Ítem
Acceso Abierto

Mental health of internally displaced preschool children: a cross-sectional study conducted in Bogotá, Colombia

Mostrar el registro sencillo de la publicación
dc.contributor.advisorRestrepo-Espinosa, Maria Helena
dc.contributor.advisorFlink, Ilse J. E.
dc.creatorFlink, Ilse J. E.
dc.creatorRestrepo-Espinosa, Maria Helena
dc.creatorBlanco, Diana
dc.creatorOrtegon, Mónica M.
dc.creatorEnriquez, Carolina L.
dc.creatorBeirens, Tinneke
dc.creator.degreeEspecialista en Pediatría
dc.date.accessioned2013-02-01T22:24:46Z
dc.date.available2013-02-01T22:24:46Z
dc.date.created2012-11-26
dc.date.issued2012
dc.descriptionA causa de los conflictos armados, como el de Colombia, se han desplazado por la fuerza a millones de personas, entre ellas una importante parte de la población infantil. Este estudio tuvo como objetivo evaluar la salud mental de los niños desplazados internos en edad preescolar en Bogotá Colombia, e identificar los determinantes de la salud mental en estos niños. Métodos: Estudio transversal realizado entre 279 niños que asisten a cuatro jardines infantiles en un barrio marginal de Bogotá. La salud mental infantil se evaluó con el instrumento validado de Comportamiento Infantil (CBCL) 1,5-5 años, aplicados a padres y cuidadores. Se realizo un análisis univariado y multivariado de regresión logística para evaluar la asociación entre el desplazamiento y la salud mental de los niños y para identificar las relaciones con la salud mental en los niños desplazados. Resultados: los Niños desplazados (n = 90) se identificaron con más frecuencia sobre los puntos de corte límite para las escalas CBCL que los no desplazados (n = 189) (por ejemplo, problemas totales 46,7 vs 22,8%;p \ 0,001). La asociación entre el desplazamiento y la presencia de problemas CBCL totales se mantuvo después del ajuste por factores socio-demográficos (OR Ajustado 3.3 del 95%: 1,5; 6,9). Donde la salud mental del cuidador explica en parte la asociación. En los niños desplazados, la salud mental del cuidador (p \ 0,01) y el funcionamiento familiar (p \ 0,01) se asociaron independientemente con la salud mental de los niños. La exposición a eventos traumáticos y el apoyo social también se asociaron con la salud mental del niño, sin embargo, las asociaciones no fueron independientes. Conclusión: En este barrio marginal de Bogotá, los niños en edad preescolar registrados como desplazados internos presentan peor salud mental que los no desplazados. El funcionamiento familiar y la salud mental del cuidador fueron fuerte e independientemente asociados con la salud mental de los niños y niñas desplazados.spa
dc.description.abstractPurpose Ongoing armed conflicts, like the one inColombia, have forcibly displaced millions of peopleincluding many young children. This study aimed to assessthe mental health of internally displaced preschoolers inBogota´ Colombia and to identify correlates of mentalhealth in these children. Methods Cross-sectional study conducted among 279children attending four kindergartens in a deprived neighbourhoodin Bogota´. Child mental health was assessed withthe Child Behaviour Checklist (CBCL) 1. 5–5 years, aparent-report. Univariate analyses and multivariate logisticregressions were performed to assess the associationbetween displacement and child mental health and toidentify correlates of mental health in displaced children. Results Displaced children (n = 90) more often met borderlinecut-off scores for the CBCL scales than non-displacedchildren (n = 189) (e. g. total problems 46. 7 vs. 22. 8 %; p\0. 001). The association between displacement andpresence of CBCL total problems remained after adjustmentfor socio-demographic factors (AdjustedOR3. 3, 95 %CI 1. 5; 6. 9). Caretaker’s mental health partly explained the association. In displaced children, caretaker’s mental health(p\0. 01) and family functioning (p\0. 01) were independentlyassociated with child mental health. Exposure to traumaticevents and social support was also associated with childmental health; however, associations were not independent. Conclusion In this deprived neighbourhood in Bogota´, preschool children registered as internally displaced presentedworse mental health than non-displaced peers. Familyfunctioning and caretaker’s mental health were strongly andindependently associated with displaced children’s mentalhealth.eng
dc.description.sponsorshipErasmus University Medical Centrespa
dc.description.sponsorshipUniversidad del Rosariospa
dc.format.mimetypeapplication/pdf
dc.format.tipoDocumentospa
dc.identifier.doihttps://doi.org/10.48713/10336_4166
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4166
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de medicinaspa
dc.publisher.programEspecialización en Pediatríaspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto completo)spa
dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.licenciaEL AUTOR, manifiesta que la obra objeto de la presente autorización es original y la realizó sin violar o usurpar derechos de autor de terceros, por lo tanto la obra es de exclusiva autoría y tiene la titularidad sobre la misma. PARÁGRAFO: En caso de presentarse cualquier reclamación o acción por parte de un tercero en cuanto a los derechos de autor sobre la obra en cuestión, EL AUTOR, asumirá toda la responsabilidad, y saldrá en defensa de los derechos aquí autorizados; para todos los efectos la universidad actúa como un tercero de buena fe.spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.source.bibliographicCitationUNHCR (2007) Global trends: refugees, asylum-seekers, returnees, internally displaced and stateless persons, vol 2011. United Nations High Commissioner for Refugees, Geneva
dc.source.bibliographicCitationUNHCR (2006) The state of the world0s refugees 2006-Human displacement in the new millenium. United Nations High Commissioner for Refugees, Geneva
dc.source.bibliographicCitationIDMC (2011) Colombia: Property restitution in sight but integration still distant. Internal Displacement Monitoring Center, Geneva
dc.source.bibliographicCitationThabet AA, Karim K, Vostanis P (2006) Trauma exposure in preschool children in a war zone. Br J Psychiatry 188:154–158
dc.source.bibliographicCitationJensen PS, Shaw J (1993) Children as victims of war: current knowledge and future research needs. J Am Acad Child Adolesc Psychiatry 32(4):697–708
dc.source.bibliographicCitationFeldman R, Vengrober A (2011) Posttraumatic stress disorder in infants and young children exposed to war-related trauma. J Am Acad Child Adolesc Psychiatry 50(7):645–658
dc.source.bibliographicCitationReijneveld SA, de Boer JB, Bean T, Korfker DG (2005) Unaccompanied adolescents seeking asylum: poorer mental health under a restrictive reception. J Nerv Ment Dis 193(11):759–761
dc.source.bibliographicCitationLeavey G, Hollins K, King M, Barnes J, Papadopoulos C, Grayson K (2004) Psychological disorder amongst refugee and migrant schoolchildren in London. Soc Psychiatry Psychiatr Epidemiol 39(3):191–195
dc.source.bibliographicCitationHalcon LL, Robertson CL, Savik K, Johnson DR, Spring MA, Butcher JN, Westermeyer JJ, Jaranson JM (2004) Trauma and coping in Somali and Oromo refugee youth. J Adolesc Health 35(1):17–25
dc.source.bibliographicCitationHodes M, Jagdev D, Chandra N, Cunniff A (2008) Risk and resilience for psychological distress amongst unaccompanied asylum seeking adolescents. J Child Psychol Psychiatry 49(7): 723–732
dc.source.bibliographicCitationThapa SB, Hauff E (2005) Psychological distress among displaced persons during an armed conflict in Nepal. Soc Psychiatry Psychiatr Epidemiol 40(8):672–679
dc.source.bibliographicCitationHusain F, Anderson M, Lopes Cardozo B, Becknell K, Blanton C, Araki D, Vithana EK (2011) Prevalence of war-related mental health conditions and association with displacement status in postwar Jaffna District, Sri Lanka. JAMA 306(5):522–531
dc.source.bibliographicCitationSecretaria de la hacienda (2004) [Route through Kennedy. Physical and socio-economic diagnosis of the neighbourhoods in Bogota´]. Diagnostico Fı´sico y socio-economico de las localidades de Bogota´. Secretaria de la hacienda, Bogota
dc.source.bibliographicCitationLozano M, Gomez M (2004) [Psychological, social and juridical aspects of forced internal displacement in Colombia] Aspectos psicolo´gicos, sociales y jurı´dicos del desplazamiento forzoso en Colombia Acta colombiana de psicologı´a 12:103–119
dc.source.bibliographicCitationConstitutional Court of Colombia (2004) [Statement N
dc.source.bibliographicCitationAchenbach T, Rescorla L (2000) Manual for the ASEBA Preschool Forms & Profiles. University of Vermont, Research Center for Children, Youths & Families, Burlington
dc.source.bibliographicCitationRubio-Stipec M, Bird H, Canino G, Gould M (1990) The internal consistency and concurrent validity of a Spanish translation of the Child Behavior Checklist. J Abnorm Child Psychol 18(4):393–406
dc.source.bibliographicCitationDehon C, Scheeringa MS (2006) Screening for preschool posttraumatic stress disorder with the Child Behavior Checklist. J Pediatr Psychol 31(4):431–435
dc.source.bibliographicCitationAchenbach T, Rescorla L (2000) Manual for the ASEBA Preschool Forms and Profiles. University of Vermont: Research Center for Children, Youth, & Families, Burlington
dc.source.bibliographicCitationMunoz PE, Vazquez JL, Rodriguez Insausti F, Pastrana E, Varo J (1979) [Spanish adaptation of the General Health Questionnaire (G.H.Q.) of D. P. Goldberg (a method for identifying psychiatric cases in the community)] Adaptacion espanola del General Health Questionnaire (G.H.Q.) de D. P. Goldberg (un metodo de identificacion de casos psiquiatricos en la comunidad. Arch Neurobiol (Madr) 42 (2):139–158
dc.source.bibliographicCitationGoldberg DP (1978) Manual of the General Health Questionnaire. NFER Publishing, Windsor
dc.source.bibliographicCitationBarroilhet S, Cano-Prous A, Cervera-Enguix S, Forjaz MJ, Guillen- Grima F (2009) A Spanish version of the Family Assessment Device. Soc Psychiatry Psychiatr Epidemiol 44(12):1051–1065
dc.source.bibliographicCitationByles J, Byrne C, Boyle MH, Offord DR (1988) Ontario Child Health Study: reliability and validity of the general functioning subscale of the McMaster Family Assessment Device. Fam Process 27(1):97–104
dc.source.bibliographicCitationKaufman J, Chambers W, Pulg-Antich J, Birmaher B, Rao U, Ryan ND (1996) Kiddie-SADS—Present and Lifetime Version. University of Pittsburgh, Pittsburg
dc.source.bibliographicCitationIDMC (2009) Colombia: New displacement continues, response still ineffective. Internal Displacement Monitoring Center, Norwegian Refugee Council, Norway
dc.source.bibliographicCitationSalamanca L, Go´mez F (2009) Rasgos caracteristicos del desplazamiento. In: El reto ante la tragedia humanitaria del desplazamiento forzado: Superar la exclusio´n social de la poblacio´n desplazada, vol 3. Comisio´n de Seguimiento a la Polı´tica Pu´blica sobre Desplazamiento Forzado, Bogota, Colombia
dc.source.bibliographicCitationDane (2005) Censo General 2005 Departamento Administrativo Nacional de Estadı´stica http://www.dane.gov.co. Accessed 15 Jan 2011
dc.source.bibliographicCitationAchenbach T, Rescorla L (2010) Multicultural Supplement to the Manual for the ASEBA Preschool Forms & Profiles. University of Vermont, Research Center for Children, Youth & Families, Burlington
dc.source.bibliographicCitationLocke CJ, Southwick K, McCloskey LA, Fernandez-Esquer ME (1996) The psychological and medical sequelae of war in Central American refugee mothers and children. Arch Pediatr Adolesc Med 150(8):822–828
dc.source.bibliographicCitationGoldmann E, Aiello A, Uddin M, Delva J, Koenen K, Gant LM, Galea S (2011) Pervasive exposure to violence and posttraumatic stress disorder in a predominantly African American Urban Community: the Detroit neighborhood health study. J Trauma Stress 24(6):747–751
dc.source.bibliographicCitationAinsworth MD (1979) Infant–mother attachment. Am Psychol 34(10):932–937
dc.source.bibliographicCitationDekel R, Goldblatt H (2008) Is there intergenerational transmission of trauma? The case of combat veterans’ children. Am J Orthopsychiatry 78(3):281–289. doi:2008-19070-002
dc.source.bibliographicCitationScharf M (2007) Long-term effects of trauma: psychosocial functioning of the second and third generation of Holocaust survivors. Dev Psychopathol 19(2):603–622
dc.source.bibliographicCitationBetancourt TS, Khan KT (2008) The mental health of children affected by armed conflict: protective processes and pathways to resilience. Int Rev Psychiatry 20(3):317–328
dc.source.bibliographicCitationZahr LK (1996) Effects of war on the behavior of Lebanese preschool children: influence of home environment and family functioning. Am J Orthopsychiatry 66(3):401–408
dc.source.bibliographicCitationKohrt BA, Jordans MJ, Tol WA, Speckman RA, Maharjan SM, Worthman CM, Komproe IH (2008) Comparison of mental health between former child soldiers and children never conscripted by armed groups in Nepal. JAMA 300(6):691–702
dc.source.bibliographicCitationFlanders WD, Lin L, Pirkle JL, Caudill SP (1992) Assessing the direction of causality in cross-sectional studies. Am J Epidemiol 135(8):926–935
dc.source.bibliographicCitationMinisterio de Educacio´n (2010) [Sectorial statistics basic and medium level education; coverage according to state and level] Estadı´sticas Sectoriales Educacio´n Ba´sica y Media; Cobertura neta por departamento y nivel Ministerio de Educacio´n. http://menweb.mineducacion.gov.co/seguimiento/estadisticas/. Accessed 1 Aug 2011
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectsalud infantilspa
dc.subjectsalud mentalspa
dc.subjectconflicto armadospa
dc.subjectinequidadspa
dc.subjectviolenciaspa
dc.subjectPobrezaspa
dc.subjectdesplazamiento forzadospa
dc.subject.keywordChild healtheng
dc.subject.keywordMental healtheng
dc.subject.keywordArmed conflicteng
dc.subject.keywordInequalitieseng
dc.subject.keywordViolenceeng
dc.subject.keywordPovertyeng
dc.subject.lembConflicto armado::Aspectos Psicológicosspa
dc.subject.lembDesplazados por la violencia::Investigacionesspa
dc.subject.lembDesplazamiento forzadospa
dc.subject.lembPsiquiatría infantil::Investigacionesspa
dc.subject.lembSalud mental infantil::Investigacionesspa
dc.titleMental health of internally displaced preschool children: a cross-sectional study conducted in Bogotá, Colombiaspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
Archivos
Bloque original
Mostrando1 - 1 de 1
Miniatura
Nombre:
Flink-IlseJ.E.-2012.pdf
Tamaño:
441.67 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Colecciones
Especialización en Pediatría