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照顾者的精神病理学、复原力及其与哥伦比亚受武装冲突影响幼儿社会情感挑战的关联。

Caregiver Psychopathology, Resilience, and Their Associations with Social-Emotional Challenges of Young Children Affected by Armed Conflict in Colombia.

作者信息

Hein Sascha, Ponguta Liliana A, Flores José M, Londoño Tobón Amalia, Johnson Isaac N S, Larran Julie, Ortiz Hoyos Ana M, Gómez Oscar, González Ballesteros Lina M, Castellanos Roncancio Camila A, Leckman James F

机构信息

Department of Education and Psychology, Freie Universität Berlin, Fabeckstraße 35, 14195, Berlin, Germany.

Yale Child Study Center, New Haven, CT, USA.

出版信息

Child Psychiatry Hum Dev. 2024 Nov 22. doi: 10.1007/s10578-024-01787-y.

Abstract

We examined the social and emotional challenges (SEC) of young children and the mental health of their caregivers in areas affected by armed conflict and displacement in Colombia. Anxiety, depression, and PTSD symptoms were assessed in 1,133 caregivers. Caregivers also reported on the SEC of their children aged 21-53 months. A subsample of 487 caregivers (43%) completed a resilience self-report measure. Caregivers reported substantial levels of psychopathology ranging from 12.84% of caregivers with elevated anxiety levels, 24.5% who scored above the cutoff on the PTSD measure, and 44.7% who screened positive for depression. Correlations (r) between child SEC and caregiver psychopathology ranged from 0.15 to 0.33. The association between caregiver depression and child SEC was more substantial for boys (B = 0.56) than girls (B = 0.22). We also found that girls whose caregivers reported elevated levels of psychopathology and low levels of caregiver resilience received the highest ratings of caregiver-reported SEC. The importance of caregiver-child resilience-focused psychosocial support is discussed.

摘要

我们研究了哥伦比亚受武装冲突和流离失所影响地区幼儿的社会和情感挑战(SEC)及其照料者的心理健康状况。对1133名照料者的焦虑、抑郁和创伤后应激障碍(PTSD)症状进行了评估。照料者还报告了其21至53个月大孩子的SEC情况。487名照料者(43%)的子样本完成了一项复原力自评量表。照料者报告的精神病理学水平较高,其中焦虑水平升高的照料者占12.84%,PTSD量表得分高于临界值的占24.5%,抑郁筛查呈阳性的占44.7%。儿童SEC与照料者精神病理学之间的相关性(r)在0.15至0.33之间。照料者抑郁与儿童SEC之间的关联在男孩中(B = 0.56)比在女孩中(B = 0.22)更为显著。我们还发现,其照料者报告精神病理学水平较高且照料者复原力较低的女孩,在照料者报告的SEC方面得分最高。文中讨论了以照料者-儿童复原力为重点的心理社会支持的重要性。

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