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Traumatisierte Flüchtlingskinder in Deutschland : Epidemiologie, Therapie sowie neurokognitive und neurophysiologische Korrelate

Traumatisierte Flüchtlingskinder in Deutschland : Epidemiologie, Therapie sowie neurokognitive und neurophysiologische Korrelate

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RUF, Martina, 2008. Traumatisierte Flüchtlingskinder in Deutschland : Epidemiologie, Therapie sowie neurokognitive und neurophysiologische Korrelate [Dissertation]. Konstanz: University of Konstanz

@phdthesis{Ruf2008Traum-10864, title={Traumatisierte Flüchtlingskinder in Deutschland : Epidemiologie, Therapie sowie neurokognitive und neurophysiologische Korrelate}, year={2008}, author={Ruf, Martina}, address={Konstanz}, school={Universität Konstanz} }

deu application/pdf 2011-03-25T09:23:20Z Traumatised Refugee Children in Germany Epidemiology, Treatment and Neurocognitive as well as Neurophysiological Changes 2008 Ruf, Martina Traumatisierte Flüchtlingskinder in Deutschland : Epidemiologie, Therapie sowie neurokognitive und neurophysiologische Korrelate Ruf, Martina 2011-03-25T09:23:20Z deposit-license Children and youth make up 45 percent of today s refugee population, which has reached 14 million globally and increases daily. The present study interviewed 104 refugee- and asylum-seeking children and youth in the ages of seven to sixteen years, living together with their parents in asylum centres in Germany. Our standardised clinical interviews showed that almost all children had been confronted with at least one traumatic event in their past; 41.3 percent had witnessed physical attacks against others, 37.5 percent had experienced war and 25 percent had seen dead bodies. As a result of their trauma exposure, 20 percent of the interviewed children suffered from PTSD and were in need of psychotherapy. PTSD symptom severity was best predicted by number of different event types the children had experienced in the past as well as number of days father and mother have been imprisoned in their home country. Age and gender did not emerge as significant predictors of symptom severity.<br />For a few years now, parts of the research community has argued the introduction of alternative PTSD Criteria for preschool children and children before puberty, due to the divergent nature of PTSD symptoms in small children. The analysis of our data does not support the need for alternative criteria for children before puberty. Our sample did not show significant differences in children before and during puberty in respect to the fulfilment of PTSD symptom criteria.<br />In a next step we evaluated the efficacy of KIDNET (Narrative Exposure Therapy for Children) in the treatment of traumatized refugee children. In comparison to a waiting list control group (n=13), the treated children (n=13) after receiving 8 sessions of KIDNET, showed a significant symptom reduction between pre- and a 6-months-post-test. The effect size of KIDNET was high (Cohen s dcorr=1.5). Analysis of all treated children (n=16) showed that the significant symptom reduction already occurred between time point pre-test and 4-weeks-post-test. This effect remained stable up to 12-months-follow-up. In conclusion, our data shows that it is possible to treat PTSD successfully in traumatised refugee children with KIDNET in a short time frame.<br />In an MEG-study we further investigated functional differences of brain activities of traumatised refugee children and youth in comparison to healthy refugee children and youth. Functional imaging studies consistently show differences between adult healthy controls and PTSD-patients in the prefrontal area, the amygdala and the hippocampus. So far there is not much knowledge about whether these differences in brain activity are already present in children who have been exposed to trauma. In the present study we identified enhanced focal abnormal slow-wave activity in traumatised children and youth in the right frontal area in comparison to healthy controls. These results are in accordance with current findings from functional neuroimaging studies with adult PTSD-patients. Prefrontal areas are known to play an important role in the fear response as well as in fear extinction.

Dateiabrufe seit 01.10.2014 (Informationen über die Zugriffsstatistik)

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