Horowitz Karyn, McKay Mary, Marshall Randall
Department of Psychiatry and Human Behavior, Brown University, USA.
Am J Orthopsychiatry. 2005 Jul;75(3):356-68. doi: 10.1037/0002-9432.75.3.356.
The purpose of this study was to understand the impact of community-level stressors (particularly violence), coping strategies, and resources to prevent exposure to violence or to mitigate its effects in an inner-city community. Parents and children participated in focus groups, and children also completed standardized instruments. In the focus groups, parents and children identified several areas of concern related to "helpers," schools, community safety, and emotional distress. They identified protective resources including intensive monitoring and social supports. Fifty percent of the children met criteria for Posttraumatic Stress Disorder (PTSD), and another 21% met criteria for partial PTSD. The mental health issues in children living with ongoing community violence necessitate that researchers use a qualitative approach to inform future interventions.
本研究的目的是了解社区层面的压力源(尤其是暴力)、应对策略和资源对预防内城区社区暴力暴露或减轻其影响的作用。家长和儿童参与了焦点小组,儿童还完成了标准化测评工具。在焦点小组中,家长和儿童确定了与“帮助者”、学校、社区安全和情绪困扰相关的几个关切领域。他们确定了包括密集监测和社会支持在内的保护资源。50%的儿童符合创伤后应激障碍(PTSD)的标准,另有21%符合部分PTSD的标准。生活在持续社区暴力中的儿童所面临的心理健康问题要求研究人员采用定性方法为未来的干预措施提供信息。