Psychological problems in children of war veterans with posttraumatic stress disorder in Bosnia and Herzegovina: Cross-sectional study

Psychological problems in children of war veterans with posttraumatic stress disorder in Bosnia and Herzegovina: Cross-sectional study
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DOI:
10.3325/cmj.2008.4.491
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发表时间:
2008-08-01
影响因子:
1.9
通讯作者:
Lisica, Ines Diminic
Lisica, Ines Diminic
中科院分区:
医学4区
文献类型:
--
作者:
Klaric, Miro;Franciskovic, Tanja;Lisica, Ines Diminic

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目的探讨退伍军人父亲对儿童创伤后应激障碍(PTSD)的心理影响。方法以莫斯塔尔大学医院收治的154例战争相关PTSD退伍军人为研究对象。对照组采用滚雪球法从退伍军人协会中选出77名无战争相关PTSD的退伍军人。采用《哈佛创伤问卷波黑版》第1和第4模块《普通人口调查问卷》和专为本研究设计的《儿童发展、情感和行为问题调查问卷》,收集退伍军人对子女心理问题的认知数据。结果与非创伤后应激障碍退伍军人相比,创伤后应激障碍退伍军人报告的子女发育问题(优势比[OR], 2.37; 95%可信区间[CI], 1.51-3.73)、行为问题(优势比[OR], 3.92; 95% CI, 1.53-10.03)和情绪问题(优势比[OR], 17.74; 95% CI, 2.40-131.10)显著增加。结论患有战争相关创伤后应激障碍的退伍军人的子女更容易出现发育问题。父亲的创伤后应激障碍可能会对孩子的性格产生长期的影响。
Aim To assess psychological problems in children as reported by their veteran fathers with war-related posttraumatic stress disorder (PTSD).Method The study group consisted of 154 veterans with war-related PTSD who were treated at the Mostar University Hospital. The control group consisted of 77 veterans without war-related PTSD who were selected from veteran associations by the snowball method. General Demographic Questionnaire, the first and fourth module of the Harvard Trauma Questionnaire-Bosnia and Herzegovina version, and the Questionnaire on Developmental, Emotional, and Behavioral Problems in Children, created specifically for the needs of this study, were used to collect data on veterans' perception of psychological problems in their children.Results In comparison with veterans without PTSD, veterans with PTSD reported significantly more developmental (odds ratio [OR], 2.37; 95% confidence interval [CI], 1.51-3.73), behavioral (OR, 3.92; 95% CI, 1.53-10.03), and emotional problems ( OR, 17.74; 95% CI, 2.40-131.10) in their children.Conclusion Veterans with war-related PTSD more often reported developmental problems in their children. Father's PTSD may have long-term and long-lasting consequences on the child's personality.