Post-traumatic stress in former Ugandan child soldiers
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Published on: October 12, 2011
Ilse Derluyn1, Eric Broekaert, Gilberte Schuyten
1Department of Orthopedagogics, Henri Dunantlaan 2, B-9000 Gent, Belgium. Ilse.Derluyn@UGent.be
Insights
Child soldiers in Uganda endure severe trauma, with 97% experiencing clinically significant post-traumatic stress reactions. Parental loss, particularly mothers, exacerbated avoidance symptoms, especially in girls.
Area of Science:
- Psychiatry
- Child Psychology
- Global Health
Background:
- Child soldiers are a global issue, with an estimated 300,000 children involved in armed conflicts worldwide.
- The Lord's Resistance Army in Northern Uganda has a history of abducting children for use as soldiers.
Purpose of the Study:
- To investigate the nature and extent of trauma experienced by former child soldiers abducted by the Lord's Resistance Army.
- To assess the prevalence of post-traumatic stress reactions in this population.
- To explore the impact of parental loss on trauma symptoms.
Main Methods:
- Interviews were conducted with 301 former child soldiers abducted by the Lord's Resistance Army.
- Data collected included abduction duration, age at abduction, and types of traumatic events experienced.
- The Impact of Event Scale-Revised was administered to 71 children to assess post-traumatic stress.
Main Results:
- Former child soldiers experienced a mean of six traumatic events, with 77% witnessing killings and 39% being forced to kill.
- 97% of the 71 children assessed reported clinically significant post-traumatic stress reactions.
- The death of a parent, especially the mother, significantly increased avoidance symptoms (p=0.04), with a pronounced effect on girls (p=0.02).
Conclusions:
- Former child soldiers from the Lord's Resistance Army exhibit extremely high rates of severe trauma and post-traumatic stress reactions.
- Parental loss is a significant risk factor for developing avoidance symptoms, particularly in female former child soldiers.
- These findings underscore the profound psychological impact of child soldiery and the need for targeted interventions.
Abstract:
Worldwide, 300?000 children are currently used as child soldiers in armed conflicts. We interviewed 301 former child soldiers who had been abducted by the northern Ugandan rebellion movement Lord's Resistance Army. All the children were abducted at a young age (mean 12.9 years) and for a long time (mean 744 days). Almost all the children experienced several traumatic events (mean six events); 233 (77%) saw someone being killed, and 118 (39%) had to kill someone themselves. 71 children also filled in the impact of event scale--revised to assess their post-trauma stress reactions. 69 (97%) reported post-traumatic stress reactions of clinical importance. The death of a parent, especially of the mother, led to an important increase in score for avoidance symptoms (mother alive 16.4, mother not alive 21.6; p=0.04), with a high increase for girls (from 15.1 to 25.8), but almost no change for boys (from 17.7 to 17.4; p=0.02). Our findings shed light on the nature of severe trauma experienced by this group of children, and show a high rate of post-traumatic stress reactions.
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