Trauma-related impairment in children : a survey in Sri Lankan provinces affected by armed conflict

Objectives: The present study examinedtraumatic experiences, PTSD, and co-morbidsymptoms in relation to neuropsychological and school performance in school children affected by two decades of civil war and unrest.

Method: The epidemiological survey of children s mental health included a representative sample of 420 school children. Local teacherswere trained to administer a translation of the UCLA-PTSD Index Form. The instrument and the epidemiological findingswere validated by assessment through clinical expert interview, school grades, and neuropsychological testing in a subsample (N= 67).

Results: Ninety-two percent of the children surveyed had experienced severely traumatizing events such as combat, bombing, shelling, or witnessing the death of a loved one. Twenty-five percent met the criteria for a diagnosis of PTSD. Traumatized children reported lasting interference of experiences with their daily life, whichwas corroborated by memory testing, scores in school performance and ratings of social withdrawal. Depressive symptoms and poor physical health were frequent in these children. The majority of trained teachers achieved valid results in the structured interviews.

Conclusion: Performance and functioning in children are related to the total load of traumatic events experienced. An important component of psychosocial programs in postconflict areas should include increasing community-based awareness of the consequences of traumatic stress, both as a preventative measure and as away of decreasing stigmatization of affected individuals.

Fachgebiet (DDC)

150 Psychologie

Schlagwörter

Post-traumatic stress disorder,Organised violence,School performance,Memory,Building block effect,Dose Effect

Zitieren

ISO 690

ELBERT, Thomas, Maggie SCHAUER, Elisabeth SCHAUER, Bianca HUSCHKA, Michael HIRTH, Frank NEUNER, 2009. Trauma-related impairment in children : a survey in Sri Lankan provinces affected by armed conflict. In: Child Abuse & Neglect. 33(4), pp. 238-246. Available under: doi: 10.1016/j.chiabu.2008.02.008

BibTex

@article{Elbert2009Traum-10343,
  year={2009},
  doi={10.1016/j.chiabu.2008.02.008},
  title={Trauma-related impairment in children : a survey in Sri Lankan provinces affected by armed conflict},
  number={4},
  volume={33},
  journal={Child Abuse & Neglect},
  pages={238--246},
  author={Elbert, Thomas and Schauer, Maggie and Schauer, Elisabeth and Huschka, Bianca and Hirth, Michael and Neuner, Frank}
}

RDF

<rdf:RDF
    xmlns:dcterms="http://purl.org/dc/terms/"
    xmlns:dc="http://purl.org/dc/elements/1.1/"
    xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#"
    xmlns:bibo="http://purl.org/ontology/bibo/"
    xmlns:dspace="http://digital-repositories.org/ontologies/dspace/0.1.0#"
    xmlns:foaf="http://xmlns.com/foaf/0.1/"
    xmlns:void="http://rdfs.org/ns/void#"
    xmlns:xsd="http://www.w3.org/2001/XMLSchema#" > 
  <rdf:Description rdf:about="https://kops.uni-konstanz.de/server/rdf/resource/123456789/10343">
    <dc:contributor>Huschka, Bianca</dc:contributor>
    <dspace:isPartOfCollection rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43"/>
    <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2011-03-25T09:16:13Z</dcterms:available>
    <dc:contributor>Elbert, Thomas</dc:contributor>
    <dc:contributor>Schauer, Elisabeth</dc:contributor>
    <dc:creator>Schauer, Elisabeth</dc:creator>
    <dc:creator>Schauer, Maggie</dc:creator>
    <dc:rights>terms-of-use</dc:rights>
    <dc:language>eng</dc:language>
    <bibo:uri rdf:resource="http://kops.uni-konstanz.de/handle/123456789/10343"/>
    <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2011-03-25T09:16:13Z</dc:date>
    <dc:creator>Elbert, Thomas</dc:creator>
    <dcterms:issued>2009</dcterms:issued>
    <void:sparqlEndpoint rdf:resource="http://localhost/fuseki/dspace/sparql"/>
    <dcterms:hasPart rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/10343/1/Elbert_etal_SriLanka_child.pdf"/>
    <dc:contributor>Hirth, Michael</dc:contributor>
    <dcterms:rights rdf:resource="https://rightsstatements.org/page/InC/1.0/"/>
    <dspace:hasBitstream rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/10343/1/Elbert_etal_SriLanka_child.pdf"/>
    <dc:contributor>Schauer, Maggie</dc:contributor>
    <dc:creator>Hirth, Michael</dc:creator>
    <dcterms:abstract xml:lang="eng">Objectives: The present study examinedtraumatic experiences, PTSD, and co-morbidsymptoms in relation to neuropsychological and school performance in school children affected by two decades of civil war and unrest.&lt;br /&gt;&lt;br /&gt;Method: The epidemiological survey of children s mental health included a representative sample of 420 school children. Local teacherswere trained to administer a translation of the UCLA-PTSD Index Form. The instrument and the epidemiological findingswere validated by assessment through clinical expert interview, school grades, and neuropsychological testing in a subsample (N= 67).&lt;br /&gt;&lt;br /&gt;Results: Ninety-two percent of the children surveyed had experienced severely traumatizing events such as combat, bombing, shelling, or witnessing the death of a loved one. Twenty-five percent met the criteria for a diagnosis of PTSD. Traumatized children reported lasting interference of experiences with their daily life, whichwas corroborated by memory testing, scores in school performance and ratings of social withdrawal. Depressive symptoms and poor physical health were frequent in these children. The majority of trained teachers achieved valid results in the structured interviews.&lt;br /&gt;&lt;br /&gt;Conclusion: Performance and functioning in children are related to the total load of traumatic events experienced. An important component of psychosocial programs in postconflict areas should include increasing community-based awareness of the consequences of traumatic stress, both as a preventative measure and as away of decreasing stigmatization of affected individuals.</dcterms:abstract>
    <dcterms:title>Trauma-related impairment in children : a survey in Sri Lankan provinces affected by armed conflict</dcterms:title>
    <dcterms:bibliographicCitation>First publ. in: Child Abuse &amp; Neglect 33 (2009), 4, pp. 238 246</dcterms:bibliographicCitation>
    <dc:creator>Neuner, Frank</dc:creator>
    <dcterms:isPartOf rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/43"/>
    <dc:contributor>Neuner, Frank</dc:contributor>
    <dc:format>application/pdf</dc:format>
    <dc:creator>Huschka, Bianca</dc:creator>
    <foaf:homepage rdf:resource="http://localhost:8080/"/>
  </rdf:Description>
</rdf:RDF>

Universitätsbibliographie

Ja