Caregiver Psychopathology, Resilience, and Their Associations with Social-Emotional Challenges of Young Children Affected by Armed Conflict in Colombia.

IF 2.3 3区 医学 Q2 PSYCHIATRY
Sascha Hein, Liliana A Ponguta, José M Flores, Amalia Londoño Tobón, Isaac N S Johnson, Julie Larran, Ana M Ortiz Hoyos, Oscar Gómez, Lina M González Ballesteros, Camila A Castellanos Roncancio, James F Leckman
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Abstract

We examined the social and emotional challenges (SEC) of young children and the mental health of their caregivers in areas affected by armed conflict and displacement in Colombia. Anxiety, depression, and PTSD symptoms were assessed in 1,133 caregivers. Caregivers also reported on the SEC of their children aged 21-53 months. A subsample of 487 caregivers (43%) completed a resilience self-report measure. Caregivers reported substantial levels of psychopathology ranging from 12.84% of caregivers with elevated anxiety levels, 24.5% who scored above the cutoff on the PTSD measure, and 44.7% who screened positive for depression. Correlations (r) between child SEC and caregiver psychopathology ranged from 0.15 to 0.33. The association between caregiver depression and child SEC was more substantial for boys (B = 0.56) than girls (B = 0.22). We also found that girls whose caregivers reported elevated levels of psychopathology and low levels of caregiver resilience received the highest ratings of caregiver-reported SEC. The importance of caregiver-child resilience-focused psychosocial support is discussed.

哥伦比亚受武装冲突影响的幼儿的照顾者心理病理学、复原力及其与社会情感挑战的关联。
我们研究了哥伦比亚受武装冲突和流离失所影响地区的幼儿面临的社会和情感挑战(SEC)及其看护者的心理健康情况。我们对 1,133 名照顾者的焦虑、抑郁和创伤后应激障碍症状进行了评估。照顾者还报告了他们 21-53 个月大的孩子的 SEC 情况。487 名照顾者(43%)的子样本完成了复原力自我报告测量。照护者报告的心理病理学水平相当高,其中 12.84% 的照护者焦虑水平升高,24.5% 的照护者创伤后应激障碍测量得分高于临界值,44.7% 的照护者抑郁筛查呈阳性。儿童 SEC 与照顾者精神病理学之间的相关性(r)从 0.15 到 0.33 不等。男童(B = 0.56)与女童(B = 0.22)之间的相关性更大。我们还发现,如果照顾者报告的精神病理学水平较高,而照顾者的复原力水平较低,则女孩在照顾者报告的 SEC 中得分最高。我们讨论了以照顾者-儿童复原力为重点的社会心理支持的重要性。
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来源期刊
CiteScore
0.50
自引率
3.40%
发文量
174
期刊介绍: Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.
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