Psychological Disturbances of War-traumatized Children from Different Foster and Family Settings in Bosnia and Herzegovina

Hasanović, Mevludin; Sinanović, Osman; Selimbašić, Zihnet; Pajević, Izet; Avdibegović, Esmina
February 2006
Croatian Medical Journal;2006, Vol. 47 Issue 1, p85
Academic Journal
Aim To assess the psychological health of war-traumatized children in different foster settings and compare them with children living with one or both parents, 7 years after the 1992-1995 war in Bosnia and Herzegovina. Method The study was carried out in Tuzla, Bosnia and Herzegovina, in March 2002. We assessed 186 (93 girls and 93 boys) elementary school children aged 12.7 ± 1.8 years for war trauma, presence of posttraumatic stress disorder (PTSD), and depression. There were 38 (14 girls) children from the government orphanage, 48 (24 girls) children from the non-governmental organization (NGO) SOS Children's Village, 50 (24 girls) children who lost a parent in the war but lived with the surviving parent, and 50 (31 girls) children who lived with both parents. For data collection, we used Children's Posttraumatic Stress Reaction Index and Children's Depression Inventory. Basic sociodemographic data were also collected. Results Of 186 children, 90 (48.4%) had been forced into refuge because of the war. Loss of a family member was most frequent among children in the SOS Children's Village, who also experienced the highest number of other types of trauma. PTSD was present in 51.6% of 186 children, with the highest prevalence among children in the SOS Children's Village (39/48). PTSD prevalence was higher among children who lost a parent but lived with the surviving parent (29/50) then among children in the orphanage (15/38) or children living with both parents (13/50) (χ²3 = 33.075, P<0.001). Depression was present in 42 of 186 (22.6%) children, but with no statistical difference among the groups (χ²3 = 6.337, P = 0.096). The prevalence of PTSD and depression was similar in boys and girls. Loss of a parent was associated with higher frequency of PTSD and depression. The loss of both parents was associated with high prevalence of PTSD, but not depression. Prevalence of PTSD was positively correlated with the prevalence of depression (Spearman's ρ = 0.188; P = 0.01). Conclusions All children experienced war trauma and many had psychological consequences. The highest prevalence of PTSD, often comorbid with depression, was found among children who lost one or both parents. The children with the lowest rate of psychological disturbances were those living with both parents.


Related Articles

  • WB Cannon: a trauma pioneer. Horne, S.T. // Trauma;Jan2004, Vol. 6 Issue 1, p79 

    Many papers on hypovolaemia refer to 'The Preventive Treatment of Wound Shock' (Cannon WB, Fraser J, Cowell E. 1918. The preventive treatment of wound shock. JAMA 70: 618-21). It is a practical paper dealing with the sequelae of blood loss, and how to minimize their impact in injured soldiers....

  • SUBJEKTYVAUS TRAUMINIO PATYRIMO IR POTRAUMINIO AUGIMO BEI POTRAUMINIO STRESO SUTRIKIMO SÄ„SAJOS. Kazlauskas, Evaldas; Gailienė, Danutė; Šimėnaitė, Irma // Psichologija / Psychology;2007, Vol. 35, p7 

    Objectives: The notion that traumatic experiences may have an impact on human mind is very old. Recent developments in psychotraumatology shifted the approach to a trauma from a purely negative to a more positive perspective. Research confirmed that traumatic events may lead not only to...

  • Combat Casualty Care Research: From Bench to the Battlefield. Alam, Hasan B.; Koustova, Elena; Rhee, Peter // World Journal of Surgery;Jun2005 Supplement 1, Vol. 29, pS7 

    Hemorrhagic shock is the leading cause of death in civilian and combat trauma. Effective hemorrhage control and better resuscitation strategies have the potential of saving lives. The Trauma Readiness and Research Institute for Surgery (TRRI-Surg) was established to address the core mission of...

  • Trauma.  // Mayo Clinic Family Health Book;2003, p361 

    This article focuses on traumatic wounds and the medical attention that they may require. A traumatic wound is defined as an injury caused by external force or violence, such as broken bones, fractures and dislocations. Medical care by a professional is recommended for any type of traumatic...

  • Damage control resuscitation for patients with major trauma. Jansen, Jan O.; Thomas, Rhys; Loudon, Malcolm A.; Brooks, Adam // BMJ: British Medical Journal (Overseas & Retired Doctors Edition;6/13/2009, Vol. 338 Issue 7708, p1436 

    The article provides an overview of a damage control resuscitation approach to managing patients with major trauma. It addresses all aspects of the lethal triad, which is used to describe a combination of acute coagulopathy, hypothermia and acidosis observed in trauma patients. It discusses the...

  • Total-body digital radiography for trauma screening: Initial experience. Miller, Lisa A.; Mirvis, Stuart E.; Harris, Lois; Haan, James // Applied Radiology;Aug2004, Vol. 33 Issue 8, p8 

    This article presents the authors' experience with the first digital total-body radiographic scanning system in the Northern hemisphere. This system has proven to be especially useful in the assessment of multitrauma patients at the Maryland Shock Trauma Center.

  • sychological consequences of traumatic injury. Thomas, Christopher S. // British Journal of Psychiatry;May2002, Vol. 180, p392 

    The author reflects on topics regarding psychological consequences of traumatic events and injury. According to the author, the outcomes of accident-related syndromes vary, with some studies showing significant improvements in somatic and mental symptoms. He added that the relationship between a...

  • Brain trauma. Weinstock, Cheryl Platzman // Self;Aug98, Vol. 20 Issue 8, p70 

    Opinion. Gives an individual's experience after she was involved in a car accident while looking at mild traumatic brain injury (MTBI). Effects of MTBI on the body; What is MTBI; Comments from Wayne A. Gordon, professor and associate director of the department of rehabilitation medicine at...

  • How to treat shock.  // Nutrition Health Review: The Consumer's Medical Journal;1993, Issue 67, p8 

    Presents advice on treating shock. Symptoms; First aid; Medical care.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics