Sierra Leone’s Former Child Soldiers: A Follow-Up Study of Psychosocial Adjustment and Community Reintegration
Open accessAbstract
This is the first prospective study to investigate psychosocial adjustment in male and female former child soldiers (ages 10–18; n = 156, 12% female). The study began in Sierra Leone in 2002 and was designed to examine both risk and protective factors in psychosocial adjustment. Over the 2-year period of follow-up, youth who had wounded or killed others during the war demonstrated increases in hostility. Youth who survived rape not only had higher levels of anxiety and hostility but also demonstrated greater confidence and prosocial attitudes at follow-up. Of the potential protective resources examined, improved community acceptance was associated with reduced depression at follow-up and improved confidence and prosocial attitudes regardless of levels of violence exposure. Retention in school was also associated with greater prosocial attitudes.
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- Authors
- Betancourt, T. S., Borisova, I. I., Williams, T. P., Brennan, R. T., Whitfield, T. H., De La Soudiere, M., Williamson, J., & Gilman, S. E.
- Affiliations
- Harvard University (US)
- Independent Biostatistics Consultant
- Independent Consultant, UNICEF
- United States Agency for International Development (US)
- Corresponding author
- Betancourt, Theresa Stichick
- Venue
- Child Development
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-07-01
- Volume
- 81
- Issue
- 4
- Pages
- 1077-1095
- ISSN
- 0009-3920 (ISSN-L)
- 1467-8624
- PMC
- PMC2921972
- OpenAlex
- W1547838594
- Cited by
- 269
- References
- 95
- Citations by year
- 2026: 6 · 2025: 11 · 2024: 12 · 2023: 5 · 2022: 29 · 2021: 11 · 2020: 16 · 2019: 22 · 2018: 17 · 2017: 16 · 2016: 15 · 2015: 24 · 2014: 17 · 2013: 35 · 2012: 17
- FWCI
- 69.20
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Child Development (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Funders
- United States Agency for International Development
- McLean Hospital
- National Institutes of Health (5p60md002261-05)
- National Institute of Mental Health (K01MH077246)
- National Institute on Minority Health and Health Disparities (P60-MD-002261)
- Topics
- Social Sciences › Sociology and Political Science › Conflict, Peace, and Violence in Colombia
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- former child soldiers, Sierra Leone civil war, psychosocial adjustment, community reintegration, rape victims, violence exposure, hostility, depression, anxiety, prosocial attitudes, confidence, community acceptance, school retention, risk and protective factors, gender differences
- MeSH terms
- Adaptation, Psychological, Adolescent, Psychology, Adolescent, Child, Psychology, Child, Family, Female, Follow-Up Studies, Hostility, Humans, Interpersonal Relations, Male, Military Personnel, Prospective Studies, Residence Characteristics, Sierra Leone, Social Adjustment, Socioeconomic Factors, Violence, Warfare
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