在边缘成长:加沙儿童以社区为基础的心理健康干预。

IF 2.9 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Wendy D'Andrea, Adjoa Aboagye, Kellie Ann Lee, Steven Freed, Brandon Joachim, Vivian Khedari-DePierro, Ellen H Yates, Annedore Wilmes, Shoshana Krohner, Saaed Madhoun, Ahmed Hennawi, Lou Bergholz
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引用次数: 0

摘要

加沙地带是一个众所周知的高冲突地区,但很少有大规模的研究调查加沙青年的精神痛苦和情绪/行为问题的比率,也很少有创伤知情的,可扩展的干预选择。现有的研究使用了较小的样本,或者检查了创伤后应激障碍(PTSD)或侵略等局部问题。在这里,我们检查了加沙年轻人(8-13岁)的心理健康负担,包括各种各样的症状,并展示了以社区为基础的创伤知情方案“着眼于未来”的影响。在这个支持性的青少年项目开始时,超过2000名儿童和青少年及其父母使用标准化的方法(儿童行为检查表和青少年自我报告)报告了儿童的健康状况。这些措施广泛地检查症状(例如焦虑、抑郁、社会问题、注意力问题、攻击性等)。与美国估计的人口相比,加沙儿童的临床心理健康问题患病率高出2.5至17倍。最重要的临床问题是焦虑,但总的来说,他们的症状并不局限于创伤后应激障碍,而是广泛分散的。然而,这些担忧对干预有反应:在六个月的社区社会心理项目过程中,症状有所改善,大约50-70%在项目后表现出可靠的改善(因测量而异)。这些进展在9个月的随访中保持不变。未来的工作应考虑更广泛的心理健康影响,超越创伤后应激障碍和侵略,并将社区支持纳入解决该地区儿童心理健康问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Growing Up on the Edge: A Community-Based Mental Health Intervention for Children in Gaza.

Growing Up on the Edge: A Community-Based Mental Health Intervention for Children in Gaza.

The Gaza Strip is a notoriously high-conflict area, but few large-scale studies have examined the rates of psychiatric distress and emotional/behavioral problems among Gaza youth, and there are few trauma-informed, scaleable intervention options. Studies in existence have used smaller samples or have examined focal problems such as posttraumatic stress disorder (PTSD) or aggression. Here, we examine the mental health burden of young individuals (ages 8-13) in Gaza across a broad range of symptoms, and demonstrate the impact of a community-based, trauma-informed program, Eye to the Future. At the outset of this supportive youth program, over 2000 children and adolescent youth and their parents reported on child well-being using standardized measures with established global norms (the Child Behavior Checklist and Youth Self Report). These measures examine symptoms broadly (e.g. anxiety, depression, social problems, attention problems, aggression, etc.). Relative to U.S. population estimates, children in Gaza had between 2.5- and 17-times higher point prevalence of clinical mental health problems. The most significant clinical concern was anxiety, but overall, their symptoms were not confined to posttraumatic stress as a disorder and were instead broadly dispersed. However, these concerns were responsive to intervention: over the course of a six-month community psychosocial program, symptoms ameliorated, with approximately 50-70% showing reliable improvement at post-program (varying by measure). These gains were maintained in a 9-month follow-up. Future work should consider the broader mental health impact, beyond PTSD and aggression, and incorporate community supports into addressing mental health among children in the region.

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来源期刊
Research on Child and Adolescent Psychopathology
Research on Child and Adolescent Psychopathology Psychology-Developmental and Educational Psychology
CiteScore
5.00
自引率
4.00%
发文量
107
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