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

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

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Prüfsumme: MD5:90305d1b6951ddc3e5f115988820461c

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

@article{Elbert2009Traum-10343, title={Trauma-related impairment in children : a survey in Sri Lankan provinces affected by armed conflict}, year={2009}, doi={10.1016/j.chiabu.2008.02.008}, 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} }

2011-03-25T09:16:13Z Schauer, Maggie Elbert, Thomas application/pdf Huschka, Bianca eng 2009 Neuner, Frank Huschka, Bianca Schauer, Maggie Schauer, Elisabeth deposit-license Elbert, Thomas Hirth, Michael Schauer, Elisabeth Neuner, Frank First publ. in: Child Abuse & Neglect 33 (2009), 4, pp. 238 246 Trauma-related impairment in children : a survey in Sri Lankan provinces affected by armed conflict Hirth, Michael 2011-03-25T09:16:13Z 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.<br /><br />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).<br /><br />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.<br /><br />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.

Dateiabrufe seit 01.10.2014 (Informationen über die Zugriffsstatistik)

Elbert_etal_SriLanka_child.pdf 354

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