Sadeh Avi, Hen-Gal Shai, Tikotzky Liat
Adler Center for Research in Child Development and Psychopathology, Department of Psychology, Tel Aviv University, Ramat Aviv 69978, Israel.
Pediatrics. 2008 Jan;121(1):46-53. doi: 10.1542/peds.2007-1348.
The goal was to assess stress reactions in young children during and after war and the effects of a new brief intervention.
Two separate studies were conducted. In study I, we assessed war exposure and stress reactions of 74 children (2-7 years of age) in a sheltered camp during the second Israel-Lebanon war (July to August 2006). Their exposure to war experiences and their stress reactions were assessed through parental reports during the last week of the war. In addition to standard care, 35 children received a brief intervention (Huggy-Puppy intervention) aimed at encouraging them to care for a needy Huggy-Puppy doll that was given to them as a gift. The effects of the Huggy-Puppy intervention were assessed in a follow-up interview 3 weeks after the war. Study II assessed the efficacy of group administration of the Huggy-Puppy intervention to 191 young children, compared with 101 control subjects. The effects of the intervention on stress-related symptoms after the war were assessed in telephone interviews with the parents.
Study I indicated that, during the war, most children had significant exposure to war-related experiences and had severe stress reactions. The Huggy-Puppy intervention was associated with significant reductions in stress reactions in the postwar assessment. A higher level of attachment and involvement with the doll was associated with better outcomes. The results of study II indicated that group administration of the Huggy-Puppy intervention was associated with significant reductions in stress reactions.
These studies suggest that the Huggy-Puppy intervention may offer pediatricians and other child health care professionals a promising, cost-effective intervention for children during stressful times.
评估幼儿在战争期间及战后的应激反应，以及一种新的简短干预措施的效果。
进行了两项独立研究。在研究I中，我们评估了第二次以色列-黎巴嫩战争（2006年7月至8月）期间，74名（2至7岁）在庇护营地中的儿童的战争暴露情况和应激反应。通过在战争最后一周家长的报告来评估他们的战争经历暴露情况和应激反应。除了标准护理外，35名儿童接受了一项旨在鼓励他们照顾作为礼物送给他们的有需要的抱抱小狗玩偶的简短干预措施（抱抱小狗干预）。在战争结束3周后的随访访谈中评估抱抱小狗干预的效果。研究II评估了将抱抱小狗干预措施分组施用于191名幼儿的效果，并与101名对照受试者进行比较。通过与家长的电话访谈评估干预措施对战争后与应激相关症状的影响。
研究I表明，在战争期间，大多数儿童有大量与战争相关的经历暴露，并有严重的应激反应。抱抱小狗干预措施与战后评估中应激反应的显著降低相关。与玩偶的更高依恋水平和参与度与更好的结果相关。研究II的结果表明，抱抱小狗干预措施的分组施用与应激反应的显著降低相关。
这些研究表明，抱抱小狗干预措施可能为儿科医生和其他儿童保健专业人员在压力时期为儿童提供一种有前景、具有成本效益的干预措施。
