Yadav Arun Kumar, Prakash Jyoti, Mukherjee Reema
Resident, Department of Community Medicine, Armed Forces Medical College, Pune, India.
Associate Professor, Department of Community Medicine, Armed Forces Medical College, Pune, India.
Med J Armed Forces India. 2023 May-Jun;79(3):316-320. doi: 10.1016/j.mjafi.2021.06.005. Epub 2021 Aug 13.
There is limited literature from India on effect of fathers' deployment on the mental health of children. This cross-sectional analytical study investigates the difference in anxiety levels of children whose fathers are deployed in a field location and compares it with children currently located with their fathers.
Data were collected in an army school from 200 children aged 10-17 years with fathers deployed in field locations (n = 99) and fathers currently residing with the children (n = 105) via interviewer administered and self-completed Screen for Child Anxiety-Related Disorders (SCARED) questionnaire.
Anxiety scores were on an average, minimally raised above the cut-off level for children who had fathers deployed. In addition, panic disorder scores were also above the cut-off levels for these children. While scores were normal in all other domain, they were higher than that for children residing with their fathers, although the difference was not significant. Girls with fathers deployed had scores higher than cut-off scores for domains such as panic, separation anxiety and school avoidance, while boys had scores higher than cut-off scores only for panic disorders. However, the girls had significantly higher scores than boys in all domains. Girls in both groups (with and without father deployed) had higher scores than cut-off scores for panic disorders.
Anxiety levels in children were not found to be unduly affected by the deployment of fathers. But girls were found to have clinically relevant panic disorder, school avoidance and separation anxiety scores as compared with boys in the similar situation of parental separation.
印度关于父亲被部署对孩子心理健康影响的文献有限。这项横断面分析研究调查了父亲被部署在外地的孩子与目前和父亲在一起的孩子在焦虑水平上的差异。
通过访谈员管理和自我完成的儿童焦虑相关障碍筛查问卷(SCARED),从一所陆军学校的200名10至17岁儿童中收集数据,这些儿童的父亲被部署在外地(n = 99),以及目前与孩子居住在一起的父亲(n = 105)。
平均而言,父亲被部署的孩子的焦虑得分仅略高于临界水平。此外,这些孩子的恐慌症得分也高于临界水平。虽然在所有其他领域得分正常,但高于与父亲居住在一起的孩子,尽管差异不显著。父亲被部署的女孩在恐慌、分离焦虑和学校回避等领域的得分高于临界分数,而男孩仅在恐慌症方面得分高于临界分数。然而,在所有领域中,女孩的得分均显著高于男孩。两组(父亲被部署和未被部署)的女孩在恐慌症方面的得分均高于临界分数。
未发现父亲被部署对孩子的焦虑水平有过度影响。但发现在父母分离的类似情况下,与男孩相比,女孩存在临床上相关的恐慌症、学校回避和分离焦虑得分。