The psychosocial aspects of children exposed to war: practice and policy initiatives
Abstract
The atrocities of war have detrimental effects on the development and mental health of children that have been documented since World War II. To date, a considerable amount of knowledge about various aspects of this problem has been accumulated, including the ways in which trauma impacts child mental health and development, as well as intervention techniques, and prevention methods. Considering the large populations of civilians that experience the trauma of war, it is timely to review existing literature, summarize approaches for helping war‐affected children, and suggest future directions for research and policy.
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Children and adolescents exposed to armed conflict face an elevated risk of mental health problems.
“Inadequate responsiveness to these issues is especially concerning in view of the body of research documenting increased risk of mental health problems in war-affected children and families.1,3–8”
From Interventions for Children Affected by War: An Ecological Perspective on Psychosocial Support and Mental Health Care (2013) · cites this paper as [3]
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Child development: risk factors for adverse outcomes in developing countries
Walker, S. P., Wachs, T. D., Meeks Gardner, J., Lozoff, B., Wasserman, G. A., Pollitt, E., & Carter, J. A. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60076-2 · Cited by 2,133 · see citing works
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“the guidelines we propose are consistent with those suggested by Barenbaum et al. (2004), Betancourt and Williams (2008), and”
BackgroundMethodBetancourt, T. S., & Khan, K. T. (2008) · International Review of Psychiatry · doi:10.1080/09540260802090363 · Cited by 840 · see citing works
“Research on the mental health consequences of armed conflict for children has grown in recent years (Lustig et al., 2004; Barenbaum et al., 2004; Betancourt & Williams, 2008).”
BackgroundMental health and psychosocial support in humanitarian settings: linking practice and research
Tol, W. A., Barbui, C., Galappatti, A., Silove, D., Betancourt, T. S., Souza, R., Golaz, A., & van Ommeren, M. (2011) · The Lancet · doi:10.1016/s0140-6736(11)61094-5 · Cited by 625 · see citing works
Bolton, P., Bass, J., Betancourt, T., Speelman, L., Onyango, G., Clougherty, K. F., Neugebauer, R., Murray, L., & Verdeli, H. (2007) · JAMA · doi:10.1001/jama.298.5.519 · Cited by 589 · see citing works
Seeds of distrust: conflict in Uganda
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Jordans, M. J. D., Komproe, I. H., Tol, W. A., Kohrt, B. A., Luitel, N. P., Macy, R. D., & De Jong, J. T. V. M. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2010.02209.x · Cited by 337 · see citing works
“Despite a growing consensus on objectives and programmatic strategies (IASC, 2007), evaluations of child-focused interventions in these settings are relatively scarce (Barenbaum et al., 2004; Morris, Van Ommeren, Belfer, Saxena, & Saraceno, 2007; Stichick, 2001).”
BackgroundBetancourt, T. S., Meyers-Ohki, S. E., Charrow, A. P., & Tol, W. A. (2013) · Harvard Review of Psychiatry · doi:10.1097/hrp.0b013e318283bf8f · Cited by 326 · see citing works
Bürgin, D., Anagnostopoulos, D. C., the Board and Policy Division of ESCAP, Anagnostopoulos, D. C., Doyle, M., D, S. E. M., Fegert, J. M., Fuentes, J., Hebebrand, J., Hillegers, M. H. J., et al. (2022) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-022-01974-z · Cited by 367 · see citing works
“Such non-specific interventions have the goal to reduce stress, to provide safe areas and shelters; to restore or reactivate protective factors [52].”
BackgroundPrevalence of mental disorders among children exposed to war: a systematic review of 7,920 children
Attanayake, V., McKay, R., Joffres, M., Singh, S., Burkle, F., & Mills, E. (2009) · Medicine, Conflict and Survival · doi:10.1080/13623690802568913 · Cited by 362 · see citing works
Exposure to war trauma and PTSD among parents and children in the Gaza strip
Thabet, A. A. M., Tawahina, A. A., Sarraj, E. E., & Vostanis, P. (2008) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-007-0653-9 · Cited by 295 · see citing works
“Children directly or indirectly exposed to war conflict experience a variety of stressors, and many develop both short-term and long-term post-traumatic stress reactions [5].”
BackgroundTol, W. A., Komproe, I. H., Susanty, D., Jordans, M. J. D., Macy, R. D., & De Jong, J. T. V. M. (2008) · JAMA · doi:10.1001/jama.300.6.655 · Cited by 286 · see citing works
Betancourt, T. S., Borisova, I. I., Williams, T. P., Brennan, R. T., Whitfield, T. H., De La Soudiere, M., Williamson, J., & Gilman, S. E. (2010) · Child Development · doi:10.1111/j.1467-8624.2010.01455.x · Cited by 269 · see citing works
“Sources of potential protection have also been documented in research on war-affected youth (Barenbaum et al., 2004; Betancourt & Khan, 2008; Lustig et al., 2004).”
BackgroundViolence, suffering, and mental health in Afghanistan: a school-based survey
Panter‐Brick, C., Eggerman, M., Gonzalez, V., & Safdar, S. (2009) · The Lancet · doi:10.1016/s0140-6736(09)61080-1 · Cited by 263 · see citing works
Jordans, M. J. D., Tol, W. A., Komproe, I. H., & De Jong, J. V. T. M. (2009) · Child and Adolescent Mental Health · doi:10.1111/j.1475-3588.2008.00515.x · Cited by 222 · see citing works
“, 2007); and (d) the need for accessible, low-cost, systematic interventions (Moss et al., 2006; Williams, 2006; Barenbaum et al., 2004; Morris et al., 2007).”
BackgroundResultInfluentialMcMullen, J. D., O'Callaghan, P., Shannon, C., Black, A., & Eakin, J. G. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12094 · Cited by 206 · see citing works
Barber, B. K. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12056 · Cited by 208 · see citing works
Barber, B. K. (2008) · International Journal of Behavioral Development · doi:10.1177/0165025408090972 · Cited by 198 · see citing works
Children and war: Risk, resilience, and recovery
Werner, E. Ε. (2012) · Development and Psychopathology · doi:10.1017/s0954579412000156 · Cited by 188 · see citing works
Fernando, G. A., Miller, K. E., & Berger, D. E. (2010) · Child Development · doi:10.1111/j.1467-8624.2010.01462.x · Cited by 176 · see citing works
“Such conditions can arise from any area of a child’s ecology and include poverty caused or worsened by the loss of family livelihoods, displacement into crowded and impoverished refugee camps with a corresponding loss of privacy and autonomy, a loss of social support caused by the weakening of social networks through…”
BackgroundInfluentialA Qualitative Study of Mental Health Problems among Children Displaced by War in Northern Uganda
Betancourt, T. S., Speelman, L., Onyango, G., & Bolton, P. A. (2009) · Transcultural Psychiatry · doi:10.1177/1363461509105815 · Cited by 175 · see citing works
Betancourt, T. S., McBain, R. K., Newnham, E. A., & Brennan, R. T. (2012) · Child Development · doi:10.1111/j.1467-8624.2012.01861.x · Cited by 163 · see citing works
Preventive interventions among children exposed to trauma of armed conflict: a literature review
Peltonen, K., & Punamäki, R. (2010) · Aggressive Behavior · doi:10.1002/ab.20334 · Cited by 159 · see citing works
“These results concur with the argument that in addition to reducing mental health problems, it is also important to enhance resources, resilience and positive attitudes among traumatized children [Barenbaum et al., 2004; Punamäki et al., 2007].”
BackgroundResultInfluentialMels, C., Derluyn, I., Broekaert, E., & Rosseel, Y. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2010.02241.x · Cited by 156 · see citing works
Impact of the Russian Invasion on Mental Health of Adolescents in Ukraine
Osokina, O., Silwal, S., Bohdanova, T., Hodes, M., Sourander, A., & Skokauskas, N. (2022) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2022.07.845 · Cited by 153 · see citing works
Layne, C. M., Olsen, J. A., Baker, A. S., Legerski, J., Isakson, B. L., Pašalić, A., Duraković‐Belko, E., Đapo, N., Ćampara, N., Arslanagić, B., et al. (2010) · Child Development · doi:10.1111/j.1467-8624.2010.01454.x · Cited by 142 · see citing works
“As discussed by Netland (2001, 2005) and Barenbaum et al. (2004), these practices include: (a) the inappropriate use of the common latent factor with effect indicators model (i.”
BackgroundSadeh, A., Hen-Gal, S., & Tikotzky, L. (2008) · Pediatrics · doi:10.1542/peds.2007-1348 · Cited by 137 · see citing works
“Study Components Data analysis consisted of assessment of 3 components, that is, (1) exposure to war experiences, (2) stress reactions and their association with exposure, and (3) the effects of a brief intervention on subsequent adaptation.”
BackgroundMethodInfluentialThe psychosocial consequences for children of mass violence, terrorism and disasters
Williams, R. (2007) · International Review of Psychiatry · doi:10.1080/09540260701349480 · Cited by 132 · see citing works
“An excellent summary of the literature to 2003 on the psychosocial aspects of children exposed to war is provided by Barenbaum et al. (Barenbaum et al., 2004).”
BackgroundMethodInfluentialWylie, L., Meyel, R. V., Harder, H., Sukhera, J. I., Luc, C., Ganjavi, H., Elfakhani, M., & Wardrop, N. (2018) · Public health reviews · doi:10.1186/s40985-018-0102-y · Cited by 118 · see citing works
KARAM, E. G., FAYYAD, J., KARAM, A. N., TABET, C. C., MELHEM, N., MNEIMNEH, Z., & DIMASSI, H. (2008) · World Psychiatry · doi:10.1002/j.2051-5545.2008.tb00170.x · Cited by 115 · see citing works
“The evidence for efficacy of interventions following war and terrorism is even more scant (16).”
BackgroundResultBenjet, C. L. (2010) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32833ad79b · Cited by 115 · see citing works
El-Khodary, B., Samara, M. M., & Askew, C. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.00004 · Cited by 101 · see citing works
Children of the Troubles: The Impact of Political Violence in Northern Ireland
Muldoon, O. T. (2004) · Journal of Social Issues · doi:10.1111/j.0022-4537.2004.00366.x · Cited by 101 · see citing works
CIVIL WAR EXPOSURE AND VIOLENCE
Miguel, E. A., Saiegh, S. M., & Satyanath, S. (2010) · Economics and Politics · doi:10.1111/j.1468-0343.2010.00372.x · Cited by 99 · see citing works
“Barenbaum et al. (2004) provide a useful survey of the literature in psychology on the effects of war on mental health.”
BackgroundInfluentialBirman, D., Beehler, S., Harris, E. M., Everson, M. L., Batia, K., Liautaud, J., Frazier, S. L., Atkins, M. S., Blanton, S., Buwalda, J., et al. (2008) · American Journal of Orthopsychiatry · doi:10.1037/0002-9432.78.1.121 · Cited by 92 · see citing works
The Violent Legacy of Conflict: Evidence on Asylum Seekers, Crime, and Public Policy in Switzerland
Couttenier, M., Petrencu, V., Rohner, D., & Thoenig, M. (2019) · American Economic Review · doi:10.1257/aer.20170263 · Cited by 113 · see citing works
“9 See, for instance, Kuterovac-Jagodi´c ( 2003 ) ; Barenbaum, Ruchkin, and Schwab-Stone ( 2004 ) ; Fehr et violence during childhood alleviates endogeneity issues due to self-selection into violence ( e.g., excluding former perpetrators, see Section III .”
BackgroundMental health issues among refugee children and adolescents
Henley, J., & Robinson, J. A. (2011) · Clinical Psychologist · doi:10.1111/j.1742-9552.2011.00024.x · Cited by 86 · see citing works
“The mental health needs of refugee children often go unmet due to various access and cultural issues (Barenbaum et al., 2004; Weine et al., 2008).”
BackgroundAn evaluation of a common elements treatment approach for youth in Somali refugee camps
Murray, L. K., Hall, B. J., Dorsey, S., Ugueto, A. M., Puffer, E. S., Sim, A. L., Ismael, A.-S., Bass, J., Akiba, C. F., Lucid, L., et al. (2018) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2018.7 · Cited by 84 · see citing works
“…refugee population (United Nations High Commissioner for Refugees, 2016) and are exposed to challenges, traumas and stressors at the individual, family, and community levels that increase their risk for mental health problems (Barenbaum et al., 2004; Betancourt & Khan, 2008; Reed et al., 2012).”
BackgroundViolence Exposure and Psychopathology in Urban Youth: The Mediating Role of Posttraumatic Stress
Ruchkin, V. V., Henrich, C. C., Jones, S., Vermeiren, R. R. J. M., & Schwab‐Stone, M. (2007) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-007-9114-7 · Cited by 85 · see citing works
“In addition, there is some evidence that the magnitude of trauma and the ways of how its outcomes unfold may differ by gender (e.g., Barenbaum, Ruchkin, & Schwab-Stone, 2004; Tolin & Foa, 2006).”
BackgroundSelf-citationChildhood post-traumatic stress disorder: an overview.
Bellis, M. D., & Dillen, T. V. (2005) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2005.05.006 · Cited by 73 · see citing works
“In the last 20 years, systematic research has established that children exposed to violence represent a highly vulnerable population whose PTSD responses may be greater than those of adults [52].”
BackgroundVerdeli, H., Clougherty, K., Onyango, G., Lewandowski, E., Speelman, L., Betancourt, T. S., Neugebauer, R., Stein, T. R., & Bolton, P. (2008) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2008.03.002 · Cited by 81 · see citing works
Punamäki, R., Qouta, S., Miller, T., & Sarraj, E. E. (2011) · Peace and Conflict Journal of Peace Psychology · doi:10.1080/10781919.2011.610722 · Cited by 81 · see citing works
“The evidence is clear that accumulation of severe war trauma increases the likelihood of children's mental health problems, including PTSD, depression, anxiety, excessive fear, and aggression (Barenbaum, Ruchkin, & Schwab-Stone, 2004 ; Vostanis, 2004 ; Yule, 2000 ).”
BackgroundReturning home: resettlement of formerly abducted children in Northern Uganda
Corbin, J. N. (2008) · Disasters · doi:10.1111/j.1467-7717.2008.01042.x · Cited by 80 · see citing works
“Normative experiences such as preparing FAC with education and income generating skills re-establishes FAC’s social roles within the community, their sense of security and stability, and their hope for the future (Barenbaum et al., 2004; Lorey, 2001; Machel,1996).”
BackgroundMülteci Öğrencilerin Bulunduğu Sınıflarda Öğrenme Sürecinde Karşılaşılan Sorunlar
Başar, M., Akan, D., & ÇİFTÇİ, M. (2018) · Kastamonu Eğitim Dergisi · doi:10.24106/kefdergi.427432 · Cited by 79 · see citing works
Wainryb, C. (2011) · Human Development · doi:10.1159/000331482 · Cited by 79 · see citing works
“…of violence against others, and bemoan the dearth of the sort of Human Development 2011;54:273–300 276 Wainryb empirical data that could help clarify how this violence might affect these youths’ moral development [Barenbaum et al., 2004; Boyden, 2003; Jones, 2002; Rafman, 2004; Wessells, 2006].”
BackgroundKerig, P. K., Wainryb, C., Twali, M. S., & Chaplo, S. D. (2013) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2013.813883 · Cited by 78 · see citing works
Development of a multi-layered psychosocial care system for children in areas of political violence
Jordans, M. J. D., Tol, W. A., Komproe, I. H., Susanty, D., Vallipuram, A., Ntamatumba, P., Lasuba, A. C., & de Jong, J. T. V. M. (2010) · International Journal of Mental Health Systems · doi:10.1186/1752-4458-4-15 · Cited by 78 · see citing works
“Moreover, usually group work rather than individual work is preferred; because (a) group members can recognize that they are not alone with their problems, (b) group members can learn new strategies and coping skills from each other, (c) the group can function as a place to try out new problem-solving skills, and (d)…”
InfluentialBetancourt, T. S., Keegan, K., Farrar, J., & Brennan, R. T. (2020) · Conflict and Health · doi:10.1186/s13031-020-00308-7 · Cited by 80 · see citing works
Predictors of violence against children in Tamil families in northern Sri Lanka
Sriskandarajah, V., Neuner, F., & Catani, C. (2015) · Social Science & Medicine · doi:10.1016/j.socscimed.2015.10.010 · Cited by 77 · see citing works
Kuwert, P., Spitzer, C., Träder, A., Freyberger, H. J., & Ermann, M. (2006) · International Psychogeriatrics · doi:10.1017/s104161020600442x · Cited by 74 · see citing works
“Differences in the prevalence of long-lasting post-traumatic symptoms after war may be explained by a number of factors, including initial severity, psychosocial milieu after trauma, and continuing disruption, for example as a result of displacement (Barenbaum et al., 2004).”
BackgroundMiller‐Graff, L. E., & Cummings, E. M. (2016) · Developmental Review · doi:10.1016/j.dr.2016.10.001 · Cited by 74 · see citing works
Impact, psychological sequelae and management of trauma affecting children and adolescents
Caffo, E., Forresi, B., & Lievers, L. S. (2005) · Current Opinion in Psychiatry · doi:10.1097/01.yco.0000172062.01520.ac · Cited by 73 · see citing works
Childhood exposure to the Second World War and financial risk taking in adult life
Bellucci, D., Fuochi, G., & Conzo, P. (2019) · Journal of Economic Psychology · doi:10.1016/j.joep.2019.102196 · Cited by 73 · see citing works
“In particular, exposure to conflict might have increased the perception of uncertainty and lack of control over the environment (Barenbaum et al., 2004).”
BackgroundResultUlmer-Yaniv, A., Djalovski, A., Yirmiya, K., Halevi, G., Zagoory‐Sharon, O., & Feldman, R. (2017) · Psychological Medicine · doi:10.1017/s0033291717002550 · Cited by 71 · see citing works
“Using χ2 tests, we found that prevalence of anxiety-related disorders and PTSD according to psychiatric diagnosis (DAWBA) was higher in the exposed compared with the control group (34.7% v. 15.8%).”
BackgroundInfluentialDerluyn, I., Vindevogel, S., & Haene, L. D. (2013) · Journal of Aggression Maltreatment & Trauma · doi:10.1080/10926771.2013.824058 · Cited by 72 · see citing works
“Overall, research on the health and well-being of child soldiers and certainly of children and adolescents affected by armed conflict in general has been relatively scarce and of quite recent date (Barenbaum et al., 2004; Boothby, 2008).”
BackgroundInfluentialMiller, K. E., & Rasmussen, A. (2010) · Social Science & Medicine · doi:10.1016/j.socscimed.2010.07.020 · Cited by 69 · see citing works
`Highly Vulnerable'? Political Violence and the Social Construction of Traumatized Children
Gilligan, C. (2008) · Journal of Peace Research · doi:10.1177/0022343308098407 · Cited by 69 · see citing works
Gilligan, C. (2006) · Policy & Politics · doi:10.1332/030557306776315813 · Cited by 68 · see citing works
“This therapeutic turn can be seen in the area of humanitarian assistance to wartorn societies, which increasingly emphasises the issue of war trauma (see, for example, Pedersen, 2002; Powell and Durakovic-Belko, 2002; Barenbaum et al, 2004 ).”
BackgroundSchryver, M. D., Vindevogel, S., Rasmussen, A., & Cramer, A. O. J. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.01896 · Cited by 68 · see citing works
“…by virtue of a selected set of common variables, and their measurement based on aggregated counts risk to mask important ways in which people are differentially exposed to and affected by stressful events (Barenbaum et al., 2004; Netland, 2005; Layne et al., 2009; Betancourt et al., 2010).”
McMullen, J. D., O’Callaghan, P. S., Richards, J. A., Eakin, J. G., & Rafferty, H. (2011) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-011-0454-9 · Cited by 67 · see citing works
“opment; and to develop interventions to treat children traumatised by war [1].”
BackgroundInfluentialMiller, K. E., Koppenol‐Gonzalez, G. V., Arnous, M., Tossyeh, F., Chen, A., Nahas, N., & Jordans, M. J. D. (2020) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2020.104512 · Cited by 70 · see citing works
A controlled evaluation of a brief parenting psychoeducation intervention in Burundi
Jordans, M. J. D., Tol, W. A., Ndayisaba, A., & Komproe, I. H. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-012-0630-6 · Cited by 66 · see citing works
“In other words, it reinforces the argument to direct interventions at parents of school-aged children, especially in settings where formal care structures are often absent and the importance of family networks ubiquitous, specifically to instruct them to recognize children’s distress and advice them to use appropriate…”
BackgroundHall, B. J., Tol, W., Jordans, M., Bass, J., & de Jong, J. D. (2014) · Social Science & Medicine (1967) · doi:10.1016/j.socscimed.2014.05.042 · Cited by 64 · see citing works
“Exposure to war and armed conflict is associated with adverse mental health outcomes in children and adolescents (Barenbaum et al., 2004; Betancourt and Khan, 2008).”
Persson, T. J., & Rousseau, C. (2009) · PubMed · Cited by 65 · see citing works
Parental care protects traumatized Sri Lankan children from internalizing behavior problems
Sriskandarajah, V., Neuner, F., & Catani, C. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0583-x · Cited by 64 · see citing works
“Children growing up in such adverse life environments are at risk of developmental problems [3, 4] and impaired psychological health and well-being [5, 6].”
BackgroundHaer, R., & Böhmelt, T. (2015) · European Journal of International Relations · doi:10.1177/1354066115581910 · Cited by 62 · see citing works
“Notwithstanding, it is generally accepted that children represent a highly vulnerable population and that they have the least capacity to recover (Barenbaum et al., 2004; Singer, 2006: 115).”
BackgroundJordans, M. J. D., Tol, W. A., Susanty, D., Ntamatumba, P., Luitel, N. P., Komproe, I. H., & de Jong, J. T. V. M. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001371 · Cited by 62 · see citing works
“We synthesize the interplay between research and practice in this program according to a set of principles extracted from guidelines on psychosocial support for children in areas of conflict [5,14,15] and emergency settings [9].”
BackgroundMethodWar, trauma and children's development: Observations from a modern evolutionary perspective
Belsky, J. (2008) · International Journal of Behavioral Development · doi:10.1177/0165025408090969 · Cited by 81 · see citing works
The Elusive Peace Dividend of Development Policy: From War Traps to Macro Complementarities
Rohner, D., & Thoenig, M. (2021) · Annual Review of Economics · doi:10.1146/annurev-economics-073120-102652 · Cited by 60 · see citing works
“In the same vein, Barenbaum et al. (2004) and Derluyn et al. (2004) find that wars have adverse consequences on mental and psychological health.”
BackgroundBradley, R. H. (2007) · Parenting · doi:10.1080/15295190701306896 · Cited by 61 · see citing works
“, taking time to play) may help relieve worries and restore a sense that it is worthwhile to pursue normal daily goals (Barenbaum et al., 2004; Foa et al., 1999; Perry, 1996). There is some evidence that parental warmth and responsiveness can protect children from adverse reactions to DCCs, especially young children w…”
BackgroundBetancourt, T. S., McBain, R. K., Newnham, E. A., & Brennan, R. T. (2013) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12131 · Cited by 59 · see citing works
Emotional legacies of war among former Colombian paramilitaries.
Nussio, E. (2012) · Peace and Conflict Journal of Peace Psychology · doi:10.1037/a0030327 · Cited by 58 · see citing works
Vindevogel, S., Ager, A., Schiltz, J., Broekaert, E., & Derluyn, I. (2015) · Transcultural Psychiatry · doi:10.1177/1363461514565852 · Cited by 58 · see citing works
Ooi, C. S., Rooney, R. M., Roberts, C. M., Kane, R. T., Wright, B. R., & Chatzisarantis, N. L. D. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01641 · Cited by 57 · see citing works
Vindevogel, S., Coppens, K., Derluyn, I., Schryver, M. D., Loots, G., & Broekaert, E. (2011) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2011.03.011 · Cited by 57 · see citing works
Mels, C., Derluyn, I., Broekaert, E., & Rosseel, Y. (2009) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2009.56 · Cited by 57 · see citing works
“Therefore, it seems reasonable to conclude that, if psychological needs remain unattended, intrapsychological and consequently relational and community problems could persist.(13,15,16,19-21,34) Earlier research has also found that traumatic exposure and related symptoms predicted feelings of revenge and negative atti…”
BackgroundInfluentialDawson, K. S., Joscelyne, A., Meijer, C., Steel, Z., Silove, D. M., & Bryant, R. A. (2017) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867417714333 · Cited by 57 · see citing works
“There is considerable evidence of increased rates of psychological problems in children who have survived war and civil conflict (Attanayake et al., 2009; Barenbaum et al., 2004; Pat-Horenczyk et al., 2009; Stichick, 2001), with rates of post-traumatic stress disorder (PTSD) and depression being significantly higher i…”
BackgroundInternal displacement and health among the Palestinian minority in Israel
Daoud, N., Shankardass, K., O'Campo, P. J., Anderson, K. M., & Agbaria, A. K. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2011.12.041 · Cited by 56 · see citing works
Children and the Sphere standard on mental and social aspects of health
Morris, J. E., van Ommeren, M., Belfer, M. L., Saxena, S., & Saraceno, B. (2007) · Disasters · doi:10.1111/j.1467-7717.2007.00341.x · Cited by 56 · see citing works
“Accumulating evidence suggests that not only in Western settings ( Barenbaum, Ruchkin and Schwab-Stone, 2004 ), but also in non-Western contexts, children exposed to catastrophic events are at heightened risk of symptoms of depression and anxiety (including post-traumatic stress symptoms), behavioural problems, dimini…”
BackgroundA meta-review of school-based disaster interventions for child and adolescent survivors
Fu, C., & Underwood, C. R. (2015) · Journal of Child and Adolescent Mental Health · doi:10.2989/17280583.2015.1117978 · Cited by 78 · see citing works
The effect of constant threat of terror on Israeli Jewish and Arab adolescents
Cohen, M. W., & Eid, J. (2007) · Anxiety Stress & Coping · doi:10.1080/10615800601167546 · Cited by 55 · see citing works
“Adolescents reported lower levels of psychological distress than young children in reaction to traumatic experiences (Allen, 1998) and to living in war or violent conflict zones, due to their more developed cognitive capacities and coping resources (Barenbaum et al., 2004; Masten & Coatsworth, 1998).”
BackgroundResultInfluentialBetancourt, T. S., Salhi, C., Buka, S. L., Leaning, J., Dunn, G., & Earls, F. J. (2012) · Disasters · doi:10.1111/j.1467-7717.2012.01280.x · Cited by 53 · see citing works
Evaluation of a teacher-led, life-skills intervention for secondary school students in Uganda
McMullen, J. D., & McMullen, N. (2018) · Social Science & Medicine · doi:10.1016/j.socscimed.2018.09.041 · Cited by 59 · see citing works
Miller, K. E., Jordans, M. J. D., Tol, W. A., & Galappatti, A. (2021) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796020001110 · Cited by 61 · see citing works
“Numerous reviews reflect the same persistent reality: clinical and social-environmental interventions are seldom integrated into multilevel, integrated systems of support (Barenbaum et al ., 2005; Ellis et al ., 2012; Betancourt et al ., 2013; Jordans et al ., 2016).”
Internalizing and externalizing symptoms among unaccompanied refugee and Italian adolescents
Thommessen, S. A. O., Laghi, F., Cerrone, C., Baiocco, R., & Todd, B. K. (2012) · Children and Youth Services Review · doi:10.1016/j.childyouth.2012.10.007 · Cited by 50 · see citing works
Muldoon, O. T. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.07.004 · Cited by 50 · see citing works
Exploring the Support Role of Special Education Teachers After Hurricane Ike
Ducy, E. M., & Stough, L. M. (2011) · Journal of Family Issues · doi:10.1177/0192513x11412494 · Cited by 49 · see citing works
Mels, C., Derluyn, I., Broekaert, E., & Rosseel, Y. (2009) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0128-z · Cited by 48 · see citing works
“This re-affirms the need to also bring local views into account when assessing mental health, to improve the accuracy and relevance of the screening [3, 12, 29, 32, 37, 38].”
BackgroundWalker, S. P., Wachs, T. D., Gardner, J. M., Lozoff, B., Wasserman, G. A., Pollitt, E., & Carter, J. A. (2007) · Cited by 48 · see citing works
Haroz, E. E., Jordans, M. J. D., de Jong, J. T. V. M., Gross, A. L., Bass, J., & Tol, W. A. (2015) · Assessment · doi:10.1177/1073191115612924 · Cited by 48 · see citing works
Dvir-Gvirsman, S., Huesmann, L. R., Dubow, E. F., Landau, S. F., Boxer, P., & Shikaki, K. I. (2015) · Political Communication · doi:10.1080/10584609.2015.1010670 · Cited by 47 · see citing works
“Following such an explanation would suggest that parents carry part of the responsibility for their children’s initial beliefs (Bar-Tal, 1996; Barenbaum et al., 2004; Castelli, Zogmaister, & Tomelleri, 2009).”
BackgroundBuilding peace through education
Hymel, S. C., & Darwich, L. (2018) · Journal of Peace Education · doi:10.1080/17400201.2018.1535475 · Cited by 51 · see citing works
“…increasingly documented, including post-traumatic stress disorders, internalizing and externalizing problems (e.g. depression, aggression), academic challenges, and disturbances in personality and moral development (see Barber 2013; Barenbaum, Ruchkin, and Schwab-Stone 2004; Entholt and Yule 2006).”
BackgroundJordans, M. J. D., Komproe, I. H., Tol, W. A., & de Jong, J. T. V. M. (2009) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2008.02028.x · Cited by 46 · see citing works
“…countries to do clinical assessments within large populations (WHO, 2005); (2) facilitating early detection of at-risk populations when lay-screening is limited due to unawareness or stigmatization (Saltzman et al., 2003); and (3) planning for therapeutic interventions (Barenbaum et al., 2004).”
BackgroundInfluentialSchauer, M., & Schauer, E. (2010) · Springer eBooks · doi:10.1007/978-1-4419-5722-1_16 · Cited by 45 · see citing works
“However, having a caring and protective mother or father is not a panacea, and closeness to a responsible parent does not protect children from the traumatic impact of war and persecution, as parents cannot buffer their children from stress (Almqvist & Brandell-Forsberg, 1995; Barenbaum et al., 2004), which is a view…”
BackgroundDevelopment and validation of the child psychosocial distress screener in Burundi.
Jordans, M. J. D., Komproe, I. H., Ventevogel, P., Tol, W. A., & de Jong, J. T. V. M. (2008) · American Journal of Orthopsychiatry · doi:10.1037/a0014216 · Cited by 45 · see citing works
Communal Violence and Child Psychosocial Well-being: Qualitative Findings from Poso, Indonesia
Tol, W. A., Reis, R., Susanty, D., & de Jong, J. T. V. M. (2010) · Transcultural Psychiatry · doi:10.1177/1363461510364573 · Cited by 44 · see citing works
A Coordinated Mental Health Crisis Response: Lessons Learned From Three Colorado School Shootings
Crepeau‐Hobson, F., Sievering, K. S., Armstrong, C., & Stonis, J. (2012) · Journal of School Violence · doi:10.1080/15388220.2012.682002 · Cited by 44 · see citing works
“The reunification process is an important piece of the crisis response as the re-establishment of natural social support systems is often the only crisis intervention needed for many individuals ( Barenbaum, Ruchkin, & Schwab-Stone, 2004 ) and family members are often identified as the greatest source of support follo…”
BackgroundSonderegger, R., Rombouts, S., Ocen, B., & McKeever, R. S. (2010) · British Journal of Clinical Psychology · doi:10.1348/014466510x511637 · Cited by 44 · see citing works
Miller, K. E., Fernando, G. A., & Berger, D. E. (2009) · Intervention · doi:10.1097/wtf.0b013e3283346344 · Cited by 43 · see citing works
Victims and/or perpetrators? Towards an interdisciplinary dialogue on child soldiers
Derluyn, I., Vandenhole, W., Parmentier, S., & Mels, C. (2015) · BMC International Health and Human Rights · doi:10.1186/s12914-015-0068-5 · Cited by 43 · see citing works
“Not only are children forcibly recruited as child soldiers and thus actively participate in the armed conflict, also the frequently ethnic nature of these conflicts, amongst others, can turn every civilian into a potential victim or a perpetrator ready to defend his/her group’s interests [21].”
Background
- Authors
- Barenbaum, J., Ruchkin, V., & Schwab‐Stone, M.
- Affiliations
- Yale University (US)
- Corresponding author
- Ruchkin, Vladislav
- ORCID
- Ruchkin, Vladislav
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2004-01
- Volume
- 45
- Issue
- 1
- Pages
- 41-62
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W1998495462
- Cited by
- 341
- References
- 190
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 11 · 2023: 9 · 2022: 12 · 2021: 9 · 2020: 18 · 2019: 17 · 2018: 13 · 2017: 16 · 2016: 15 · 2015: 16 · 2014: 15 · 2013: 34 · 2012: 18
- FWCI
- 13.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Health Professions › General Health Professions › Health and Conflict Studies
- Keywords
- war-affected children, child mental health, psychosocial trauma, child development, trauma intervention, injury prevention, humanitarian policy, civilian trauma
- MeSH terms
- Child, Culture, Humans, Psychology, Public Policy, Stress Disorders, Post-Traumatic, Warfare
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