Annual research review: Resilience and mental health in children and adolescents living in areas of armed conflict - A systematic review of findings in low- and middle-income countries

Journal of Child Psychology and Psychiatry and Allied Disciplines

Volumn 54, Issue 4, 2013, Pages 445-460

  Tol, Wietse A ^a,b   Song, Suzan ^c   Jordans, Mark J D ^b,d  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b TPO   (Netherlands)

^c Center for Survivors of Torture   (United States)

^d LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

Author keywords

Armed conflict; developing countries; psychological resilience; resilience; war

Indexed keywords

ADOLESCENT; CHARACTER; CHILD; COMPARATIVE STUDY; COPING BEHAVIOR; CROSS-SECTIONAL STUDY; CULTURAL FACTOR; DEVELOPED COUNTRY; DEVELOPING COUNTRY; EDUCATIONAL STATUS; FEMALE; HEALTH PROMOTION; HUMAN; INCOME; MALE; MENTAL DISEASE; POSTTRAUMATIC STRESS DISORDER; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL MODEL; REFUGEE; REVIEW; SELF CONCEPT; SEX DIFFERENCE; SOCIAL BEHAVIOR; SOCIAL ENVIRONMENT; SOCIAL SUPPORT; SOLDIER; WAR;

ADOLESCENT; CHARACTER; CHILD; CROSS-CULTURAL COMPARISON; CROSS-SECTIONAL STUDIES; DEVELOPED COUNTRIES; DEVELOPING COUNTRIES; EDUCATIONAL STATUS; FEMALE; HEALTH PROMOTION; HUMANS; INCOME; MALE; MENTAL DISORDERS; MILITARY PERSONNEL; MODELS, PSYCHOLOGICAL; REFUGEES; RESILIENCE, PSYCHOLOGICAL; SELF CONCEPT; SEX FACTORS; SOCIAL BEHAVIOR; SOCIAL ENVIRONMENT; SOCIAL SUPPORT; STRESS DISORDERS, POST-TRAUMATIC; WAR;

EID: 84875344991     PISSN: 00219630     EISSN: 14697610     Source Type: Journal    
DOI: 10.1111/jcpp.12053     Document Type: Review

References (76)

1. Akello, G., Reis, R., &, Richters, A., (2010). Silencing distressed children in the context of war in northern Uganda: An analysis of its dynamics and its health consequences. Social Science & Medicine, 71, 213-220.
2. Attanayake, V., McKay, R., Joffres, M., Singh, S., Burkle, F.M., Jr, &, Mills, E., (2009). Prevalence of mental disorders among children exposed to war: A systematic review of 7,920 children. Medicine, Conflict & Survival, 25, 4-19.
3. Barber, B.K., (1999). Political violence, family relations, and Palestinian youth functioning. Journal of Adolescent Research, 14, 206-230.
4. Barber, B.K., (2001). Political violence, social integration, and youth functioning: Palestinian youth from the Intifada. Journal of Community Psychology, 29, 259-280.
5. Barber, B.K., &, Schlutermann, J., (2009). An overview of the empirical literature on adolescents and political violence. In, B.K. Barber, (Ed.), Adolescents and war: How youth deal with political violence (pp. 35-61). Oxford, UK: Oxford University Press.
6. Batniji, R., van Ommeren, M., &, Saraceno, B., (2006). Mental and social health in disasters: Relating qualitative social science research and the Sphere standard. Social Science & Medicine, 62, 1853-1864.
7. de Berry, J., Fazili, A., Farhad, S., Nasiry, F., Hashemi, S., &, Hakimi, M., (2003). The children of Kabul: Discussions with Afghan families. New York, NY: Save the Children USA.
8. Betancourt, T.S., (2011). Attending to the mental health of war-affected children: The need for longitudinal and developmental research perspectives. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 323-325.
9. Betancourt, T.S., Borisova, I., Williams, T.P., Brennan, R.T., Whitfield, T.H., de la Soudiere, M., &, Gilman, S.E., (2010). Sierra Leone's former child soldiers: A follow-up study of psychosocial adjustment and community reintegration. Child Development, 81, 1077-1095.
10. Betancourt, T.S., Borisova, I., Williams, T.P., Meyers-Ohki, S.E., Rubin-Smith, J.E., Annan, J., &, Kohrt, B.A., (2013). Research review: Psychosocial adjustment and mental health in former child soldiers-A systematic review of the literature and recommendations for future research. Journal of Child Psychology & Psychiatry, 54, 17-36.
11. Betancourt, T.S., Brennan, R.T., Rubin-Smith, J., Fitzmaurice, G.M., &, Gilman, S.E., (2010). Sierra Leone's former child soldiers: A longitudinal study of risk, protective factors, and mental health. Journal of the American Academy of Child and Adolescent Psychiatry, 49, 606-615.
12. Betancourt, T.S., &, Kahn, K.T., (2008). The mental health of children affected by armed conflict: Protective processes and pathways to resilience. International Review of Psychiatry, 20, 317-328.
13. Betancourt, T.S., Meyers-Ohki, S., Stulac, S.N., Barrera, A.E., Mushashi, C., &, Beardslee, W.R., (2011). Nothing can defeat combined hands (Abashize hamwe ntakibananira): Protective processes and resilience in Rwandan children and families affected by HIV/AIDS. Social Science & Medicine, 73, 693-701.
14. Brajsa-Zganec, A., (2005). The long-term effects of war experiences on children's depression in the Republic of Croatia. Child Abuse & Neglect, 29, 31-43.
15. Durakovic-Belko, E., Kulenovic, A., &, Dapic, R., (2003). Determinants of posttraumatic adjustment in adolescents from Sarajevo who experienced war. Journal of Clinical Psychology, 59, 27-40.
16. Eggerman, M., &, Panter-Brick, C., (2010). Suffering, hope, and entrapment: Resilience and cultural values in Afghanistan. Social Science & Medicine, 71, 71-83.
17. Farhood, L., Zurayk, H., Chaya, M., Saadeh, F., Meshefedjian, G., &, Sidani, T., (1993). The impact of war on the physical and mental health of the family: The Lebanese experience. Social Science & Medicine, 36, 1555-1567.
18. Ferren, P.M., (1999). Comparing perceived self-efficacy among adolescent Bosnian and Croatian refugees with and without Posttraumatic Stress Disorder. Journal of Traumatic Stress, 12, 405-420.
19. Harel-Fisch, Y., Radwan, Q., Walsh, S.D., Laufer, A., Amitai, G., Fogel-Grinvald, H., &, Abdeen, Z., (2010). Psychosocial outcomes related to subjective threat from armed conflict events (STACE): Findings from the Israeli-Palestinian cross-cultural HBSC study. Child Abuse & Neglect, 34, 623-638.
20. Helminen, E., &, Punamäki, R.L., (2008). Contextualized emotional images in children's dreams: Psychological adjustment in conditions of military trauma. International Journal of Behavioral Development, 32, 177-187.
21. Inter-Agency Standing Committee [IASC]. (2007). IASC Guidelines on mental health and psychosocial support in emergency settings. Geneva: IASC.
22. Jones, L., (2002). Adolescent understandings of political violence and psychological well-being: A qualitative study from Bosnia Herzegovina. Social Science & Medicine, 55, 1351-1371.
23. Jordans, M.J.D., Tol, W.A., Komproe, I.H., &, de Jong, J.T.V.M., (2009). Systematic review of evidence and treatment approaches: Psychosocial and mental health care for children in war. Child & Adolescent Mental Health, 14, 2-14.
24. Jordans, M.J.D., Tol, W.A., Komproe, I.H., Susanty, D., Vallipuram, A., Ntamutumba, P., &, de Jong, J.T.V.M., (2010). Development of a multi-layered psychosocial care system for children in areas of political violence. International Journal of Mental Health Systems, 16, 4-15.
25. Keresteš, G., (2006). Children's aggressive and prosocial behavior in relation to war exposure: Testing the role of perceived parenting and child's gender. International Journal of Behavioral Development, 30, 227-239.
26. Khamis, V., (2005). Post-traumatic stress disorder among school age Palestinian children. Child Abuse & Neglect, 29, 81-95.
27. Klasen, F., Oettingen, G., Daniels, J., Post, M., Hoyer, C., &, Adam, H., (2010). Posttraumatic resilience in former Ugandan child soldiers. Child Development, 81, 1096-1113.
28. Kocijan-Hercigonja, D., Rijavec, M., Marusic, A., &, Hercigonja, V., (1998). Coping strategies of refugee, displaced, and non-displaced children in a war area. Nordic Journal of Psychiatry, 52, 45-50.
29. Kohrt, B.A., Jordans, M.J., Tol, W.A., Luitel, N.P., Maharjan, S.M., &, Upadhaya, N., (2011). Validation of cross-cultural child mental health and psychosocial research instruments: Adapting the Depression Self-Rating Scale and Child PTSD Symptom Scale in Nepal. BMC Psychiatry, 11, 127.
30. Kohrt, B.A., Jordans, M.J., Tol, W.A., Perera, E., Karki, R., Koirala, S., &, Upadhaya, N., (2010). Social ecology of child soldiers: child, family, and community determinants of mental health, psychosocial well-being, and reintegration in Nepal. Transcultural Psychiatry, 47, 727-753.
31. Kostelny, K., &, Garbarino, J., (1994). Coping with the consequences of living in danger: The case of Palestinian children and youth. International Journal of Behavioral Development, 17, 595-611.
32. Kuterovic-Jagodic, G., (2003). Posttraumatic stress symptoms in Croatian children exposed to war: A prospective study. Journal of Clinical Psychology, 59, 9-25.
33. Luthar, S.S., Cicchetti, D., &, Becker, B., (2000). The construct of resilience: A critical evaluation and guidelines for future work. [See comment]. Child Development, 71, 543-562.
34. Machel, G., (2009). Children and conflict in a changing world: Machel study 10-year review. New York: UNICEF.
35. Macksoud, M.S., &, Aber, J.L., (1996). The war experiences and psychosocial development of children in Lebanon. Child Development, 67, 70-88.
36. Masten, A.S., (2001). Ordinary magic: Resilience processes in development. American Psychologist, 56, 227-238.
37. Masten, A.S., (2011). Resilience in children threatened by extreme adversity: Frameworks for research, practice, and translational synergy. Development & Psychopathology, 23, 493-506.
38. McAdam-Crisp, J.L., (2006). Factors that can enhance and limit resilience for children at war. Childhood, 13, 459-477.
39. McEwen, B.S., &, Gianaros, P.J., (2011). Stress- and allostasis-induced brain plasticity. Annual Review of Medicine, 62, 431-445.
40. Nguyen-Gillham, V., Giacaman, R., Naser, G., &, Boyce, W., (2008). Normalising the abnormal: Palestinian youth and the contradictions of resilience in protracted conflict. Health and Social Care in the Community, 16, 291-298.
41. Panter-Brick, C., Eggerman, M., Mojadidi, A., &, McDade, T.W., (2008). Social stressors, mental health, and physiological stress in an urban elite of young Afghans in Kabul. American Journal of Human Biology, 20, 627-641.
42. Panter-Brick, C., Goodman, A., Tol, W.A., &, Eggerman, M., (2011). Mental health and childhood adversities: A longitudinal study in Kabul, Afghanistan. Journal of the American Academy of Child and Adolescent Psychiatry, 50, 349-363.
43. Patel, V., &, Goodman, A., (2007). Researching protective and promotive factors in mental health. International Journal of Epidemiology, 36, 703-707.
44. Peltonen, K., Qouta, S., El Sarraj, E., &, Punamäki, R.L., (2010). Military trauma and social development: The moderating and mediating roles of peer and sibling relations in mental health. International Journal of Behavioral Development, 34, 554-563.
45. Punamäki, R.L., (1989). Factors affecting the mental health of Palestinian children exposed to political violence. International Journal of Mental Health, 18, 63-79.
46. Punamäki, R.L., (1998). The role of dreams in protecting psychological well-being in traumatic conditions. International Journal of Behavioral Development, 22, 559-588.
47. Punamäki, R.L., Ali, K.J., Ismahil, K.H., &, Nuutinen, J., (2005). Trauma, dreaming, and psychological distress among Kurdish children. Dreaming, 15, 178-194.
48. Punamäki, R.L., Muhammed, A.H., &, Abdulrahman, H.A., (2004). Impact of traumatic events on coping strategies and their effectiveness among Kurdish children. International Journal of Behavioral Development, 28, 59-70.
49. Punamäki, R.L., &, Puhakka, T., (1997). Determinants and effectiveness of children's coping with political violence. International Journal of Behavioral Development, 21, 349-370.
50. Punamäki, R.L., Qouta, S., &, El Sarraj, E., (1997a). Relations between traumatic events, children's gender, and political activity, and perceptions of parenting styles. International Journal of Behavioral Development, 21, 91-109.
51. Punamäki, R.L., Qouta, S., &, El Sarraj, E., (1997b). Models of traumatic experience and children's psychological adjustment: The roles of perceived parenting and the children's own resources and activity. Child Development, 64, 718-728.
52. Punamäki, R.L., Qouta, S., &, El Sarraj, E., (2001). Resiliency factors predicting psychological adjustment after political violence among Palestinian children. International Journal of Behavioral Development, 25, 256-276.
53. Punamäki, R.L., Qouta, S., Miller, T., &, El Sarraj, E., (2011). Who are the resilient children in conditions of military violence? Family- and child-related factors in a Palestinian community sample. Peace and Conflict, 17, 389-416.
54. Punamäki, R.L., &, Suleiman, R., (1990). Predictors and effectiveness of coping with political violence among Palestinian children. British Journal of Social Psychology, 29, 67-77.
55. Qouta, S., El Sarraj, E., &, Punamäki, R.L., (2001). Mental flexibility as resiliency factor among children exposed to political violence. International Journal of Psychology, 36, 1-7.
56. Qouta, S., Punamäki, R.L., &, El Sarraj, E., (1995a). The impact of the peace treaty on psychological well-being: A follow-up study of Palestinian children. Child Abuse & Neglect, 19, 1197-1208.
57. Qouta, S., Punamäki, R.L., &, El Sarraj, E., (1995b). The relations between traumatic experiences, activity, and cognitive and emotional responses among Palestinian children. International Journal of Psychology, 30, 289-304.
58. Qouta, S., Punamäki, R.L., &, El Sarraj, E., (2005). Mother-child expression of psychological distress in war trauma. Clinical Child Psychology and Psychiatry, 10, 135-156.
59. Qouta, S., Punamäki, R.L., Montgomery, E., &, El Sarraj, E., (2007). Predictors of psychological distress and positive resources among Palestinian adolescents: Trauma, child, and mothering characteristics. Child Abuse & Neglect, 31, 699-717.
60. Raboteg-Šaric, Z., Žužul, M., &, Keresteš, G., (1994). War and children's aggressive and prosocial behaviour. European Journal of Personality, 8, 201-212.
61. Reed, R.V., Fazel, M., Jones, L., Panter-Brick, C., &, Stein, A., (2012). Mental health of displaced and refugee children resettled in low-income and middle-income countries: Risk and protective factors. Lancet, 379, 250-265.
62. Rutter, M., (2006). Implications of resilience concepts for scientific understanding. Annals of the New York Academy of Sciences., 1094, 1-12.
63. Rutter, M., (2012). Resilience: causal pathways and social ecology. In, M. Ungar, (Ed.), The social ecology or resilience: A handbook of theory and practice. (pp. 33-42). New York: Springer.
64. Sagi-Schwartz, A., (2008). The well being of children living in chronic war zones: The Palestinian-Israeli case. International Journal of Behavioral Development, 32, 322-336.
65. Saigh, P.A., Mroueh, M., Zimmerman, B.J., &, Fairbank, J.A., (1995). Self-efficacy expectations among traumatized adolescents. Behaviour Research and Therapy, 33, 701-704.
66. Shonkoff, J.P., Boyce, W.T., &, McEwen, B., (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention. Journal of the American Medical Association, 301, 2252-2259.
67. the Sphere Project. (2011). Humanitarian charter and minimum standards in disaster response-2011 Edition. Geneva, Switzerland: The Sphere Project.
68. Stark, L.J., (2006). Cleansing the wounds of war: An examination of traditional healing, psychosocial health and reintegration in Sierra Leone. Intervention: International Journal of Mental Health, Psychosocial Work & Counselling in Areas of Armed Conflict, 4, 206-218.
69. Thabet, A.A., Ibraheem, A.N., Shivram, R., Winter, E.A., &, Vostanis, P., (2009). Parenting support and PTSD in children of a war zone. The International Journal of Social Psychiatry, 55, 226-237.
70. Themner, L., &, Wallensteen, P., (2012). Armed conflicts, 1946-2011. Journal of Peace Research, 49, 565-575.
71. Tol, W.A., Barbui, C., Galappatti, A., Silove, D., Betancourt, T.S., Souza, R., &, van Ommeren, M., (2011). Mental health and psychosocial support in humanitarian settings: Linking practice and research. Lancet, 378, 1581-1591.
72. Tol, W.A., Jordans, M.J.D., Reis, R., &, De Jong, J.T.V.M., (2009). Ecological resilience: working with child-related psychosocial resources in war-affected communities. In, D. Brom, R. Pat-Horenczyk, &, J. Ford, (Eds.), Treating traumatized children: Risk, resilience, and recovery (pp. 164-182). London: Routledge.
73. Tol, W.A., Kohrt, B.A., Jordans, M.J., Thapa, S.B., Pettigrew, J., Upadhaya, N., &, de Jong, J.T., (2010b). Political violence and mental health: A multi-disciplinary review of the literature on Nepal. Social Science & Medicine, 70, 35-44.
74. Tol, W.A., Komproe, I.H., Jordans, M.J., Gross, A.L., Susanty, D., Macy, R.D., &, de Jong, J.T., (2010a). Mediators and moderators of a psychosocial intervention for children affected by political violence. Journal of Consulting and Clinical Psychology, 78, 818-828.
75. Walton, J.R., Nuttall, R.L., &, Nuttall, E.V., (1997). The impact of war on the mental health of children: A Salvadoran study. Child Abuse & Neglect, 21, 737-749.
76. Zahr, R.K., (1996). Effect of war on the behavior of Lebanese preschool children. American Journal of Orthopsychiatry, 66, 401-408.