政治冲突的心理影响:2023年10月7日事件后,约旦河西岸北部和中部儿童和青少年中PTSD的患病率和严重程度

IF 2.3 Q1 NURSING
Nursing Research and Practice Pub Date : 2025-08-06 eCollection Date: 2025-01-01 DOI:10.1155/nrp/7304673
Ibrahim Aqtam, Rawan Naghnaghiyeh, Taqwa Zubaide, Yusor Othman, Yasser Malasah
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引用次数: 0

摘要

背景:西岸的政治冲突于2023年10月7日升级,进一步增加了儿童和青少年接触创伤性事件的机会,对他们的心理健康有潜在影响。本研究估计了创伤后应激障碍(PTSD)的患病率和严重程度,其社会人口学相关性,以及对受影响青少年的功能影响。方法:本横断面研究于2024年2月5日至3月5日,采用分层随机抽样的方法,选取来自约旦河西岸北部和中部的1148名8-15岁的巴勒斯坦儿童和青少年。儿童创伤后应激障碍症状量表用于评估创伤后应激障碍的症状,而创伤暴露使用战争-创伤暴露检查表进行测量。采用SPSS软件进行数据分析。结果:70.0%的参与者PTSD症状为中度至重度。最普遍的创伤经历是在电视上看到爆炸(93.4%)和在电视上看到被肢解的尸体(92.8%)。侵入症状占主导地位,经常有噩梦和侵入性想法的报告。年龄与PTSD严重程度呈显著正相关(r = 0.12, p=0.034),表明年龄越大的儿童症状越严重。PTSD显著影响学业成绩(55.0%)、情感关系(41.5%)和娱乐活动(32.7%)。经历bbbb5创伤性事件的儿童严重创伤后应激障碍症状的发生率明显较高(该组为73.6%;p = 0.003)。结论:这些调查结果表明,在西岸受冲突影响的儿童中存在严重的心理健康危机。需要立即采取干预措施,包括以创伤为重点的认知行为疗法,并对正在进行的冲突环境和以学校为基础的心理健康项目进行实质性修改。孩子和父母的喘息可能是让孩子和家庭参与治疗的重要的第一步。如果要在这一弱势群体中取得更好的结果,就需要解决精神卫生保健方面的系统性障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychological Impact of Political Conflict: Prevalence and Severity of PTSD Among Children and Adolescents in the North and Middle West Bank Following the October 7, 2023, Events.

Background: The political conflict in the West Bank was escalated on October 7, 2023, further increasing exposure to traumatic events among children and adolescents, with potential implications for their mental health. This study estimates the prevalence and severity of posttraumatic stress disorder (PTSD), its sociodemographic correlates, and functional impacts on affected youth. Methods: This cross-sectional study was conducted from February 5 to March 5, 2024, among 1148 Palestinian children and adolescents aged 8-15 years from the North and Middle West Bank, selected by stratified random sampling. The Child PTSD Symptom Scale was used to assess symptoms of PTSD, while trauma exposure was measured using the War-Trauma Exposure Checklist. SPSS was used for data analysis. Results: Symptoms of PTSD were moderate to very severe in 70.0% of participants. The most prevalent traumatic experiences were witnessing bombings on television (93.4%) and witnessing dismembered bodies on television (92.8%). Intrusion symptoms predominated, with frequent reports of nightmares and intrusive thoughts. Age showed a significant positive correlation with PTSD severity (r = 0.12, p=0.034), indicating more severe symptoms in older children. PTSD significantly impaired academic performance (55.0%), emotional relationships (41.5%), and recreational activities (32.7%). Children experiencing > 5 traumatic events had substantially higher rates of severe PTSD symptoms (73.6% of this group; p=0.003). Conclusions: These findings indicate a severe mental health crisis among conflict-exposed children in the West Bank. Immediate interventions are needed, including trauma-focused cognitive behavioral therapy delivered with substantial modifications for ongoing conflict settings and school-based mental health programs. Respite for children and parents may be an important first step to engaging children and families in therapy. Systemic barriers to mental health care need to be tackled if better outcomes are achieved in this vulnerable population.

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CiteScore
2.90
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