Green Andrea E, Weinberger Stanley J, Harder Valerie S
Department of Pediatrics, Larner College of Medicine, University of Vermont, Burlington, VT, USA.
Pediatric New American Program, University of Vermont Children's Hospital, 1 South Prospect St, Rehab 3, Burlington, VT, 05401, USA.
J Immigr Minor Health. 2021 Jun;23(3):494-501. doi: 10.1007/s10903-020-01082-7. Epub 2020 Sep 22.
Many refugee children have exposure to trauma prior to arrival and during resettlement. Mental health screening in primary care among resettled refugee children is needed. The Strengths and Difficulties Questionnaire (SDQ) was used to screen refugee children age 4-18 years at their Domestic Medical Examination and three other primary care visits in their first year of resettlement. We tested the association between time and SDQ score or intervention/referral, and differences based on geographic origin. SDQ scores were highest upon arrival (Ps < .0005). Referrals were most common at the six-month visit compared to arrival and one month (Ps < .01). Iraqi children had higher SDQ scores at all visits (Ps < .03). The SDQ can be used in primary care to screen newly arrived refugee children. Practitioners should screen at arrival to identify difficulties. Those with difficulties continuing at six months may need an intervention or referral.
许多难民儿童在抵达前和重新安置期间都经历过创伤。重新安置的难民儿童在初级保健中需要进行心理健康筛查。使用优势与困难问卷（SDQ）对4至18岁的难民儿童在其国内体检时以及重新安置第一年的其他三次初级保健就诊时进行筛查。我们测试了时间与SDQ评分或干预/转诊之间的关联，以及基于地理来源的差异。抵达时SDQ评分最高（P值<0.0005）。与抵达时和一个月时相比，转诊在六个月就诊时最为常见（P值<0.01）。伊拉克儿童在所有就诊时SDQ评分都更高（P值<0.03）。SDQ可用于初级保健中筛查新抵达的难民儿童。从业者应在抵达时进行筛查以识别困难。那些在六个月时仍存在困难的儿童可能需要干预或转诊。
