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Trauma history and psychopathology in war-affected refugee children referred for trauma-related mental health services in the United States.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Betancourt, Theresa S. Newnham, Elizabeth A. Layne, Christopher M. Kim, Soeun Steinberg, Alan M. Ellis, Heidi Birman, Dina
Spatial Coverage	United States
Description	Country affiliation: United States Author Affiliation: Betancourt TS ( Department of Global Health and Population, Harvard School of Public Health, Boston, Massachusetts 02115, USA. Theresa_Betancourt@harvard.edu)
Abstract	There is an increasing need to deliver effective mental health services to refugee children and adolescents across the United States; however, the evidence base needed to guide the design and delivery of services is nascent. We investigated the trauma history profiles, psychopathology, and associated behavioral and functional indicators among war-affected refugee children presenting for psychological treatment. From the National Child Traumatic Stress Network's Core Data Set, 60 war-affected refugee children were identified (51.7% males, mean age = 13.1 years, SD = 4.13). Clinical assessments indicated high rates of probable posttraumatic stress disorder (30.4%), generalized anxiety (26.8%), somatization (26.8%), traumatic grief (21.4%), and general behavioral problems (21.4%). Exposure to war or political violence frequently co-occurred with forced displacement; traumatic loss; bereavement or separation; exposure to community violence; and exposure to domestic violence. Academic problems and behavioral difficulties were prevalent (53.6% and 44.6%, respectively); however, criminal activity, alcohol/drug use, and self-harm were rare (all < 5.45%). These findings highlight the complex trauma profiles, comorbid conditions, and functional problems that are important to consider in providing mental health interventions for refugee children and adolescents. Given the difficulties associated with access to mental health services for refugees, both preventive and community-based interventions within family, school, and peer systems hold particular promise.
File Format	HTM / HTML
ISSN	08949867
Issue Number	6
Volume Number	25
e-ISSN	15736598
Journal	Journal of Traumatic Stress
Language	English
Publisher	Wiley
Publisher Date	2012-12-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Military Medicine Discipline Psychology Mental Disorders Epidemiology Refugees Psychology Stress Disorders, Post-traumatic War Adolescent Child Child, Preschool Humans Male Etiology Mental Health Services United States Journal Article Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Research Support, U.s. Gov't, P.h.s.
Content Type	Text
Resource Type	Article
Subject	Clinical Psychology Psychiatry and Mental Health

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