埃塞俄比亚受战争影响的学龄儿童的情绪和行为障碍
Kindye Tesfaw1, Wubalem Fekadu1, Mulualem Kelebie2
1Department of Psychiatry, School of Medicine, College of Medicine and Health Science, Bahirdar University, Bahirdar, Ethiopia.
Journal of affective disorders
|October 16, 2025
概括
战争对埃塞俄比亚儿童产生了重大影响,其中36.7%的儿童经历了情绪和行为障碍 (EBD). 关键的风险因素包括暴力暴露和父母丧失,强调了有针对性的心理健康支持的必要性.
科学领域:
- 儿童心理学 儿童心理学
- 全球心理健康全球心理健康
- 冲突研究 冲突研究
背景情况:
- 冲突地区的儿童面临着暴力,流离失所和创伤的高风险.
- 这些经历与情绪和行为障碍 (EBD) 的增加有关,如焦虑和攻击性.
- 埃塞俄比亚对这些结果的研究有限.
研究的目的:
- 评估战争对埃塞俄比亚学龄儿童的心理影响.
- 确定情绪和行为障碍 (EBD) 的风险和保护因素.
- 为受影响儿童提供基于证据的干预信息.
主要方法:
- 在受冲突影响的埃塞俄比亚进行基于社区的横截面研究 (2022年5月至6月).
- 876名学龄儿童 (7-18岁) 通过多阶段分层抽样进行选择.
- 使用家长报告的优势和困难问卷 (SDQ-25);得分≥14表示EBD. 多变量逻辑回归分析了预测器.
主要成果:
- 在869名儿童中,EBD的总体患病率为36.7%.
- 显著的危险因素包括更大的家庭规模 (OR=1.36),严重的人类痛苦暴露 (OR=2.31),父母的丧失 (OR=3.48) 和照顾者的精神痛苦 (OR=2.29).
- 积极参与暴力行为也是一个危险因素 (OR=1.41).
结论:
- 埃塞俄比亚遭受战争影响的儿童中EBD的高患病率凸显了其严重的心理影响.
- 脆弱性是多因素的,受到暴力,父母的丧失和照顾者的痛苦的影响.
- 迫切需要特定背景的心理健康干预措施来建立弹性和减轻精神病理.
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