tailieunhanh - Báo cáo y học: "Childhood adversity, mental ill-health and aggressive behavior in an African orphanage: Changes in response to trauma-focused therapy and the implementation of a new instructional system"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Childhood adversity, mental ill-health and aggressive behavior in an African orphanage: Changes in response to trauma-focused therapy and the implementation of a new instructional system. | Hermenau et al. Child and Adolescent Psychiatry and Mental Health 2011 5 29 http content 5 1 29 CHILD ADOLESCENT PSYCHIATRY MENTAL HEALTH RESEARCH Open Access Childhood adversity mental ill-health and aggressive behavior in an African orphanage Changes in response to trauma-focused therapy and the implementation of a new instructional system 1 1 2 Katharin Hermenau Tobias Hecker Martina Ruf Elisabeth Schauer Thomas Elbert and Maggie Schauer Abstract Background The number of orphans in Sub-Saharan Africa is constantly rising. While it is known that family or community care is preferable over institutional care of African orphans little is known about the quality of care in orphanages and possibilities of improvement. Study 1 Methods Exposure to traumatic stress experiences of violence in the home school and orphanage as well as mental ill-health and aggression of 38 children mean age of M years living in an orphanage in rural Tanzania were assessed at two time points. The severity of post-traumatic stress disorder symptoms PTSD depressive symptoms and internalizing and externalizing problems were used as indicators of mental ill-health. Results Violence experienced in the orphanage correlated more strongly with all indicators of mental ill-health than violence in the former home school or neighborhood at time point 1. Additionally violence experienced in the orphanage had a positive relationship with the aggressive behavior of the children at time point 2. Study 2 Methods With the help of the pre-post assessment of Study 1 the implementation of a new instructional system and psychotherapeutic treatment KIDNET for trauma-related illness were evaluated. Results In response to both a change in the instructional system and psychotherapeutic treatment of PTSD a massive decline in experienced violence and in the severity of PTSD-symptoms was found whereas depressive symptoms and internalizing and externalizing problems exhibited little .