The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.

Current civil wars are characterized by the increasing involvement of civilian populations and the systematic employment of child soldiers. An example of such wars was the conflict in Northern Uganda, where the war-affected population is still challenged by the reintegration of formerly abducted chi...

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Autores principales:	Verena Ertl, Anett Pfeiffer, Elisabeth Schauer-Kaiser, Thomas Elbert, Frank Neuner
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a35dbc510723489082275207c734b5fe
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spelling	oai:doaj.org-article:a35dbc510723489082275207c734b5fe2021-11-25T06:07:29ZThe challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.1932-620310.1371/journal.pone.0102786https://doaj.org/article/a35dbc510723489082275207c734b5fe2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/25054324/?tool=EBIhttps://doaj.org/toc/1932-6203Current civil wars are characterized by the increasing involvement of civilian populations and the systematic employment of child soldiers. An example of such wars was the conflict in Northern Uganda, where the war-affected population is still challenged by the reintegration of formerly abducted children and youths. A cross-sectional, population-based survey, using a multistage cluster sampling approach of 1,113 Northern Ugandans aged between 12 and 25 in camps for internally displaced persons and locally validated instruments was conducted to assess symptoms and diagnoses of Posttraumatic Stress Disorder (PTSD) and probable Depression in war-affected, as well as formerly abducted individuals. Further objectives were to determine predictors of psychopathology and to relate indicators of maladjustment (i.e., impairments in daily and community functioning, somatic complaints, suicidality, aggressiveness and discrimination) to abduction, level of exposure to violence and psychopathology. 43% of the sample reported abduction by the rebel army. Exposure to violence among this group was higher than for non-abducted youths (t = 28.05; p<.001). PTSD point prevalence rates were 25% among former child soldiers and 7% among the comparison group. High suicidal ideation was present in 16% and 6% respectively. A higher amount of experienced and witnessed event-types (β = . 32. p<.001), loss of first-degree relatives (β = .13. p<.001) and the number of event-types involving forced perpetration (β = .23. p<.001) were identified as risk factors of PTSD symptoms in former child soldiers. The associations between abductee-status and indicators of maladjustment were fully mediated by level of trauma exposure and psychopathology. Results show that child soldiering and its psychological sequelae affect a substantial proportion of children and youths. After release or flight, their readjustment depends at least partly on their level of mental traumatization.Verena ErtlAnett PfeifferElisabeth Schauer-KaiserThomas ElbertFrank NeunerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 7, p e102786 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Verena Ertl Anett Pfeiffer Elisabeth Schauer-Kaiser Thomas Elbert Frank Neuner The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.
description	Current civil wars are characterized by the increasing involvement of civilian populations and the systematic employment of child soldiers. An example of such wars was the conflict in Northern Uganda, where the war-affected population is still challenged by the reintegration of formerly abducted children and youths. A cross-sectional, population-based survey, using a multistage cluster sampling approach of 1,113 Northern Ugandans aged between 12 and 25 in camps for internally displaced persons and locally validated instruments was conducted to assess symptoms and diagnoses of Posttraumatic Stress Disorder (PTSD) and probable Depression in war-affected, as well as formerly abducted individuals. Further objectives were to determine predictors of psychopathology and to relate indicators of maladjustment (i.e., impairments in daily and community functioning, somatic complaints, suicidality, aggressiveness and discrimination) to abduction, level of exposure to violence and psychopathology. 43% of the sample reported abduction by the rebel army. Exposure to violence among this group was higher than for non-abducted youths (t = 28.05; p<.001). PTSD point prevalence rates were 25% among former child soldiers and 7% among the comparison group. High suicidal ideation was present in 16% and 6% respectively. A higher amount of experienced and witnessed event-types (β = . 32. p<.001), loss of first-degree relatives (β = .13. p<.001) and the number of event-types involving forced perpetration (β = .23. p<.001) were identified as risk factors of PTSD symptoms in former child soldiers. The associations between abductee-status and indicators of maladjustment were fully mediated by level of trauma exposure and psychopathology. Results show that child soldiering and its psychological sequelae affect a substantial proportion of children and youths. After release or flight, their readjustment depends at least partly on their level of mental traumatization.
format	article
author	Verena Ertl Anett Pfeiffer Elisabeth Schauer-Kaiser Thomas Elbert Frank Neuner
author_facet	Verena Ertl Anett Pfeiffer Elisabeth Schauer-Kaiser Thomas Elbert Frank Neuner
author_sort	Verena Ertl
title	The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.
title_short	The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.
title_full	The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.
title_fullStr	The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.
title_full_unstemmed	The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.
title_sort	challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/a35dbc510723489082275207c734b5fe
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The challenge of living on: psychopathology and its mediating influence on the readjustment of former child soldiers.

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