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Potential traumatic events and symptoms of post-traumatic stress in unaccompanied refugee minors—a comparison with youth in foster care
European Child & Adolescent Psychiatry ( IF 6.0 ) Pub Date : 2021-09-19 , DOI: 10.1007/s00787-021-01876-6
Ingrid Kvestad 1 , Tormod Bøe 1, 2 , Nawar Sayyad 3 , Jens Christoffer Skogen 4, 5, 6 , Sølve Randal 3 , Stine Lehmann 1, 7
Affiliation  

Building knowledge on how child welfare services (CWS) should tailor services for unaccompanied refugee minors (URMs) is important. URMs and youth in foster care are high-risk groups taken care of by the CWS in Norway. Little is known on whether knowledge gained from youth in foster care can inform services for URMs, and if these groups are comparable in terms of experiences of potential traumatic events (PTEs) and post-traumatic stress disorder (PTSD) symptom load. Eighty-one URMs reported PTEs and PTSD-symptoms using an adapted version of the Child and Adolescent Trauma Screen (CATS). Responses were described and compared with a sample of 303 youth in foster care in linear regression models. We present relative risks (RR) and standardized mean differences (SMD) for the PTEs and the PTSD subscale and total score between the groups in forest plots. URMs had experienced a mean (standard deviation) of 6.4 (3.4) PTEs and 43.9% reported to have PTSD-symptoms at or above the clinical cut off. Compared to the foster youth, URMs reported more exposures of interpersonal violence outside of the family (RRs ranging from 66.4 [95%CI 18.1; 243.5) to 1.3 (1.0, 1.5)], and more PTSD-symptoms in the re-experiencing subscale [SMD = 0.3 (95% CI 0.1, 0.6)]. The frequency and types of PTEs and the PTSD-symptom load and profile among URMs and youth in foster care differed. Findings underscore the importance of qualified and targeted care for URMs, and that this care should differ to that of other high-risk groups in the CWS.



中文翻译:

无人陪伴的未成年难民的潜在创伤事件和创伤后应激症状——与寄养青年的比较

了解儿童福利服务 (CWS) 应如何为无人陪伴的未成年难民 (URM) 量身定制服务非常重要。URM 和寄养青年是挪威 CWS 照顾的高危人群。关于从寄养青年那里获得的知识是否可以为 URM 服务提供信息,以及这些群体在潜在创伤事件 (PTE) 和创伤后应激障碍 (PTSD) 症状负荷方面是否具有可比性,我们知之甚少。81 个 URM 使用改编版的儿童和青少年创伤筛查 (CATS) 报告了 PTE 和 PTSD 症状。在线性回归模型中描述了响应并与 303 名寄养青年样本进行了比较。我们在森林图中展示了 PTE 和 PTSD 分量表的相对风险 (RR) 和标准化平均差 (SMD) 以及各组之间的总分。URM 经历了 6.4 (3.4) 次 PTE 的平均(标准差),并且 43.9% 的人报告有 PTSD 症状处于或高于临床临界值。与寄养青年相比,URMs 报告更多地暴露于家庭之外的人际暴力(RR 范围从 66.4 [95%CI 18.1; 243.5) 到 1.3 (1.0, 1.5)],并且在重新体验分量表中有更多的 PTSD 症状[SMD = 0.3 (95% CI 0.1, 0.6)]。PTE 的频率和类型以及 PTSD 症状负荷和概况在 URM 和寄养青年中是不同的。调查结果强调了对 URM 进行合格和有针对性的护理的重要性,并且这种护理应该不同于 CWS 中其他高危人群的护理。URMs 报告了更多的家庭外人际暴力暴露(RR 范围从 66.4 [95%CI 18.1; 243.5)到 1.3(1.0, 1.5)],并且在重新体验分量表中有更多的 PTSD 症状 [SMD = 0.3 (95) % CI 0.1, 0.6)]。PTE 的频率和类型以及 PTSD 症状负荷和概况在 URM 和寄养青年中是不同的。调查结果强调了对 URM 进行合格和有针对性的护理的重要性,并且这种护理应该不同于 CWS 中其他高危人群的护理。URMs 报告了更多的家庭外人际暴力暴露(RR 范围从 66.4 [95%CI 18.1; 243.5)到 1.3(1.0, 1.5)],并且在重新体验分量表中有更多的 PTSD 症状 [SMD = 0.3 (95) % CI 0.1, 0.6)]。PTE 的频率和类型以及 PTSD 症状负荷和概况在 URM 和寄养青年中是不同的。调查结果强调了对 URM 进行合格和有针对性的护理的重要性,并且这种护理应该不同于 CWS 中其他高危人群的护理。

更新日期:2021-09-19
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