前乌干达儿童士兵的创伤后压力
Ilse Derluyn1, Eric Broekaert, Gilberte Schuyten
1Department of Orthopedagogics, Henri Dunantlaan 2, B-9000 Gent, Belgium. Ilse.Derluyn@UGent.be
Lancet (London, England)
|March 20, 2004
概括
乌干达的儿童士兵经历了严重的创伤,其中97%经历了临床上显著的创伤后应激反应. 失去父母,特别是母亲,加剧了避免症状,特别是在女孩身上.
科学领域:
- 精神病学是一个精神病学.
- 儿童心理学 儿童心理学
- 全球健康 全球健康
背景情况:
- 童兵是一个全球性问题,据估计,全球有30万名儿童参与武装冲突.
- 主的抵抗军在乌干达北部有绑架儿童作为士兵的历史.
研究的目的:
- 调查被上帝抵抗军绑架的前儿童士兵所经历的创伤的性质和程度.
- 评估这一群体中创伤后应激反应的患病率.
- 探索父母丧失对创伤症状的影响.
主要方法:
- 与301名被上帝抵抗军绑架的前儿童士兵进行了采访.
- 收集的数据包括绑架的持续时间,绑架时的年龄和经历的创伤事件类型.
- 事件影响尺度修订给71名儿童,以评估创伤后压力.
主要成果:
- 前儿童士兵平均经历了6次创伤性事件,77%目睹了杀人事件,39%被迫杀人.
- 在被评估的71名儿童中,97%报告了临床上显著的创伤后应激反应.
- 父母的死亡,尤其是母亲的死亡,显著增加了回避症状 (p=0.04),对女孩有明显的影响 (p=0.02).
结论:
- 主的抵抗军的前儿童士兵表现出极高的严重创伤和创伤后压力反应率.
- 失去父母是发展回避症状的重要危险因素,特别是在女性前儿童兵中.
- 这些发现强调了儿童兵的深刻心理影响以及有针对性的干预措施的必要性.
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