Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA; Duke Child and Family Study Center, 2608 Erwin Road Lakeview Pavilion, Suite 300, Durham, NC 27705, USA; Mental Health Service Line, Department of Veterans Affairs Medical Center, Durham, NC 27705, USA.
National Capital Consortium Child and Adolescent Psychiatry Fellowship, Uniformed Services University of the Health Sciences School of Medicine, 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA.
Child Adolesc Psychiatr Clin N Am. 2014 Apr;23(2):257-79, viii. doi: 10.1016/j.chc.2013.12.004. Epub 2014 Feb 16.
Disasters, war, and terrorism expose millions of children globally to mass trauma with increasing frequency and severity. The clinical impact of such exposure is influenced by a child's social ecology, which is understood in a risk and resilience framework. Research findings informed by developmental systems theory and the related core principles of contemporary developmental psychopathology are reviewed. Their application to the recent recommendations for interventions based on evolving public health models of community resilience are discussed along with practical clinical tools for individual response.
灾难、战争和恐怖主义使数以百万计的全球儿童越来越频繁、严重地遭受大规模创伤。这种暴露的临床影响受到儿童社会生态的影响,而社会生态是在风险和弹性框架中理解的。本文回顾了发展系统理论和相关当代发展心理病理学核心原则指导下的研究结果。还讨论了将这些理论应用于最近基于社区弹性不断发展的公共卫生模型的干预措施建议,以及针对个体反应的实用临床工具。