Growing pains: The impact of disaster-related and daily stressors on the psychological and psychosocial functioning of youth in Sri Lanka

Child Development

Volumn 81, Issue 4, 2010, Pages 1192-1210

  Fernando, Gaithri A ^a   Miller, Kenneth E ^b   Berger, Dale E ^c  

^a CALIFORNIA STATE UNIVERSITY   (United States)

^b HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^c CLAREMONT GRADUATE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADAPTIVE BEHAVIOR; ADOLESCENT; ADULT; ARTICLE; CHILD; DEPRESSION; DISASTER; FAMILY; FEMALE; HUMAN; INFORMATION PROCESSING; LIFE EVENT; MALE; MENTAL STRESS; PERSONALITY TEST; POSTTRAUMATIC STRESS DISORDER; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL RATING SCALE; PSYCHOMETRY; RISK FACTOR; SOCIAL ADAPTATION; SRI LANKA; PERSONALITY ASSESSMENT; PSYCHOLOGY; STRESS DISORDERS, POST-TRAUMATIC; YOUNG ADULT;

ADAPTATION, PSYCHOLOGICAL; ADOLESCENT; CHILD; DATA COLLECTION; DEPRESSION; DISASTERS; FAMILY; FEMALE; HUMANS; LIFE CHANGE EVENTS; MALE; PERSONALITY ASSESSMENT; PSYCHIATRIC STATUS RATING SCALES; PSYCHOMETRICS; RISK FACTORS; SOCIAL ADJUSTMENT; SRI LANKA; STRESS DISORDERS, POST-TRAUMATIC; STRESS, PSYCHOLOGICAL; YOUNG ADULT;

EID: 77955126897     PISSN: 00093920     EISSN: 14678624     Source Type: Journal    
DOI: 10.1111/j.1467-8624.2010.01462.x     Document Type: Article

References (70)

1. Al-Krenawi A, Lev-Wiesel R, Sehwail M. Psychological symptomatology among Palestinian children living with political violence. Child and Adolescent Mental Health 2007, 12:27-31.
2. Diagnostic and statistical manual of mental disorders 2000, 4th ed. Text Revision, Washington, DC, Author
3. Amnesty International Report, 2009: Sri Lanka 2009, http://thereport.amnesty.org/en/regions/asia-pacific/sri-lanka, Retrieved May 6, 2010, from
4. Barenbaum J, Ruchkin V, Schwab-Stone M. The psychosocial aspects of children exposed to war: Practice and policy initiatives. Journal of Child Psychology and Psychiatry 2004, 45:41-62.
5. Belfer M. Caring for children and adolescents in the aftermath of disasters. International Review of Psychiatry 2006, 18:523-528.
6. Birleson P, Hudson I, Grey-Buchanan D, Wolff S. Clinical evaluation of a self-rating scale for depressive disorder in childhood (Depression Self-Rating Scale). Journal of Child Psychology and Psychiatry 1987, 28:43-60.
7. Bonanno G. The human capacity to thrive in the face of potential trauma. Pediatrics 2008, 121:369-375.
8. Bronfenbrenner U, Morris P. The ecology of developmental processes. Handbook of developmental psychology 1998, 993-1028. Damon W, Lerner R. Eds, Vol. 1, pp, Hoboken, NJ, Wiley
9. Buckner J C, Bassuk E L, Beardslee W R. Exposure to violence and low-income children's mental health: Direct, moderated and mediated relations. American Journal of Orthopsychiatry 2004, 74:413-423.
10. Cairns E, Dawes A. Ethnic and political violence: A commentary. Child Development 1996, 67:129-139.
11. Status report: Post-tsunami situation, Ampara district 2009, http://www.humanitarianinfo.org/srilanka/infocentre/assessments/others/doc/CIDA/Status%20%20Verification%20Report%20on%20Ampara%20by%20Cida%20Canada.pdf, Retrieved May 6, 2010, from
12. Cicchetti D, Lynch M. Toward an ecological/transactional model of community violence and child maltreatment: Consequences for children's development. Psychiatry 1993, 56:96-118.
13. Cooper S, Guthrie B. Ecological influences on health-promoting and health-compromising behaviors: A socially embedded approach to urban African American girls' health. Family and Community Health 2007, 30:29-41.
14. Davis L, Siegel L J. Posttraumatic stress disorder in children and adolescents: A review and analysis. Clinical Child Family Psychology Review 2005, 3:135-154.
15. Dawes A, Donald D. Understanding the psychological consequences of adversity. Childhood and adversity 1994, 1-27. Dawes A, Donald D. Eds, pp, Claremont, South Africa, David Philip
16. de Berry J, Fazili A, Said F, Nasiry F, Hashemi S, Hakimi M. The children of Kabul: Discussions with Afghan families 2003, Kabul, Afghanistan, Save the Children USA and UNICEF
17. de Mel S, McKenzie D, Woodruff C. Mental health recovery and economic recovery after the tsunami: High-frequency longitudinal evidence from Sri Lankan small business owners. Social Science and Medicine 2008, 3:582-595.
18. Number and percentage of population by district and ethnic group. 2001, http://www.statistics.gov.lk, Retrieved June 3, 2008, from
19. Impact of tsunami 2004 on Sri Lanka. 2005, http://www.statistics.gov.lk/Tsunami/, Retrieved January 4, 2008, from
20. Durvasula R, Mylvaganam G. Mental health of Asian Indians: Relevant issues and community implications. Journal of Community Psychology 1994, 22(2):97-108.
21. Evans S, Davies C, DiLillo D. Exposure to domestic violence: A meta-analysis of child and adolescent outcomes. Aggression and Violent Behavior 2008, 13:131-140.
22. Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorders in 7,000 refugees resettled in Western countries: A systematic review. Lancet 2005, 365:1309-1314.
23. Fernando G A. Interventions for survivors of the tsunami disaster: Report from Sri Lanka. Journal of Traumatic Stress 2005, 17:267-268.
24. Fernando G A. Assessing mental health and psychosocial status in communities exposed to traumatic events: Sri Lanka as an example. American Journal of Orthopsychiatry 2008, 78:229-239.
25. Fernando G, Makanui P K. Children exposed to violence: Mental health and self-esteem. Trauma exposure and its impact on children 2005, Putnam K, June, Chair, Symposium conducted at the annual meeting of the European Society for Traumatic Stress Studies, Stockholm, Sweden
26. Fernando G A, Miller K E, Uyanavithanage S, Prasad J, Garcia J. The impact of exposure to traumatic events among children in Sri Lanka 2008, August, Poster presented at the annual meeting of the American Psychological Association, Boston
27. Infant development: Ecological perspectives 2002, Fitzgerald H EKarraker K HLuster T. Eds, New York, Routledge Falmer
28. Foa E B, Johnson K, Feeny N, Treadwell K R. The Child PTSD Symptoms Scale: A preliminary examination of its psychometric properties. Journal of Clinical Child Psychology 2001, 30:376-384.
29. Garbarino J, Kostelny K. The effects of political violence on Palestinian children's behavior problems: A risk accumulation model. Child Development 1996, 67:33-45.
30. Hart J, Galappatti A, Boyden J, Armstrong M. Participatory tools for evaluating psychosocial work with children in areas of armed conflict: A pilot in eastern Sri Lanka. Intervention 2007, 5:41-60.
31. Hawkins S S, Radcliffe J. Current measures of PTSD for children and adolescents. Journal of Pediatric Psychology 2006, 31:420-430.
32. Heptinstall E, Sethna V, Taylor E. PTSD and depression in refugee children: Association with pre-migration trauma and post-migration stress. European Journal of Child and Adolescent Psychiatry 2004, 13:373-380.
33. Hollifield M, Warner T D, Lian N, Krakow B, Jenkins J, Kesler J. Measuring trauma and health status in refugees: A critical review. Journal of the American Medical Association 2002, 288:611-621.
34. IASC guidelines on mental health and psychosocial support in emergency settings 2007, http://www.humanitarianinfo.org/iasc/pageloader.aspx?page=content-products-products&productcatid=22, Retrieved June 3, 2008, from
35. Sri Lanka's Muslims: Caught in the crossfire (Asia Report No. 134) 2007, May, Colombo, Sri Lanka/Brussels, Belgium, International Crisis Group
36. Kalksma-Van Lith B. Psychosocial interventions for children in war-affected areas: The state of the art. Intervention 2007, 5:3-17.
37. Kilpatrick D. The ethics of disaster research. Journal of Traumatic Stress 2004, 17:361-362.
38. Macksoud M, Aber L. The war experiences and psychosocial development of children in Lebanon. Child Development 1996, 67:70-88.
39. March J S, Parker J, Sullivan K, Stallings P, Conners K C. The Multidimensional Anxiety Scale for Children (MASC): Factor structure, reliability, and validity. Journal of the American Academy of Child and Adolescent Psychiatry 1997, 36:554-565.
40. Masten A S. Developmental psychopathology: Pathways to the future. International Journal of Behavioral Development 2006, 30:47-54.
41. Miller K E, Fernando G A. Epidemiological assessment in emergency settings: Recommendations for enhancing a potentially useful tool. Intervention 2008, 6:255-260.
42. Miller K E, Fernando G A, Berger D E. Daily stressors in the lives of Sri Lankan youth: A mixed methods approach to assessment in a context of war and natural disaster. Intervention 2009, 7:187-203.
43. Miller K E, Fernando G A, Uyanavithanage S, Prasad J, Ranawake M A J. The relative contribution of daily stressors and disasters to the psychosocial status of Sri Lankan youth 2008, Paper presented at the International Conference on Community Psychology, Lisbon, Portugal
44. Miller K E, Kulkarni M, Kushner H. Beyond trauma-focused psychiatric epidemiology: Bridging research and practice with war-affected populations. American Journal of Orthopsychiatry 2006, 76:409-422.
45. Miller K E, Omidian P, Kulkarni M, Yaqubi A, Daudzi H, Rasmussen A. The validity and clinical utility of post-traumatic stress disorder in Afghanistan. Transcultural Psychiatry 2009, 46:219-297.
46. Miller K E, Omidian P, Rasmussen A, Yaqubi A, Daudzai H. Daily stressors, war experiences, and mental health in Afghanistan. Transcultural Psychiatry 2008, 45:611-638.
47. Miller K E, Rasco L M. An ecological framework for addressing the mental health needs of refugee communities. The mental health of refugees: Ecological approaches to healing and adaptation 2004, 1-64. Miller K E, Rasco L M. Eds, pp, Mahwah, NJ, Erlbaum
48. Montgomery E. Self- and parent assessment of mental health: Disagreement on externalizing and internalizing behaviour in young refugees from the Middle East. Clinical Child Psychology and Psychiatry 2008, 13:49-63.
49. Myers K M, Winters N C. Ten-year review of rating scales. II: Scales for internalizing disorders. Journal of the American Academy of Child and Adolescent Psychiatry 2002, 41:634-659.
50. Netland M. Event-list construction and treatment of exposure data in research on political violence. Journal of Traumatic Stress 2005, 18:507-517.
51. Neuner F, Schauer E, Catani C, Ruf M, Elbert T. Post-tsunami stress: A study of post-traumatic stress disorder in children living in three severely affected regions in Sri Lanka. Journal of Traumatic Stress 2006, 19:339-347.
52. Norris F H, Friedman M J, Watson P J, Byrne C M, Diaz E, Kaniasty K. 60,000 disaster victims speak: Part I. Psychiatry 2002, 65:207-239.
53. Young children and trauma 2004, Osofsky J D. Ed, New York, Guilford
54. Oyserman D, Coon H, Kemmelmeier M. Rethinking individualism and collectivism: Evaluation of theoretical assumptions and meta-analyses. Psychological Bulletin 2002, 128:3-72.
55. Pynoos R S, Steinberg A M, Piacentini J C. A developmental psychopathology model of childhood traumatic stress. Biological Psychiatry 1999, 46:1542-1554.
56. Qouta S, Punamäki R, El Sarraj E. Prevalence and determinants of PTSD among Palestinian children exposed to military violence. European Child and Adolescent Psychiatry 2003, 12:265-272.
57. Rasmussen A, Nguyen L, Wilkinson J, Raghavan S, Vundla S, Miller K. Rates and impact of trauma and current stressors among Darfuri refugees in Eastern Chad. American Journal of Orthopsychiatry 2010, 80:223-232.
58. Shaw J A. Children, adolescents and trauma. Psychiatry Quarterly 2000, 71:227-243.
59. Sobel M E. Asymptotic intervals for indirect effects in structural equations models. Sociological Methodology 1982, 13:290-312.
60. Somasundaram D. Collective trauma in Sri Lanka. Intervention: International Journal of Mental Health, Psychosocial Work and Counselling in Areas of Armed Conflict 2003, 1:4-13.
61. Sri Lanka: Ethnic conflict, civil war, and politics 2008, http://www.lankalibrary.com/pol/militancy_history.htm, Retrieved June 3, 2008, from
62. Stichick T. The psychosocial impact of armed conflict on children. Rethinking traditional paradigms in research and intervention. Child and Adolescent Psychiatric Clinics of North America 2001, 10:797-814.
63. Summerfield D. A critique of seven assumptions behind psychological trauma programmes in war-affected countries. Social Science and Medicine 1999, 48:1449-1462.
64. Thabet A, Vostanis P. Post-traumatic stress disorder reactions in children of war: A longitudinal study. Child Abuse and Neglect 2000, 24:291-298.
65. New directions in social psychology: Individualism and collectivism 1995, Triandis H C. Series Ed, Boulder, CO, Westview Press
66. State of the world's children 2008, http://www.unicef.org/sowc/index_sowc.html, Retrieved June 3, 2008, from
67. All is not normal in Eastern Sri Lanka 2008, http://www.upiasia.com/Politics/2008/12/17/all_is_not_normal_in_eastern_sri_lanka/4151/, Retrieved January 11, 2009, from
68. World Refugee Survey: 2007 2007, http://www.refugees.org/article.aspx?id=2324&subm=179&area=About%20Refugees&, Retrieved December 12, 2009, from
69. Wessells M, Monteiro C. Psychosocial assistance for youth: Toward reconstruction for peace in Angola. Journal of Social Issues 2006, 62:121-139.
70. Yule W. Alleviating the effects of war and displacement on children. Traumatology 2002, 8:160-180.