Mothers' functioning and children's symptoms 5 years after a SCUD missile attack
Mothers' functioning and children's symptoms 5 years after a SCUD missile attack
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DOI：
10.1176/appi.ajp.158.7.1020
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发表时间：
2001-07-01
影响因子：
17.7
通讯作者：
Cohen, DJ
中科院分区：
文献类型：
--
作者：
Laor, N;Wolmer, L;Cohen, DJ
目的：作者评估了以色列飞毛腿导弹袭击对儿童的长期影响，作为其母亲心理功能、家庭凝聚力和事件本身的功能。方法：在海湾战争五年后，作者评估了81名家庭在飞毛腿导弹袭击中受损的8-10岁儿童的内化、外化、压力和创伤后症状，以及他们母亲的一般和创伤后症状、防御风格和客体关系。结果：在大多数症状领域中，儿童的严重程度显著降低，逃避症状增加。较严重的症状与流离失所、生活在凝聚力不足的家庭以及母亲心理功能不佳有关。儿童的症状和母亲之间的联系在年龄较小的儿童中更为明显。在过去30个月的研究中，三分之一的儿童创伤后症状加重，三分之一的儿童创伤后症状减轻。8%的儿童报告有严重的创伤后症状。结论：尽管症状严重程度持续下降，但海湾战争后不久确定的危险因素继续对创伤暴露后5年的儿童产生影响。
Objective: The authors assessed the longterm consequences of the SCUD missile attack in Israel on children as a function of their mothers' psychological functioning, family cohesion, and the event itself.Method: Five years after the Gulf War, the authors assessed the internalizing, externalizing, stress, and posttraumatic symptoms of 81 children aged 8-10 years whose homes were damaged in the SCUD missile attack, as well as general and posttraumatic symptoms, defensive style, and object relations in their mothers.Results: There was a significant decrease in severity in most symptom domains and an increase in avoidant symptoms in the children. Greater severity of symptoms was associated with being displaced, living in a family with inadequate cohesion, and having a mother with poor psychological functioning. The association between the symptoms of children and mothers was stronger among the younger children. Posttraumatic symptoms increased in one-third of the children and decreased in one-third over the last 30 months of the study. Severe posttraumatic symptoms were reported in 8% of the children.Conclusions: Despite a continuous decrease in symptom severity, risk factors identified shortly after the Gulf War continued to exert their influence on children 5 years after the traumatic exposure.