttraumatic Stress Disorder Checklist (civilian version) were used to measure mental health problems, while the Generalised Estimating Equation was used to identify both the protective and risk factors over time. Anxiety and posttraumatic stress disorder decreased over a nine month period, while depression prevalence did not change. Social support, inter-castemarriage, low caste and residence in far western geographic regions were all associated with greater mental health problems. Rehabilitation packages were not associated with improved mental health, and former child solders enrolled in vocational programmes had greater posttraumatic stress disorder symptom severity. The findings suggest that strong social support is needed, as rehabilitation packages alone may be insufficient to improve mental health.