Rau Thea, Mayer Sophia, Allroggen Marc
Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie Universitätsklinikum Ulm Steinhövelstr. 5 89075 Ulm Deutschland.
Prax Kinderpsychol Kinderpsychiatr. 2023 Jul;72(5):446-465. doi: 10.13109/prkk.2023.72.5.446.
In the context of abuse cases in boarding schools, stress among children and adolescents in boarding schools in Germany was discussed for the first time. So far, however, there is a lack of studies dealing with post-traumatic stress disorders of adolescents in boarding schools.The aim was to analyze the extent of trauma experiences and symptoms of post-traumatic stress disorders as well as psychopathological abnormalities in adolescents in boarding schools on the basis of self-reports using a secondary analysis of theMAYSI-2 and UCLA PTSD Reaction Index for DSM-IV screening questionnaires and to derive implications for research and care concepts. Data was available from155 adolescents, 70%of whomweremale.The adolescents had been in boarding schools for an average of 3.26 years (SD = 2.48). A traumatic experience was evident in 69.7%(n = 108) of the adolescents, and 51.6%(n = 80) of the adolescentswere "conspicuous" in at least one of the six scales of theMAYSI-2. Taken together, 33.5%(n = 52) of the adolescents met the criteria for a suspected post-traumatic stress disorder according to ICD-10. Screening procedures should be established in boarding schools to identify traumatic experiences and psychopathological abnormalities in a timely manner. Concepts from youth welfare institutions can be used to deal with trauma experiences.There is a need for further research on traumatic experiences directly related to the boarding school placement situation.
在寄宿学校虐待案件的背景下,德国首次讨论了寄宿学校中儿童和青少年的压力问题。然而,到目前为止,缺乏关于寄宿学校青少年创伤后应激障碍的研究。目的是基于对MAYSI - 2和UCLA PTSD反应指数(用于DSM - IV筛查问卷)的二次分析,通过自我报告来分析寄宿学校青少年的创伤经历程度、创伤后应激障碍症状以及心理病理异常情况,并得出对研究和护理概念的启示。数据来自155名青少年,其中70%为男性。这些青少年在寄宿学校的平均时长为3.26年(标准差 = 2.48)。69.7%(n = 108)的青少年有明显的创伤经历,51.6%(n = 80)的青少年在MAYSI - 2的六个量表中至少有一个量表表现“突出”。综合来看,33.5%(n = 52)的青少年符合ICD - 10中疑似创伤后应激障碍的标准。寄宿学校应建立筛查程序,以便及时识别创伤经历和心理病理异常情况。青少年福利机构的理念可用于应对创伤经历。有必要对与寄宿学校安置情况直接相关的创伤经历进行进一步研究。