Dybdahl R
Department of Psychology, University of Tromsø, Norway.
Child Dev. 2001 Jul-Aug;72(4):1214-30. doi: 10.1111/1467-8624.00343.
The present study was designed to evaluate the effects on children (age: M = 5.5 years) in war-torn Bosnia and Herzegovina of a psychosocial intervention program consisting of weekly group meetings for mothers for 5 months. An additional aim was to investigate the children's psychosocial functioning and the mental health of their mothers. Internally displaced mother-child dyads were randomly assigned to an intervention group receiving psychosocial support and basic medical care (n = 42) or to a control group receiving medical care only (n = 45). Participants took part in interviews and tests to provide information about war exposure, mental health, psychosocial functioning, intellectual abilities, and physical health. Results showed that although all participants were exposed to severe trauma, their manifestations of distress varied considerably. The intervention program had a positive effect on mothers' mental health, children's weight gain, and several measures of children's psychosocial functioning and mental health, whereas there was no difference between the two groups on other measures. The findings have implications for policy.
本研究旨在评估一项心理社会干预项目对波斯尼亚和黑塞哥维那饱受战争蹂躏地区儿童(年龄:平均5.5岁)的影响,该项目包括为母亲们举办为期5个月的每周一次的小组会议。另一个目的是调查儿童的心理社会功能及其母亲的心理健康状况。国内流离失所的母婴二元组被随机分配到接受心理社会支持和基本医疗护理的干预组(n = 42)或仅接受医疗护理的对照组(n = 45)。参与者参加访谈和测试,以提供有关战争暴露、心理健康、心理社会功能、智力能力和身体健康的信息。结果表明,尽管所有参与者都遭受了严重创伤,但他们的痛苦表现差异很大。干预项目对母亲的心理健康、儿童体重增加以及儿童心理社会功能和心理健康的多项指标产生了积极影响,而在其他指标上两组之间没有差异。这些发现对政策具有启示意义。