Parental involvement in the war in Croatia 1991-1995 and suicidality in Croatian male adolescents.

Parental involvement in the war in Croatia 1991-1995 and suicidality in Croatian male adolescents.
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DOI:
10.3325/cmj.2012.53.244
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发表时间:
2012-06
影响因子:
1.9
通讯作者:
Marčinko D
Marčinko D
中科院分区:
医学4区
文献类型:
--
作者:
Franić T;Kardum G;Marin Prižmić I;Pavletić N;Marčinko D

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调查1991-1995年克罗地亚战争后10年早期青少年社区样本中父母战争参与和不同社会心理困扰指标之间的关联。共有695名青少年进行了筛选与自我报告问卷评估父母的战争参与,社会人口特征,酒精和药物消费。人格特质与少年艾森克人格问卷进行了评估;抑郁症状与儿童抑郁量表(CDI);和意外伤害,身体的战斗,欺负与世界卫生组织调查学龄儿童的健康行为。自杀意念评估与三个二分项目。用一个二分项目评估自杀企图。在被纳入分析的348名男孩和347名女孩中,57.7%的人至少有一位退伍军人父母。退伍军人的男性子女意外伤害率较高(比值比[OR],1.2; 95%置信区间[CI],0.56 - 2.63),在整个自杀谱中更常见的肯定应答(关于死亡的想法- OR,2.1; 95% CI,1.02至4.3;关于自杀的想法- OR,5; 95% CI,1.72至14.66;自杀企图- OR,3.6; 95% CI,1.03至12.67)。在男孩中,自杀和意外伤害的想法与父母的战争参与,即使在逻辑回归。然而,女孩不太可能受到父母参与战争的影响,只表现出精神病理学的CDI总分的迹象。父母的战争参与与男性儿童的负面心理社会后果。这种关系可能是由某种认同或继发性创伤所介导的。自杀和无意伤害是广泛心理社会痛苦的非特异性标志,这就是为什么建议的预防性干预目标群体应该是作为这种痛苦媒介的资深父母。
To investigate the association between parental war involvement and different indicators of psychosocial distress in a community sample of early adolescents ten years after the war in Croatia 1991-1995. A total of 695 adolescents were screened with a self-report questionnaire assessing parental war involvement, sociodemographic characteristics, and alcohol and drug consumption. Personality traits were assessed with the Junior Eysenck Personality Questionnaire; depressive symptoms with the Children’s Depression Inventory (CDI); and unintentional injuries, physical fighting, and bullying with the World Health Organization survey Health Behavior in School-aged Children. Suicidal ideation was assessed with three dichotomous items. Suicidal attempts were assessed with one dichotomous item. Out of 348 boys and 347 girls who were included in the analysis, 57.7% had at least one veteran parent. Male children of war veterans had higher rates of unintentional injuries (odds ratio [OR], 1.2; 95% confidence interval [CI], 0.56 to 2.63) and more frequent affirmative responses across the full suicidal spectrum (thoughts about death – OR, 2.1; 95% CI, 1.02 to 4.3; thoughts about suicide – OR, 5; 95% CI, 1.72 to 14.66; suicide attempts – OR, 3.6; 95% CI, 1.03 to 12.67). In boys, thoughts about suicide and unintentional injuries were associated with parental war involvement even after logistic regression. However, girls were less likely to be affected by parental war involvement, and only exhibited signs of psychopathology on the CDI total score. Parental war involvement was associated with negative psychosocial sequels for male children. This relationship is possibly mediated by some kind of identification or secondary traumatization. Suicidality and unintentional injuries are nonspecific markers for a broad range of psychosocial distresses, which is why the suggested target group for preventive interventions should be veteran parents as vectors of this distress.
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