Trajectories of psychological symptoms and resilience in conflict-affected children in low- and middle-income countries

Research output: Contribution to journal › Review › Research › peer-review

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Trajectories of psychological symptoms and resilience in conflict-affected children in low- and middle-income countries. / Purgato, Marianna; Tedeschi, Federico; Bonetto, Chiara; de Jong, Joop; Jordans, Mark J.D.; Tol, Wietse A.; Barbui, Corrado.

In: Clinical Psychology Review, Vol. 82, 101935, 2020.

Research output: Contribution to journal › Review › Research › peer-review

Harvard

Purgato, M, Tedeschi, F, Bonetto, C, de Jong, J, Jordans, MJD, Tol, WA & Barbui, C 2020, 'Trajectories of psychological symptoms and resilience in conflict-affected children in low- and middle-income countries', Clinical Psychology Review, vol. 82, 101935. https://doi.org/10.1016/j.cpr.2020.101935

APA

Purgato, M., Tedeschi, F., Bonetto, C., de Jong, J., Jordans, M. J. D., Tol, W. A., & Barbui, C. (2020). Trajectories of psychological symptoms and resilience in conflict-affected children in low- and middle-income countries. Clinical Psychology Review, 82, [101935]. https://doi.org/10.1016/j.cpr.2020.101935

Vancouver

Purgato M, Tedeschi F, Bonetto C, de Jong J, Jordans MJD, Tol WA et al. Trajectories of psychological symptoms and resilience in conflict-affected children in low- and middle-income countries. Clinical Psychology Review. 2020;82. 101935. https://doi.org/10.1016/j.cpr.2020.101935

Author

Purgato, Marianna ; Tedeschi, Federico ; Bonetto, Chiara ; de Jong, Joop ; Jordans, Mark J.D. ; Tol, Wietse A. ; Barbui, Corrado. / Trajectories of psychological symptoms and resilience in conflict-affected children in low- and middle-income countries. In: Clinical Psychology Review. 2020 ; Vol. 82.

Bibtex

@article{afccbe49b8a948b68daaf9151c6d987e,
title = "Trajectories of psychological symptoms and resilience in conflict-affected children in low- and middle-income countries",
abstract = "Longitudinal studies on children's and adolescents' psychological reactions to conflict-related traumatic events in low- and middle-income countries are scarce. The present study aimed to analyze children's and adolescents' responses to conflict-related potentially traumatic events (PTEs) and the impact of the number of different types of PTEs on psychological symptoms and resilience over time. We investigated the presence of psychological symptoms and resilience, defined as low levels of symptoms and high levels of hope, in a sample of 597 conflict-affected children and adolescents allocated to a waiting list condition in four randomized trials conducted in Burundi, Indonesia, Nepal and Sri Lanka. A decrease in functional impairment (p < 0.001), symptoms of PTSD (p < 0.001), anxiety (p < 0.001), depression (p = 0.052), and an increase in social support (p < 0.001), was observed over a six-month follow-up. More than one third of children and adolescents (34.6%) exposed to conflict-related traumatic events improved at follow-up. Levels of hope did not significantly change. Improvement in psychological symptoms and resilience were significantly associated with the number of different types of PTEs experienced before study entry. This study showed that children and adolescents have the capacity to react to multiple traumatic events, and that the number of different types of traumatic events has an impact on resilience mechanisms. This will help differentiate the choice and focus of psychosocial interventions according to the amount of traumatic events experienced by children and adolescents, and will inform the development and testing of new psychosocial interventions.",
keywords = "Clinically significant change, Humanitarian settings, Longitudinal analysis",
author = "Marianna Purgato and Federico Tedeschi and Chiara Bonetto and {de Jong}, Joop and Jordans, {Mark J.D.} and Tol, {Wietse A.} and Corrado Barbui",
year = "2020",
doi = "10.1016/j.cpr.2020.101935",
language = "English",
volume = "82",
journal = "Clinical Psychology Review",
issn = "0272-7358",
publisher = "Pergamon Press",

}

RIS

TY - JOUR

T1 - Trajectories of psychological symptoms and resilience in conflict-affected children in low- and middle-income countries

AU - Purgato, Marianna

AU - Tedeschi, Federico

AU - Bonetto, Chiara

AU - de Jong, Joop

AU - Jordans, Mark J.D.

AU - Tol, Wietse A.

AU - Barbui, Corrado

PY - 2020

Y1 - 2020

N2 - Longitudinal studies on children's and adolescents' psychological reactions to conflict-related traumatic events in low- and middle-income countries are scarce. The present study aimed to analyze children's and adolescents' responses to conflict-related potentially traumatic events (PTEs) and the impact of the number of different types of PTEs on psychological symptoms and resilience over time. We investigated the presence of psychological symptoms and resilience, defined as low levels of symptoms and high levels of hope, in a sample of 597 conflict-affected children and adolescents allocated to a waiting list condition in four randomized trials conducted in Burundi, Indonesia, Nepal and Sri Lanka. A decrease in functional impairment (p < 0.001), symptoms of PTSD (p < 0.001), anxiety (p < 0.001), depression (p = 0.052), and an increase in social support (p < 0.001), was observed over a six-month follow-up. More than one third of children and adolescents (34.6%) exposed to conflict-related traumatic events improved at follow-up. Levels of hope did not significantly change. Improvement in psychological symptoms and resilience were significantly associated with the number of different types of PTEs experienced before study entry. This study showed that children and adolescents have the capacity to react to multiple traumatic events, and that the number of different types of traumatic events has an impact on resilience mechanisms. This will help differentiate the choice and focus of psychosocial interventions according to the amount of traumatic events experienced by children and adolescents, and will inform the development and testing of new psychosocial interventions.

AB - Longitudinal studies on children's and adolescents' psychological reactions to conflict-related traumatic events in low- and middle-income countries are scarce. The present study aimed to analyze children's and adolescents' responses to conflict-related potentially traumatic events (PTEs) and the impact of the number of different types of PTEs on psychological symptoms and resilience over time. We investigated the presence of psychological symptoms and resilience, defined as low levels of symptoms and high levels of hope, in a sample of 597 conflict-affected children and adolescents allocated to a waiting list condition in four randomized trials conducted in Burundi, Indonesia, Nepal and Sri Lanka. A decrease in functional impairment (p < 0.001), symptoms of PTSD (p < 0.001), anxiety (p < 0.001), depression (p = 0.052), and an increase in social support (p < 0.001), was observed over a six-month follow-up. More than one third of children and adolescents (34.6%) exposed to conflict-related traumatic events improved at follow-up. Levels of hope did not significantly change. Improvement in psychological symptoms and resilience were significantly associated with the number of different types of PTEs experienced before study entry. This study showed that children and adolescents have the capacity to react to multiple traumatic events, and that the number of different types of traumatic events has an impact on resilience mechanisms. This will help differentiate the choice and focus of psychosocial interventions according to the amount of traumatic events experienced by children and adolescents, and will inform the development and testing of new psychosocial interventions.

KW - Clinically significant change

KW - Humanitarian settings

KW - Longitudinal analysis

U2 - 10.1016/j.cpr.2020.101935

DO - 10.1016/j.cpr.2020.101935

M3 - Review

C2 - 33126036

AN - SCOPUS:85094195249

VL - 82

JO - Clinical Psychology Review

JF - Clinical Psychology Review

SN - 0272-7358

M1 - 101935

ER -

ID: 255157495