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[2010年海地太子港地震后三个社区3至6岁儿童的创伤与恢复力]

[Trauma and resilience among children 3 to 6 years old in three neighborhoods of Port-au-Prince after the 2010 earthquake in Haiti].

作者信息

Mouchenik Y, Dauriac-Le Masson V, Marquer C, Marty-Chevreuil A, Georges R, Derivois D, Moro M-R

机构信息

Université Paris 13, 102, avenue de Paris, 94300 Vincennes, France; Centre hospitalier Sainte-Anne, 75014 Paris, France.

Centre hospitalier Sainte-Anne, 75014 Paris, France.

出版信息

Encephale. 2017 Feb;43(1):27-31. doi: 10.1016/j.encep.2016.04.002. Epub 2016 May 21.

DOI:10.1016/j.encep.2016.04.002
PMID:27216587
Abstract

UNLABELLED

The paper describes an action research for indicative assessment of psychological problems of young children following the 2010 earthquake in Haiti, and the interest of using the Creole version of the questionnaire PSYCa 3-6. The survey took place in Port-au-Prince, and the evaluators were trained to a proper standardized administration of the questionnaire.

BACKGROUND

The mental health needs of young children in natural disaster contexts often remain unaddressed. The lack of a rapid and simple tool for screening combined with few mental health professionals available to accurately diagnose and provide appropriate care mean that young children remain without care. Here, we present the results of psychological screening of young children aged 3 to 6 using the questionnaire PSYCa 3-6.

METHODS

This study was conducted in Port-au-Prince, Haiti. The scale was translated into Haitian Creole using corroboration of independent translations and submitted twice to the parents at home, at the end of 2011 and again at the beginning of 2013. At the first stage 166 children 3 to 6 years old were included 49 of whom were included at the second stage. The results and diagnostic properties were assessed comparing the PSYCa 3-6 to the Clinical Global Impression Severity Scale as the gold standard.

RESULTS

Boys were more prone to psychological disturbances than girls. The size and position among the siblings increased the score of psychological disturbance. The neighborhood and the perception of environmental violence had a significant impact on the score of psychological disturbance. The significant improvement in scores between the two examinations showed moderate resiliency whose main factors seemed to be the social support received by the family, the rapid return to school, faith and religious practice.

摘要

未标注

本文描述了一项行动研究,旨在对2010年海地地震后幼儿的心理问题进行指示性评估,以及使用克里奥尔语版PSYCa 3 - 6问卷的意义。该调查在太子港进行,评估人员接受了关于问卷正确标准化管理的培训。

背景

自然灾害背景下幼儿的心理健康需求往往得不到满足。缺乏快速简单的筛查工具,加上能够准确诊断并提供适当护理的心理健康专业人员很少,这意味着幼儿得不到护理。在此,我们展示了使用PSYCa 3 - 6问卷对3至6岁幼儿进行心理筛查的结果。

方法

本研究在海地太子港进行。该量表通过独立翻译的对照被翻译成海地克里奥尔语,并在2011年底和2013年初两次在家中提交给家长。第一阶段纳入了166名3至6岁的儿童,其中49名在第二阶段被纳入。将PSYCa 3 - 6与作为金标准的临床总体印象严重程度量表进行比较,评估结果和诊断特性。

结果

男孩比女孩更容易出现心理障碍。在兄弟姐妹中的排行和位置增加了心理障碍得分。邻里关系和对环境暴力的感知对心理障碍得分有显著影响。两次检查之间得分的显著改善表明有适度的恢复力,其主要因素似乎是家庭获得的社会支持、快速返校、信仰和宗教活动。

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