Alqahtani Mohammed M J, Al-Loghbi Aisha Ahmad S, AlSalehi Saleh Mohd, Al-Hifthy Elham H, Saleh Al-Hrbi Faten Hadi, Alqahtani Yasser Jubran, Alkhamees Hadeel Abdulmohsen, Mahmoud Mahmoud Abdulrahman, Mukhadi Jubran Y A, Alkhathami Saleh S M, Altakroni Habib S A, Alyemni Noora S A
Psychology Department, King Khalid University, Abha, Saudi Arabia.
Saudi ADHD Society, Riyadh, Saudi Arabia.
J Child Adolesc Trauma. 2024 Mar 22;17(3):723-733. doi: 10.1007/s40653-024-00630-9. eCollection 2024 Sep.
This study is an attempt to explore war-related trauma, its stressful effects, and the coping strategies of Saudi schoolchildren. The authors hypothesized that children exposed to war-related trauma will show higher levels of PTSD, and that those with higher levels of PTSD symptoms use more maladaptive coping strategies. The study describes the correlation between traumatic events and posttraumatic stress disorder (PTSD) as well as coping strategies. Five hundred twenty-seven intermediate and high school students, 12 to 18 years old, living in the conflict zone in southern Saudi Arabia completed three standardized self-reported scales: the War Zone Traumatic Events Checklist, the Child PTSD Symptom Scale, and the Children's Coping Strategies Checklist. Each participating student was randomly chosen. Analysis was based on two groups: the high-PTSD symptoms group (182 children) and the low-PTSD symptoms group (345 children). The study was conducted between September 2020 and April 2022 while the war was ongoing as part of an ongoing larger study. Children exposed to war-related traumatic events exhibited greater prevalence rates for PTSD. The children reported high levels of PTSD symptoms and applied a variety of coping strategies to manage related stress. Participants rarely reported that psychological or educational interventions had been used to manage the war-related traumatic experiences and PTSD or to improve related coping styles. The results are discussed in the context of mental health services needed for children in the conflict zone. To bridge the gap between health care services and the needs of children with PTSD, and for better understanding and interventions, health professionals are invited to develop a biopsychosocial model that identifies the risks of PTSD related to exposure to war-related traumatic events in school-aged children and, hence, provide a multidisciplinary intervention program that educates, encourages, and supports teachers and parents in following medical recommendations and goals.
本研究旨在探讨与战争相关的创伤、其压力影响以及沙特学童的应对策略。作者假设，暴露于与战争相关创伤的儿童将表现出更高水平的创伤后应激障碍（PTSD），且PTSD症状水平较高的儿童会使用更多适应不良的应对策略。该研究描述了创伤事件与创伤后应激障碍（PTSD）以及应对策略之间的相关性。527名年龄在12至18岁之间、居住在沙特阿拉伯南部冲突地区的初中和高中学生完成了三份标准化的自我报告量表：战区创伤事件清单、儿童PTSD症状量表和儿童应对策略清单。每个参与的学生都是随机挑选的。分析基于两组：高PTSD症状组（182名儿童）和低PTSD症状组（345名儿童）。该研究于2020年9月至2022年4月战争进行期间开展，是一项正在进行的更大规模研究的一部分。暴露于与战争相关创伤事件的儿童PTSD患病率更高。这些儿童报告了高水平的PTSD症状，并采用了多种应对策略来管理相关压力。参与者很少报告曾使用心理或教育干预措施来管理与战争相关的创伤经历和PTSD或改善相关应对方式。研究结果在冲突地区儿童所需心理健康服务的背景下进行了讨论。为了弥合医疗服务与PTSD儿童需求之间的差距，并为了更好地理解和干预，邀请健康专业人员制定一个生物心理社会模型，该模型识别学龄儿童暴露于与战争相关创伤事件所带来的PTSD风险，从而提供一个多学科干预项目，教育、鼓励并支持教师和家长遵循医疗建议和目标。
