Intervention for Psychological Trauma in Children Impacted by War in Ukraine

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(3), P. e253057 - e253057

Published: March 14, 2025

This cohort study describes outcomes of a 6-day psychosocial recovery camp as an intervention for psychological trauma experienced by children from front-line regions the war in Ukraine.

Language: Английский

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Traumatic events and posttraumatic stress symptoms in a treatment-seeking sample of Ukrainian children during the war

Child and Adolescent Psychiatry and Mental Health, Journal Year: 2024, Volume and Issue: 18(1)

Published: Feb. 9, 2024

Abstract Background The Russian invasion of Ukraine resulted in a dramatic increase children and adolescents being confronted with war other traumatic experiences, which could result an trauma-related mental health disorders such as posttraumatic stress disorder (PTSD) entire generation. This study aims at reporting the prevalence events, PTSD, Complex PTSD (CPTSD) seeking for treatment since invasion. Additionally, consistency child caregiver reported trauma, CPTSD will be examined. Methods is part “TF-CBT Ukraine” project Ukrainian therapists were trained assessing their patients via “Child Adolescent Trauma Screen” (CATS-2) before initiating trauma-focused treatment, if indicated. Altogether N = 200 ( M age 12.01, range 4–21; 62.0% female) included between October 2022 August 2023. Data analysed descriptively, t-tests bivariate correlations. Results on average four different most frequently n 123; 68.7%), bullying threats 71; 39.7%) domestic violence 68; 38.0%). Almost 70% 123) participants fulfilled DSM-5 criteria, 31% 56) ICD-11 criteria 21% 38) criteria. Rates even higher preschool (95%). comparisons self-and reports events PTSD/CPTSD severity scores indicated moderate to high correlations caregivers r 0.710–0.767). Conclusions shows that starting report number symptoms, have long-lasting negative impact social-emotional development quality life. implementation evidence-based interventions these therefore crucial.

Language: Английский

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Mechanisms by which adverse childhood experiences, other traumas and PTSD influence the health and well-being of individuals with eating disorders throughout the life span

Journal of Eating Disorders, Journal Year: 2022, Volume and Issue: 10(1)

Published: Nov. 14, 2022

Abstract Background Multiple published sources from around the world have confirmed an association between array of adverse childhood experiences (ACEs) and other traumatic events with eating disorders (EDs) related outcomes, including higher morbidity mortality. Methods In keeping this Special Issue’s goals, narrative review focuses on ACEs pyramid its purported mechanisms through which child maltreatment forms violence toward human beings influence health well-being individuals who develop EDs throughout life span. Relevant literature posttraumatic stress disorder (PTSD) is highlighted when applicable. Results At every level pyramid, it shown that interact each these proclaimed escalating in a bidirectional manner contributes to predisposition, precipitation perpetuation medical psychiatric comorbidities, then predispose early death. The levels their interactions are discussed include contribution generational embodiment (genetics) historical trauma (epigenetics), social conditions local context, traumas themselves, resultant disrupted neurodevelopment, subsequent social, emotional cognitive impairment, adoption risk behaviors, development disease, disability problems, all resulting premature mortality by means fatal complications and/or suicide. Conclusions implications cascading, evolving, intertwined perspectives important for assessment treatment using trauma-informed care trauma-focused integrated approaches. This overview offers multiple opportunities at palliation prevention associated trauma-related conditions, PTSD.

Language: Английский

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Complex PTSD and treatment outcomes in TF-CBT for youth: a naturalistic study

European journal of psychotraumatology, Journal Year: 2022, Volume and Issue: 13(2)

Published: Sept. 21, 2022

Background: Complex posttraumatic stress disorder (CPTSD) has recently been added to the ICD-11 diagnostic system for classification of diseases. The new adds three symptom clusters (PTSD) related disturbances in self-organization (affect dysregulation, negative self-concept, and relationships). Little is known whether recommended evidence-based treatments PTSD youth are helpful with CPTSD.Objectives: This study examined Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) useful reducing CPTSD traumatized youth.Methods: Youth (n = 73, 89.0% girls, M age 15.4 SD 1.8) referred one 23 Norwegian child adolescent mental health clinics that fulfilled criteria or according received TF-CBT were included study. Assessments conducted pre-treatment, every fifth session. Linear mixed effects models run investigate responded differently TF-CBT.Results: Among 73 youth, 61.6% 45) 38.4% 28) PTSD. There no differences sex, age, birth country, trauma type, number types treatment length across groups. had a steeper decline compared groups reported similar levels post-treatment. percentage who dropped out was not different Further, did differ significantly sessions.Conclusions: first examine have using validated instrument measuring CPTSD. results suggest may be treating youth. These promising findings should replicated studies larger sample sizes.

Language: Английский

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Implementation of an evidence-based trauma-focused treatment for traumatised children and their families during the war in Ukraine: a project description

European journal of psychotraumatology, Journal Year: 2023, Volume and Issue: 14(2)

Published: May 17, 2023

The full-scale invasion of Ukraine by Russia in February 2022 led to an increase traumatic events and mental health burden the Ukrainian general population. (ongoing) traumatisation can have a crucial impact on children adolescents as they are especially vulnerable for developing trauma-related disorders such Post Traumatic Stress Disorder (PTSD) or Depression. To date, these only very limited access trauma-focused evidence-based treatments (EBTs) trained specialists Ukraine. fast effective implementation is improve psychological wellbeing this This letter editor describes ongoing project which implements EBT called 'Trauma-Focused Cognitive Behavioural Therapy' (TF-CBT) during war. In collaboration with international agencies, 'TF-CBT Ukraine' was developed implemented starting March 2022. entails large training programme TF-CBT their families from All components scientifically evaluated patient therapist level, cross-sectionally longitudinally, mixed-methods design. together nine cohorts N = 133 therapists started programme, all monthly case consultations (15 groups) patients still ongoing. Lessons learnt first large-scale impacted trauma will help inform field challenges also possibilities expand efforts. On broader could be one small step process helping overcome negative effects experience resilience context war-torn nation.

Language: Английский

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Understanding priorities and needs for child and adolescent mental health in Greece from multiple informants: an open resource dataset

European Child & Adolescent Psychiatry, Journal Year: 2024, Volume and Issue: unknown

Published: April 1, 2024

Abstract The Child and Adolescent Mental Health Initiative (CAMHI) aims to enhance mental health care capacity for children adolescents across Greece. Considering the need evidence-based policy, program developed an open-resource dataset researching field within country. A comprehensive, mixed-method, community-based research was conducted in 2022/2023 assessing current state, needs, barriers, opportunities according multiple viewpoints. We surveyed geographically distributed samples of 1,756 caregivers, 1,201 children/adolescents, 404 schoolteachers, 475 professionals using validated instruments assess symptoms, literacy stigma, service use access, professional practices, training background, needs preferences. Fourteen focus groups were with informants from diverse populations (including underrepresented minorities) reach in-depth understanding those topics. quantitative qualitative findings is now available researchers, policymakers, society [ https://osf.io/crz6h/ https://rpubs.com/camhi/sdashboard ]. This resource offers valuable data priorities child adolescent It freely consult, expected inform upcoming training. initiative may inspire similar ones other countries, informing methodological strategies needs.

Language: Английский

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Mental health problems in unaccompanied young refugees and the impact of post-flight factors on PTSS, depression and anxiety–A secondary analysis of the Better Care study

Frontiers in Psychology, Journal Year: 2023, Volume and Issue: 14

Published: June 20, 2023

Unaccompanied young refugees (UYRs) show elevated levels of mental distress such as post-traumatic stress symptoms (PTSS), depression, and anxiety. The individual post-arrival situation in the host country plays an important role increasing or reducing health risks for these vulnerable children youth. study aims at examining impact pre- post-migration factors on UYRs.A cross-sectional survey N = 131 (81.7% male, M 16.9 years old) was conducted 22 youth welfare service (CYWS) facilities Germany. participants provided information about post-flight experiences. Standardized measures were used to assess (CATS-2), depression (PHQ-9), anxiety (GAD-7). Daily stressors assessed with Stressors Scale Young Refugees (DSSYR), sociocultural adaptation Brief Sociocultural Adaptation (BSAS), satisfaction social support Social Support Questionnaire (SSQ6-G).Our results demonstrated clinical PTSS 42.0% participants, 29.0%, 21.4%. Hierarchical regression analyses revealed that a higher number traumatic events daily predicted all three domains problems. also by related residence status, depressive additionally adaptation, less family contact length stay. not significant predictor models.Unaccompanied CYWS are highly population. As events, level directly impacted UYRs health, interventions should be trauma-focused, but contain modules how cope stressors. On policy practical level, stakeholders countries called establishing reduce enhance levels.

Language: Английский

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Interventions for Trauma-Affected Youth in the Juvenile Justice System: An Overview of Diagnostic, Ethical, and Clinical Challenges and Evidence-Based Treatments

Psychological Injury and Law, Journal Year: 2024, Volume and Issue: 17(3), P. 199 - 220

Published: Feb. 1, 2024

Language: Английский

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Translation and cross-cultural adaptation of seventeen widely-used assessment instruments for child and adolescent mental health in Greece

Journal of Patient-Reported Outcomes, Journal Year: 2024, Volume and Issue: 8(1)

Published: Feb. 12, 2024

In the context of Greece, many instruments measuring constructs pertinent to child and adolescent mental health lacked a locally-validated, freely-available version. As part nationwide survey, we translated cross-culturally adapted collection seventeen brief, largely-employed assessment tools that can be used at scale.

Language: Английский

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Posttraumatic stress disorder in disaster-exposed youth: examining diagnostic concordance and model fit using ICD-11 and DSM-5 criteria

BMC Pediatrics, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 11, 2025

Language: Английский

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