Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia
Background: The effect of the Colombian armed conflict on the mental health of adolescents is still poorly understood. Aims: Given social interventions are most likely to inform policy, we tested whether two potential intervention targets, family functioning and social capital, were associated with...
- Autores:
-
Tamayo Agudelo, William Fernando
Acosta Ortiz, Alida
Hamid, Aseel
Gómez García, Carolina
García Durán, María Camila
Daccach González, Vanessa
Solmi, Francesca
Bell, Vaughan
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2021
- Institución:
- Universidad Cooperativa de Colombia
- Repositorio:
- Repositorio UCC
- Idioma:
- OAI Identifier:
- oai:repository.ucc.edu.co:20.500.12494/46502
- Acceso en línea:
- https://hdl.handle.net/20.500.12494/46502
- Palabra clave:
- Colombia
Guerra
Violencia
Desplazamiento
Psiquiatría
Colombia
War
Violence
Displacement
Psychiatry
- Rights
- openAccess
- License
- Atribución
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| dc.title.spa.fl_str_mv |
Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia |
| title |
Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia |
| spellingShingle |
Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia Colombia Guerra Violencia Desplazamiento Psiquiatría Colombia War Violence Displacement Psychiatry |
| title_short |
Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia |
| title_full |
Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia |
| title_fullStr |
Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia |
| title_full_unstemmed |
Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia |
| title_sort |
Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia |
| dc.creator.fl_str_mv |
Tamayo Agudelo, William Fernando Acosta Ortiz, Alida Hamid, Aseel Gómez García, Carolina García Durán, María Camila Daccach González, Vanessa Solmi, Francesca Bell, Vaughan |
| dc.contributor.author.none.fl_str_mv |
Tamayo Agudelo, William Fernando Acosta Ortiz, Alida Hamid, Aseel Gómez García, Carolina García Durán, María Camila Daccach González, Vanessa Solmi, Francesca Bell, Vaughan |
| dc.subject.spa.fl_str_mv |
Colombia Guerra Violencia Desplazamiento Psiquiatría |
| topic |
Colombia Guerra Violencia Desplazamiento Psiquiatría Colombia War Violence Displacement Psychiatry |
| dc.subject.other.spa.fl_str_mv |
Colombia War Violence Displacement Psychiatry |
| description |
Background: The effect of the Colombian armed conflict on the mental health of adolescents is still poorly understood. Aims: Given social interventions are most likely to inform policy, we tested whether two potential intervention targets, family functioning and social capital, were associated with mental health in Colombian adolescents, and whether this was moderated by experience of violence and displacement. Methods: We examined the cross-sectional association between family functioning, cognitive social capital, structural social capital and 12-month prevalence of Composite International Diagnostic Interview (CIDI) diagnosed psychiatric disorder, using data on 12 to 17-year-old adolescents (N=1,754) from the 2015 National Mental Health Survey of Colombia, a nationally representative epidemiological study. We tested whether associations survived cumulative adjustment for demographic confounders, experience of non-specific violence and harm and displacement by armed conflict. Results: Neither structural nor cognitive social capital were associated with better mental health. Better family functioning was associated with reduced risk of poor mental health in an unadjusted analysis (OR 0.90 [0.85–0.96]), and after cumulative adjustments for demographic confounders (OR 0.91 [0.86–0.97]), non-specific violence and harm (OR 0.91 [0.86–0.97]) and social capital variables (OR 0.91 [0.85–0.97]). In the final model, each additional point on the family APGAR scale was associated with a 9% reduced odds of any CIDI diagnosed disorder in the last 12 months. Conclusions: Better family functioning was associated with better mental health outcomes for all adolescents. This effect remained present in those affected by the armed conflict even after accounting for potential confounders. |
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2021 |
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2021-09 |
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2022-09-23T20:21:44Z |
| dc.date.available.none.fl_str_mv |
2022-09-23T20:21:44Z |
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Artículos Científicos |
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info:eu-repo/semantics/publishedVersion |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/article |
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doi:10.1177/00207640211045417 |
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https://hdl.handle.net/20.500.12494/46502 |
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Tamayo-Aguledo W, Acosta-Ortiz A, Hamid A, et al. Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia. International Journal of Social Psychiatry. 2021;0(0). doi:10.1177/00207640211045417 |
| identifier_str_mv |
doi:10.1177/00207640211045417 Tamayo-Aguledo W, Acosta-Ortiz A, Hamid A, et al. Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia. International Journal of Social Psychiatry. 2021;0(0). doi:10.1177/00207640211045417 |
| url |
https://hdl.handle.net/20.500.12494/46502 |
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https://journals.sagepub.com/doi/full/10.1177/00207640211045417 |
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International Journal of Social Psychiatry |
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Alderfer, M. A., Fiese, B. H., Gold, J. I., Cutuli, J. J., Holmbeck, G. N., Goldbeck, L., Chambers, C. T., Abad, M., Spetter, D., & Patterson, J. (2008). Evidence-based assessment in pedi atric psychology: Family measures. Journal of Pediatric Psychology, 33, 1046–1061. https://doi.org/10.1093/jpepsy/ jsm083 Alkire, S., Chatterjee, M., Conconi, A., Seth, S., & Vaz, A. (2014). Global multidimensional poverty index 2014, OPHI briefing 21. University of Oxford. Almedom, A. M. (2005). Social capital and mental health: An interdisciplinary review of primary evidence. Social Science & Medicine, 61, 943–964. https://doi.org/10.1016/j.socsci med.2004.12.025 Angulo, R., Díaz, Y., & Pardo, R. (2016). The Colombian Multidimensional Poverty Index: Measuring poverty in a public policy context. Social Indicators Research, 127, 1–38. https://doi.org/10.1007/s11205-015-0964-z Aranguren-Romero, J. P., & Rubio-Castro, N. (2018). Formación en herramientas terapéuticas a sobrevivientes del conflicto armado en el Pacífico colombiano: Reflexividad y cuidado de sí. Revista de Estudios Sociales, 16, 18–29. Ariza, L. M. F., Durán, M. C. A., Cubillos, Z. J. D., & Arias, A. C. (2006). Consistencia interna y análisis de factores de la escala APGAR para evaluar el funcionamiento familiar en estudiantes de básica secundaria. Revista Colombiana de Psiquiatría, 35, 23–29. Bell, V., Méndez, F., Martínez, C., Palma, P. P., & Bosch, M. (2012). Characteristics of the Colombian armed conflict and the mental health of civilians living in active conflict zones. Conflict and Health, 6, 10. https://doi.org/10.1186/1752- 1505-6-10 Breaux, R. P., & Harvey, E. A. (2019). A longitudinal study of the relation between family functioning and preschool ADHD symptoms. Journal of Clinical Child & Adolescent Psychology, 48, 749–764. https://doi.org/10.1080/1537441 6.2018.1437737 Burgess, R. A., & Fonseca, L. (2020). Re-thinking recovery in post-conflict settings: Supporting the mental well-being of communities in Colombia. Global Public Health, 15, 200– 219. https://doi.org/10.1080/17441692.2019.1663547 Cardozo Rusinque, A. A., Cortés-Peña, O. F., & Castro Monsalvo, M. (2017). Relaciones funcionales entre salud mental y capital social en víctimas del conflicto armado y personas en situación de pobreza. [Functional relationships between mental health and social capital in victims of armed conflict and people in poverty.]. Interdisciplinaria. Revista de Psicología y Ciencias Afines, 34, 235–257. Carrillo, A. C. (2009). Internal displacement in Colombia: Humanitarian, economic and social consequences in urban settings and current challenges. International Review of the Red Cross, 91, 527–546. Charlés, L. L. (2015). Scaling up family therapy in fragile, con flict-affected states. Family Process, 54, 545–558. https:// doi.org/10.1111/famp.12107 Chaskel, R., Gaviria, S. L., Espinel, Z., Taborda, E., Vanegas, R., & Shultz, J. M. (2015). Mental health in Colombia. BJPsych International, 12, 95–97. https://doi.org/10.1192/ S2056474000000660 Cifuentes Patiño, M. R. (2009). Familia y conflicto armado. Trabajo Social, 11, 87–106. Cummings, E. M., Merrilees, C. E., Taylor, L. K., & Mondi, C. F. (2017). Developmental and social-ecological perspec tives on children, political violence, and armed conflict. Development and Psychopathology, 29, 1–10. https://doi. org/10.1017/S0954579416001061 Denov, M., Fennig, M., Rabiau, M. A., & Shevell, M. C. (2019). Intergenerational resilience in families affected by war, dis placement, and migration: “It runs in the family.” Journal of Family Social Work, 22, 17–45. https://doi.org/10.1080/105 22158.2019.1546810 De Silva, M. J., Huttly, S. R., Harpham, T., & Kenward, M. G. (2007). Social capital and mental health: A compara tive analysis of four low income countries. Social Science & Medicine, 64, 5–20. https://doi.org/10.1016/j.socsci med.2006.08.044 Dinesen, C., Ronsbo, H., Juárez, C., González, M., Estrada Méndez, M. Á., & Modvig, J. (2013). Violence and social capital in post-conflict Guatemala. Pan American Journal of Public Health, 34, 162–168. D’Abreu, A., Castro-Olivo, S., & Ura, S. K. (2019). Understanding the role of acculturative stress on refugee youth mental health: A systematic review and ecological approach to assessment and intervention. School Psychology International, 40, 107– 127. https://doi.org/10.1177/0143034318822688 Gáfaro, M., Justino, P., & Ibáñez, A. M. (2014). Collective action and armed group presence in Colombia (Documentos CEDE 011951). Universidad de los Andes—CEDE. Gaias, L. M., Lindstrom Johnson, S., White, R. M. B., Pettigrew, J., & Dumka, L. (2019). Positive school climate as a mod erator of violence exposure for Colombian adolescents. American Journal of Community Psychology, 63, 17–31. https://doi.org/10.1002/ajcp.12300 Gómez-Restrepo, C., de Santacruz, C., Rodriguez, M. N., Rodriguez, V., Tamayo Martínez, N., Matallana, D., & Gonzalez, L. M. (2016). Encuesta Nacional de Salud Mental Colombia 2015. Protocolo del estudio. Revista Colombiana de Psiquiatría, 45, 2–8. https://doi.org/10.1016/j.rcp.2016. 04.007 Gómez-Restrepo, C., Malagón, N. R., Eslava-Schmalbach, J., Ruiz, R., & Gil, J. F. (2021). Factores asociados al recono cimiento de trastornos y problemas mentales en adoles centes en la Encuesta Nacional de Salud Mental, Colombia. Revista Colombiana de Psiquiatría, 50, 3–10. https://doi. org/10.1016/j.rcp.2019.09.002 Grupo de Memoria Histórica. (2013). ¡Basta ya! Colombia: Memorias de guerra y dignidad: Informe general. Centro Nacional de Memoria Histórica. Harpham, T. (2008). The measurement of community social capital through surveys. In I. Kawachi, S. Subramanian, & D. Kim (Eds.), Social Capital and Health (pp. 51–62). Springer. Harpham, T., Grant, E., & Rodriguez, C. (2004). Mental health and social capital in Cali, Colombia. Social Science & Medicine, 58, 2267–2277. https://doi.org/10.1016/j.socsci med.2003.08.013 Hurtado, D., Kawachi, I., & Sudarsky, J. (2011). Social capital and self-rated health in Colombia: The good, the bad and the ugly. Social Science & Medicine, 72(4), 584–590. https:// doi.org/10.1016/j.socscimed.2010.11.023 Internal Displacement Monitoring Centre. (2020). Global report on internal displacement 2020. Author. Jordans, M. J., Tol, W. A., Susanty, D., Ntamatumba, P., Luitel, N. P., Komproe, I. H., & de Jong, J. T. (2013). Implementation of a mental health care package for children in areas of armed conflict: A case study from Burundi, Indonesia, Nepal, Sri Lanka, and Sudan. PLoS Medicine, 10, e1001371. https://doi.org/10.1371/journal. pmed.1001371 Keitner, G. I., & Miller, I. W. (1990). Family functioning and major depression: An overview. American Journal of Psychiatry, 147, 1128–1137. https://doi.org/10.1176/ ajp.147.9.1128 Leinonen, J. A., Solantaus, T. S., & Punamäki, R.-L. (2003). Parental mental health and children’s adjustment: The qual ity of marital interaction and parenting as mediating factors. Journal of Child Psychology and Psychiatry, 44, 227–241. https://doi.org/10.1111/1469-7610.t01-1-00116 Marroquín Rivera, A., Rincón Rodríguez, C. J., Padilla-Muñoz, A., & Gómez-Restrepo, C. (2020). Mental health in ado lescents displaced by the armed conflict: Findings from the Colombian national mental health survey. Child and Adolescent Psychiatry and Mental Health, 14, 23. https:// doi.org/10.1186/s13034-020-00327-5 Minsalud Colciencas. (2016). Encuesta Nacional de Salud Mental 2015 Tomo 1. Minsalud Colciencas. MinSalud-ITES. (2017). Protocolo de atención integral en salud con enfoque psicosocial a víctimas del conflicto armado. MinSalud. Noel, P., Cork, C., & White, R. G. (2018). Social capital and men tal health in post-disaster/conflict contexts: A systematic review. Disaster Medicine and Public Health Preparedness, 12, 791–802. https://doi.org/10.1017/dmp.2017.147 Putnam, R. D. (1996). The strange disappearance of civic America. Policy: A Journal of Public Policy and Ideas, 12, 3–15. R Core Team. (2020). R: A language and environment for sta tistical computing. R Foundation for Statistical Computin Reed, R. V., Fazel, M., Jones, L., Panter-Brick, C., & Stein, A. (2012). Mental health of displaced and refugee children resettled in low-income and middle-income countries: Risk and protective factors. Lancet, 379, 250–265. https://doi. org/10.1016/s0140-6736(11)60050-0 Rodriguez, V., Moreno, S., Camacho, J., Gómez-Restrepo, C., de Santacruz, C., Rodriguez, M. N., & Tamayo Martínez, N. (2016). Diseño e implementación de los instrumentos de recolección de la Encuesta Nacional de Salud Mental Colombia 2015. Revista Colombiana de Psiquiatría, 45, 9–18. https://doi.org/10.1016/j.rcp.2016.10.001 Rule, A., Birmingham, A., Zuniga, C., Altintas, I., Huang, S.- C., Knight, R., Moshiri, N., Nguyen, M. H., Rosenthal, S. B., Pérez, F., & Rose, P. W. (2019). Ten simple rules for writing and sharing computational analyses in Jupyter Notebooks. PLoS Computational Biology, 15, e1007007. https://doi.org/10.1371/journal.pcbi.1007007 Sánchez Acosta, D., Castaño Pérez, G. A., Sierra Hincapié, G. M., Moratto Vásquez, N. S., Salas Zapata, C., Buitrago Salazar, J. C., & Torres de Galvis, Y. (2019). Salud mental de adolescentes y jóvenes víctimas de desplazamiento for zado en Colombia. CES Psicología, 12, 1–19. https://doi. org/10.21615/cesp.12.3.1 Sánchez-Villegas, M., Reyes-Ruiz, L., Taylor, L. K., Pérez-Ruíz, N. A., & Carmona-Alvarado, F. A. (2021). Mental health problems, family functioning and social support among children survivors of Colombia’s armed conflict. Journal of Aggression Conflict and Peace Research, 13, 61–72. https:// doi.org/10.1108/jacpr-08-2020-0535 Scharpf, F., Kaltenbach, E., Nickerson, A., & Hecker, T. (2021). A systematic review of socio-ecological factors contribut ing to risk and protection of the mental health of refugee children and adolescents. Clinical Psychology Review, 83, 101930. https://doi.org/10.1016/j.cpr.2020.101930 Scully, C., McLaughlin, J., & Fitzgerald, A. (2020). The relation ship between adverse childhood experiences, family func tioning, and mental health problems among children and adolescents: A systematic review. Journal of Family Therapy, 42, 291–316. https://doi.org/10.1111/1467-6427.12263 Shek, D. T. L. (1998). A longitudinal study of the relationship between family functioning and adolescent psychological well-being. Journal of Youth Studies, 1, 195–209. https:// doi.org/10.1080/13676261.1998.10593006 Shultz, J. M., Garfin, D. R., Espinel, Z., Araya, R., Oquendo, M. A., Wainberg, M. L., Chaskel, R., Gaviria, S. L., Ordóñez, A. E., Espinola, M., Wilson, F. E., Muñoz García, N., Gómez Ceballos, A. M., Garcia-Barcena, Y., Verdeli, H., & Neria, Y. (2014). Internally displaced “victims of armed conflict” in Colombia: The trajectory and trauma signature of forced migration. Current Psychiatry Reports, 16, 475. https://doi.org/10.1007/s11920-014-0475-7 Smilkstein, G. (1978). The family APGAR: A proposal for a family function test and its use by physicians. The Journal of Family Practice, 6, 1231–1239. Tamayo-Agudelo, W., & Bell, V. (2019). Armed conflict and mental health in Colombia. BJPsych International, 16, 40– 42. https://doi.org/10.1192/bji.2018.4 Unidad para la Atención y la Reparación Integral a las Víctimas. (2021). Registro Único de víctimas (RUV) [WWW docu ment]. Unidad para las víctimas. Retrieved August 6, 2021, from https://www.unidadvictimas.gov.co/es/registro-unico de-victimas-ruv/37394. Van Loon, L. M. A., Van de Ven, M. O. M., Van Doesum, K. T. M., Witteman, C. L. M., & Hosman, C. M. H. (2014). The relation between parental mental illness and adolescent mental health: The role of family factors. Journal of Child and Family Studies, 23, 1201–1214. https://doi.org/10.1007/ s10826-013-9781-7 Villalonga-Olives, E., Wind, T. R., & Kawachi, I. (2018). Social capital interventions in public health: A systematic review. Social Science & Medicine, 212, 203–218. https://doi. org/10.1016/j.socscimed.2018.07.022 World Health Organization. (2013). World Health Organization mental health action plan 2013–2020. Author. |
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Tamayo Agudelo, William FernandoAcosta Ortiz, AlidaHamid, AseelGómez García, CarolinaGarcía Durán, María CamilaDaccach González, VanessaSolmi, FrancescaBell, Vaughan2022-09-23T20:21:44Z2022-09-23T20:21:44Z2021-09doi:10.1177/00207640211045417https://hdl.handle.net/20.500.12494/46502Tamayo-Aguledo W, Acosta-Ortiz A, Hamid A, et al. Family functioning but not social capital is associated with better mental health in adolescents affected by violence and displacement by armed conflict in Colombia. International Journal of Social Psychiatry. 2021;0(0). doi:10.1177/00207640211045417Background: The effect of the Colombian armed conflict on the mental health of adolescents is still poorly understood. Aims: Given social interventions are most likely to inform policy, we tested whether two potential intervention targets, family functioning and social capital, were associated with mental health in Colombian adolescents, and whether this was moderated by experience of violence and displacement. Methods: We examined the cross-sectional association between family functioning, cognitive social capital, structural social capital and 12-month prevalence of Composite International Diagnostic Interview (CIDI) diagnosed psychiatric disorder, using data on 12 to 17-year-old adolescents (N=1,754) from the 2015 National Mental Health Survey of Colombia, a nationally representative epidemiological study. We tested whether associations survived cumulative adjustment for demographic confounders, experience of non-specific violence and harm and displacement by armed conflict. Results: Neither structural nor cognitive social capital were associated with better mental health. Better family functioning was associated with reduced risk of poor mental health in an unadjusted analysis (OR 0.90 [0.85–0.96]), and after cumulative adjustments for demographic confounders (OR 0.91 [0.86–0.97]), non-specific violence and harm (OR 0.91 [0.86–0.97]) and social capital variables (OR 0.91 [0.85–0.97]). In the final model, each additional point on the family APGAR scale was associated with a 9% reduced odds of any CIDI diagnosed disorder in the last 12 months. Conclusions: Better family functioning was associated with better mental health outcomes for all adolescents. This effect remained present in those affected by the armed conflict even after accounting for potential confounders.https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=00001680410000-0002-5858-4964https://scienti.minciencias.gov.co/gruplac/jsp/visualiza/visualizagr.jsp?nro=00000000004241william.tamayoa@campusucc.edu.coVaughan.Bell@ucl.ac.uk1 - 9Universidad Cooperativa de Colombia, Facultad de Ciencias Sociales, Psicología, Medellín y EnvigadoPsicologíaMedellínhttps://journals.sagepub.com/doi/full/10.1177/00207640211045417International Journal of Social PsychiatryAlderfer, M. A., Fiese, B. H., Gold, J. I., Cutuli, J. J., Holmbeck, G. N., Goldbeck, L., Chambers, C. T., Abad, M., Spetter, D., & Patterson, J. (2008). Evidence-based assessment in pedi atric psychology: Family measures. Journal of Pediatric Psychology, 33, 1046–1061. https://doi.org/10.1093/jpepsy/ jsm083Alkire, S., Chatterjee, M., Conconi, A., Seth, S., & Vaz, A. (2014). Global multidimensional poverty index 2014, OPHI briefing 21. University of Oxford.Almedom, A. M. (2005). Social capital and mental health: An interdisciplinary review of primary evidence. Social Science & Medicine, 61, 943–964. https://doi.org/10.1016/j.socsci med.2004.12.025Angulo, R., Díaz, Y., & Pardo, R. (2016). The Colombian Multidimensional Poverty Index: Measuring poverty in a public policy context. Social Indicators Research, 127, 1–38. https://doi.org/10.1007/s11205-015-0964-zAranguren-Romero, J. P., & Rubio-Castro, N. (2018). Formación en herramientas terapéuticas a sobrevivientes del conflicto armado en el Pacífico colombiano: Reflexividad y cuidado de sí. Revista de Estudios Sociales, 16, 18–29.Ariza, L. M. F., Durán, M. C. A., Cubillos, Z. J. D., & Arias, A. C. (2006). Consistencia interna y análisis de factores de la escala APGAR para evaluar el funcionamiento familiar en estudiantes de básica secundaria. Revista Colombiana de Psiquiatría, 35, 23–29.Bell, V., Méndez, F., Martínez, C., Palma, P. P., & Bosch, M. (2012). Characteristics of the Colombian armed conflict and the mental health of civilians living in active conflict zones. Conflict and Health, 6, 10. https://doi.org/10.1186/1752- 1505-6-10Breaux, R. P., & Harvey, E. A. (2019). A longitudinal study of the relation between family functioning and preschool ADHD symptoms. Journal of Clinical Child & Adolescent Psychology, 48, 749–764. https://doi.org/10.1080/1537441 6.2018.1437737Burgess, R. A., & Fonseca, L. (2020). Re-thinking recovery in post-conflict settings: Supporting the mental well-being of communities in Colombia. 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