Social Ecology of Child Soldiers

Child, Family, and Community Determinants of Mental Health, Psychosocial Well-being, and Reintegration in Nepal

Datos Bibliográficos

ID2394796
AutoresB A Kohrt (0000-0002-3829-4820, Emory University, autor de correspondencia), Mark J D Jordans (0000-0001-5925-8039, HealthNet TPO), Wietse A Tol (0000-0003-2216-0526, HealthNet TPO), Em Perera (0000-0001-7885-7651, Transcultural Psychosocial Organization Nepal), Rohit Karki (Transcultural Psychosocial Organization Nepal), Suraj Koirala (0000-0003-3863-2882, Transcultural Psychosocial Organization Nepal), Nawaraj Upadhaya (Transcultural Psychosocial Organization Nepal)
Año2010
Volumen47
Número5
Páginas727-753
Fecha de publicación2010-11-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaTranscultural Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 1363-4615 • E-ISSN: 1461-7471
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363461510381290
PMID21088102
PMCIDPMC3833694
OpenAlexW2158848936
IdiomaEN
Citas recibidas36
Referencias citadas57

This study employed a social ecology framework to evaluate psychosocial well-being in a cross-sectional sample of 142 former child soldiers in Nepal. Outcome measures included the Depression Self Rating Scale (DSRS), Child Posttraumatic Stress Disorder Symptom Scale (CPSS), and locally developed measures of functional impairment and reintegration. Hierarchical linear modeling was used to examine the contribution of factors at multiple levels. At the child level, traumatic exposures, especially torture, predicted poor outcomes, while education improved outcomes. At the family level, conflict-related death of a relative, physical abuse in the household, and loss of wealth during the conflict predicted poor outcomes. At the community level, living in high caste Hindu communities predicted lack of reintegration supports. Ultimately, social ecology is well suited to identify intervention foci across ecological levels based on community differences in vulnerability and protective factors

Caste · Environmental health · Family Environment Scale · Mental health · Poison control · Psychiatry · Psychosocial · Social ecology · Social support · Child Abuse and Trauma · Clinical Psychology · Medicine · Migration, Health and Trauma · Psychology · Resilience and Mental Health · Social Psychology · Ecology