Resilience-promoting factors in war-exposed adolescents: an epidemiologic study

Resilience-promoting factors in war-exposed adolescents: an epidemiologic study
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DOI:
10.1007/s00787-016-0871-0
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发表时间:
2017-02-01
影响因子:
6.4
通讯作者:
Karam, E. G.
Karam, E. G.
中科院分区:
医学2区
文献类型:
--
作者:
Fayyad, John;Cordahi-Tabet, C.;Karam, E. G.

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对遭受战争影响的儿童的研究没有调查一系列全面的恢复力促进因素,也没有调查儿童和青少年的代表性样本。从最近遭受战争影响的社区中随机抽取了 N = 710 名青少年的代表性样本。所有经历过战争创伤的人都接受了问卷调查,测量战争暴露、家庭暴力、休闲活动的可用性、学校相关问题、人际关系和同伴问题、社交、日常生活问题、流离失所、父母监督和联系的可用性、医疗需求以及与宗教应对、否认、自我控制、回避和解决问题相关的应对技能。心理健康通过优势和困难问卷(SDQ)和儿童修订事件影响量表(CRIES)来衡量。有复原力的青少年被定义为那些经历过战争创伤,但在 SDQ 或 CRIES 上没有表现出任何症状的人。复原力与男性身份、使用解决问题的技巧、进行休闲活动以及父母花时间陪伴青少年并支持他们完成学业有关。为受战争创伤的青少年设计的干预措施必须培养儿童和青少年的个人应对技能,同时以综合方式针对家长和教师。
Studies of war-exposed children have not investigated a comprehensive array of resilience-promoting factors, nor representative samples of children and adolescents. A representative sample of N = 710 adolescents was randomly selected from communities recently exposed to war. All those who had experienced war trauma were administered questionnaires measuring war exposure, family violence, availability of leisure activities, school-related problems, interpersonal and peer problems, socialization, daily routine problems, displacement, availability of parental supervision and contact and medical needs as well as coping skills related to religious coping, denial, self-control, avoidance and problem solving. Mental health was measured by the Strengths and Difficulties Questionnaire (SDQ) and the Child-Revised Impact of Events Scale (CRIES). Resilient adolescents were defined as those who experienced war trauma, but did not manifest any symptoms on the SDQ or CRIES. Resilience was related to being male, using problem-solving techniques, having leisure activities, and having parents who spent time with their adolescents and who supported them with school work. Interventions designed for war-traumatized youth must build individual coping skills of children and adolescents, yet at the same time target parents and teachers in an integrated manner.