Song Suzan J, de Jong Joop
Department of Psychiatry, George Washington University School of Medicine, 2120 L Street, NW, Washington, DC 20037, USA; Department of Psychiatry and Anthropology, Amsterdam Institute for Social Science Research (AISSR), University of Amsterdam, Amsterdam, The Netherlands.
Department of Psychiatry, VU University Medical Center, Amsterdam, AISSR, University of Amsterdam, Amsterdam, The Netherlands; Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA.
Child Adolesc Psychiatr Clin N Am. 2015 Oct;24(4):765-75. doi: 10.1016/j.chc.2015.06.006. Epub 2015 Jul 9.
Around the world, there are an estimated 300,000 to 500,000 children involved in armed conflict. Children can be abducted into a fighting force to fight or serve as sex slaves. Child soldiers have depression, anxiety, and posttraumatic stress symptoms; however, evidence is mixed because of methodologic limitations. Various mental health interventions have been tried, with promising results. Child and adolescent psychiatrists are uniquely trained in understanding and assisting youth to heal from such extraordinary experiences. A public health paradigm could include interventions that are based on a comprehensive assessment of interweaving developmental, biological, psychological, and sociocultural factors.
据估计,全球有30万至50万儿童卷入武装冲突。儿童可能会被绑架加入战斗部队作战或沦为性奴。儿童兵存在抑郁、焦虑和创伤后应激症状;然而,由于方法上的局限性,证据并不一致。人们尝试了各种心理健康干预措施,取得了喜人的成果。儿童和青少年精神科医生在理解和帮助青少年从这些特殊经历中恢复方面接受过独特的培训。公共卫生模式可能包括基于对发展、生物、心理和社会文化因素相互交织进行全面评估的干预措施。