Background: The effect of the Colombian armed conflict on the mental health of adolescents is still poorly understood. 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 12-17-year-old adolescents (N = 1754) 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.

中文翻译：

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家庭功能而非社会资本与哥伦比亚受暴力和武装冲突影响的青少年更好的心理健康有关

背景：哥伦比亚武装冲突对青少年心理健康的影响仍然知之甚少。鉴于社会干预最有可能为政策提供信息，我们测试了两个潜在的干预目标，家庭功能和社会资本，是否与哥伦比亚青少年的心理健康有关，以及这是否受到暴力和流离失所经历的影响。方法：我们使用 12-17 岁青少年（N = 1754）来自 2015 年哥伦比亚全国心理健康调查，这是一项具有全国代表性的流行病学研究。我们测试了协会是否在人口混杂因素、非特定暴力和伤害的经历以及武装冲突造成的流离失所的累积调整中幸存下来。结果：结构性和认知性社会资本都与更好的心理健康无关。在未经调整的分析中（OR 0.90 [0.85 - 0.96]），以及在对人口统计学混杂因素（OR 0.91 [0.86 - 0.97]）、非特定暴力和伤害进行累积调整后，更好的家庭功能与心理健康状况不佳的风险降低有关（ OR 0.91 [0.86 - 0.97]）和社会资本变量（OR 0.91 [0.85 - 0.97]）。在最终模型中，家庭 APGAR 量表上每增加一个点，在过去 12 个月内，任何 CIDI 诊断出的疾病的几率都会降低 9%。结论：更好的家庭功能与所有青少年更好的心理健康结果有关。即使在考虑了潜在的混杂因素之后，这种影响仍然存在于受武装冲突影响的人群中。