Follow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, Colombia

Objective: To determine the evolution of war-related posttraumatic stress disorder (PTSD), other psychiatric disorders, and associated factors, in school-aged children. METHODS Of 493 school-aged children evaluated initially in two war-exposed towns of Cundinamarca, Colombia, 148 children who were d...

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Autores:
Tipo de recurso:
Fecha de publicación:
2012
Institución:
Universidad del Rosario
Repositorio:
Repositorio EdocUR - U. Rosario
Idioma:
eng
OAI Identifier:
oai:repository.urosario.edu.co:10336/27748
Acceso en línea:
https://repository.urosario.edu.co/handle/10336/27748
Palabra clave:
Follow-up studies
Posttraumatic stress disorder
PTSD
War
Child psychiatry
Comorbidity
Clinical evolution
Child abuse
Rights
License
Abierto (Texto Completo)
id EDOCUR2_6645b7ba5183c703e6cd0d5181ab3e14
oai_identifier_str oai:repository.urosario.edu.co:10336/27748
network_acronym_str EDOCUR2
network_name_str Repositorio EdocUR - U. Rosario
repository_id_str
spelling 4161180960079457397600e4824541-1e3c-4782-b4e8-65454ad2c5dc-18ba8856c-a7f5-4676-88bf-ab297aee5645-12020-08-19T14:43:40Z2020-08-19T14:43:40Z2012-07-23Objective: To determine the evolution of war-related posttraumatic stress disorder (PTSD), other psychiatric disorders, and associated factors, in school-aged children. METHODS Of 493 school-aged children evaluated initially in two war-exposed towns of Cundinamarca, Colombia, 148 children who were diagnosed with war-related PTSD, anxiety, or depression were invited to participate in a second follow-up assessment. Fifty-five children attended and were evaluated with a semi-structured psychiatric interview and the clinician-administered posttraumatic stress scale. RESULTS PTSD persisted in 50% of the children. Statistical associations were found between persistent PTSD and global child abuse (OR 017.8, 95% CI 02.73Á116.8), psychological child abuse (OR 016.0, 95% CI01.7Á154.6), psychosomatic disorder (OR 06.0, 95% CI01.2Á30.7), simple phobia (OR 06.0, 95% CI01.2Á30.7), learning disorder (P0.008), major depressive disorder (P0.021, Fisher exact test), and habitual alcohol consumption (P 0.050, Fisher exact test). Compared with the initial evaluation, this assessment found higher frequencies of anxiety disorder (73.3% vs 6.7%, McNemar test, PB.001) and child abuse (66.7% vs 20.0%, McNemar test, P0.008). Multivariate analysis found child abuse as predictor of persistent PSTD. CONCLUSIONS There was a high level of persistent war-related PSTD and child psychopathology. A civil population exposed to war events is at a high mental health risk. These children require urgent specialized mental health intervention in order to improve and to reduce long-term persistence of negative effects on their mental health. Child abuse prevention is essential for recovery from childhood PTSDapplication/pdfISSN: 2042-468XEISSN: 2042-4698https://repository.urosario.edu.co/handle/10336/27748engStanmore : San Lucas Medical13No. 15Mind & Brain the Journal of PsychiatryVol. 3Mind & Brain the Journal of Psychiatry, ISSN:2042-468X; EISSN:2042-4698, Vol.3, No.1 (July, 2012); pp. 5-13https://www.researchgate.net/publication/267245026_Follow-Up_of_Child_War-Related_Post-Traumatic_Stress_Disorder_and_Other_Psychiatric_Disorders_in_Two_Exposed_Towns_in_Cundinamarca_ColombiaAbierto (Texto Completo)http://purl.org/coar/access_right/c_abf2Mind & Brain the Journal of Psychiatryinstname:Universidad del Rosarioreponame:Repositorio Institucional EdocURFollow-up studiesPosttraumatic stress disorderPTSDWarChild psychiatryComorbidityClinical evolutionChild abuseFollow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, ColombiaSeguimiento del trastorno de estrés postraumático relacionado con la guerra infantil y otros trastornos psiquiátricos en dos ciudades expuestas de Cundinamarca, ColombiaarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Perez-Olmos, IsabelIbáñez Pinilla, MilcíadesJaimes Peñaranda, Luz AmparoArboleda-Flórez, Julio10336/27748oai:repository.urosario.edu.co:10336/277482021-06-03 00:50:18.497https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co
dc.title.spa.fl_str_mv Follow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, Colombia
dc.title.TranslatedTitle.spa.fl_str_mv Seguimiento del trastorno de estrés postraumático relacionado con la guerra infantil y otros trastornos psiquiátricos en dos ciudades expuestas de Cundinamarca, Colombia
title Follow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, Colombia
spellingShingle Follow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, Colombia
Follow-up studies
Posttraumatic stress disorder
PTSD
War
Child psychiatry
Comorbidity
Clinical evolution
Child abuse
title_short Follow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, Colombia
title_full Follow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, Colombia
title_fullStr Follow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, Colombia
title_full_unstemmed Follow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, Colombia
title_sort Follow-Up of Child War-Related Post-Traumatic Stress Disorder and Other Psychiatric Disorders in Two Exposed Towns in Cundinamarca, Colombia
dc.subject.keyword.spa.fl_str_mv Follow-up studies
Posttraumatic stress disorder
PTSD
War
Child psychiatry
Comorbidity
Clinical evolution
Child abuse
topic Follow-up studies
Posttraumatic stress disorder
PTSD
War
Child psychiatry
Comorbidity
Clinical evolution
Child abuse
description Objective: To determine the evolution of war-related posttraumatic stress disorder (PTSD), other psychiatric disorders, and associated factors, in school-aged children. METHODS Of 493 school-aged children evaluated initially in two war-exposed towns of Cundinamarca, Colombia, 148 children who were diagnosed with war-related PTSD, anxiety, or depression were invited to participate in a second follow-up assessment. Fifty-five children attended and were evaluated with a semi-structured psychiatric interview and the clinician-administered posttraumatic stress scale. RESULTS PTSD persisted in 50% of the children. Statistical associations were found between persistent PTSD and global child abuse (OR 017.8, 95% CI 02.73Á116.8), psychological child abuse (OR 016.0, 95% CI01.7Á154.6), psychosomatic disorder (OR 06.0, 95% CI01.2Á30.7), simple phobia (OR 06.0, 95% CI01.2Á30.7), learning disorder (P0.008), major depressive disorder (P0.021, Fisher exact test), and habitual alcohol consumption (P 0.050, Fisher exact test). Compared with the initial evaluation, this assessment found higher frequencies of anxiety disorder (73.3% vs 6.7%, McNemar test, PB.001) and child abuse (66.7% vs 20.0%, McNemar test, P0.008). Multivariate analysis found child abuse as predictor of persistent PSTD. CONCLUSIONS There was a high level of persistent war-related PSTD and child psychopathology. A civil population exposed to war events is at a high mental health risk. These children require urgent specialized mental health intervention in order to improve and to reduce long-term persistence of negative effects on their mental health. Child abuse prevention is essential for recovery from childhood PTSD
publishDate 2012
dc.date.created.spa.fl_str_mv 2012-07-23
dc.date.accessioned.none.fl_str_mv 2020-08-19T14:43:40Z
dc.date.available.none.fl_str_mv 2020-08-19T14:43:40Z
dc.type.eng.fl_str_mv article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_6501
dc.type.spa.spa.fl_str_mv Artículo
dc.identifier.issn.none.fl_str_mv ISSN: 2042-468X
EISSN: 2042-4698
dc.identifier.uri.none.fl_str_mv https://repository.urosario.edu.co/handle/10336/27748
identifier_str_mv ISSN: 2042-468X
EISSN: 2042-4698
url https://repository.urosario.edu.co/handle/10336/27748
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.citationEndPage.none.fl_str_mv 13
dc.relation.citationIssue.none.fl_str_mv No. 1
dc.relation.citationStartPage.none.fl_str_mv 5
dc.relation.citationTitle.none.fl_str_mv Mind & Brain the Journal of Psychiatry
dc.relation.citationVolume.none.fl_str_mv Vol. 3
dc.relation.ispartof.spa.fl_str_mv Mind & Brain the Journal of Psychiatry, ISSN:2042-468X; EISSN:2042-4698, Vol.3, No.1 (July, 2012); pp. 5-13
dc.relation.uri.spa.fl_str_mv https://www.researchgate.net/publication/267245026_Follow-Up_of_Child_War-Related_Post-Traumatic_Stress_Disorder_and_Other_Psychiatric_Disorders_in_Two_Exposed_Towns_in_Cundinamarca_Colombia
dc.rights.coar.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.acceso.spa.fl_str_mv Abierto (Texto Completo)
rights_invalid_str_mv Abierto (Texto Completo)
http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.none.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Stanmore : San Lucas Medical
dc.source.spa.fl_str_mv Mind & Brain the Journal of Psychiatry
institution Universidad del Rosario
dc.source.instname.none.fl_str_mv instname:Universidad del Rosario
dc.source.reponame.none.fl_str_mv reponame:Repositorio Institucional EdocUR
repository.name.fl_str_mv Repositorio institucional EdocUR
repository.mail.fl_str_mv edocur@urosario.edu.co
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