Geltman Paul L, Grant-Knight Wanda, Mehta Supriya D, Lloyd-Travaglini Christine, Lustig Stuart, Landgraf Jeanne M, Wise Paul H
Department of Pediatrics and Emergency Medicine, Boston University School of Medicine, Boston, MA 02120, USA.
Arch Pediatr Adolesc Med. 2005 Jun;159(6):585-91. doi: 10.1001/archpedi.159.6.585.
To assess the functional and behavioral health of unaccompanied Sudanese refugee minors approximately 1 year after resettlement in the United States.
A descriptive survey.
Local refugee foster care programs affiliated with the US Unaccompanied Refugee Minors Program.
A total of 304 Sudanese refugee minors enrolled in the US Unaccompanied Refugee Minors Program.
Health outcomes were assessed using the Harvard Trauma Questionnaire and the Child Health Questionnaire. Outcomes included the diagnosis of posttraumatic stress disorder and scores on all Child Health Questionnaire subscales and global single-item assessments.
Twenty percent of the minors had a diagnosis of posttraumatic stress disorder and were more likely to have lower (worse) scores on all the Child Health Questionnaire subscales. Low functional and behavioral health scores were seen mainly in functioning in the home and in subjective health ratings. Social isolation and history of personal injury were associated with posttraumatic stress disorder.
Unaccompanied Sudanese minors have done well in general. The minors function well in school and in activities; however, behavioral and emotional problems manifest in their home lives and emotional states. The subset of children with traumatic symptoms had characteristics that may distinguish them from their peers and that may inform future resettlement services for unaccompanied minors in the United States.
评估苏丹无人陪伴难民未成年人在美国重新安置约1年后的功能和行为健康状况。
描述性调查。
与美国无人陪伴难民未成年人计划相关的当地难民寄养计划。
共有304名参加美国无人陪伴难民未成年人计划的苏丹难民未成年人。
使用哈佛创伤问卷和儿童健康问卷评估健康结局。结局包括创伤后应激障碍的诊断以及儿童健康问卷所有分量表的得分和整体单项评估得分。
20%的未成年人被诊断患有创伤后应激障碍，并且在儿童健康问卷所有分量表上更有可能获得较低（较差）的分数。功能和行为健康得分较低主要体现在家庭功能和主观健康评级方面。社会孤立和人身伤害史与创伤后应激障碍相关。
无人陪伴的苏丹未成年人总体表现良好。这些未成年人在学校和活动中表现良好；然而，行为和情绪问题在他们的家庭生活和情绪状态中显现出来。有创伤症状的儿童亚组具有一些特征，这些特征可能使他们与同龄人有所区别，并可能为美国未来为无人陪伴未成年人提供重新安置服务提供参考。
