Aim: The aim of this study was to investigate the impact of war on children and comorbidity of post traumatic stress disorder, attention deficit with hyperactivity, conduct, and oppositional defiant disorder in Palest...Aim: The aim of this study was to investigate the impact of war on children and comorbidity of post traumatic stress disorder, attention deficit with hyperactivity, conduct, and oppositional defiant disorder in Palestinian children. Methods: The study was conducted in the entire Gaza Strip 6 months after the end of the war on Gaza that lasted for 23 days. The study sample included 410 children aged 6 to 17 years. Children completed measures of experience of traumatic events (Gaza Traumatic Checklist-War on Gaza), post traumatic stress disorder index, attention deficit with hyperactivity scale for parents and self, conduct disorder scale, and oppositional defiant disorder. Results: Palestinians children investigated 6 months after the war on Gaza still reported traumatic experiences: 94.6% heard the sonic sounds of the jet fighters, 91.7% heard shelling of the area by artillery, 92% watched mutilated bodies on television, 80% were deprived from water or electricity during the war, 50.7% said they left home for safer place. Using Diagnostic Manual of Mental Disorders-IV (DSM-IV) criteria for post traumatic stress disorder, 25.1% of children reported no psychological reactions, 25.9% of children reported one criteria, 39.3% of children reported partial post traumatic stress disorder and 9.8% of children reported full criteria for post traumatic stress disorder. According to the parents’ report, the results showed 31.3% of children met the criteria for inattentive type, 36.3% of children were impulsive and 29% met criteria for combined type. According to the children’s report, the results showed 28.8% of children met the criteria for inattentive type, 37.3% of children were impulsive and 28.3% met criteria for combined type. Using DSM-IV diagnostic criteria of conduct disorder and oppositional defiant disorder, the study showed that 38.1% of parents reported conduct disorder in their children and 46.3% reported oppositional defiant disorder. While 39.3% of children themselves reported conduct disorder and 44% of them reported oppositional defiant disorder. The study showed that 5.1% of children had comorbidity of post traumatic stress disorder and attention deficit disorder, 4.4% had comorbidity of post traumatic stress disorder and impulsivity-hyperactivity disorder, and 4.4% had comorbidity of post traumatic stress disorder and attention deficit with hyperactivity combined type. Also, 4.6% of children had comorbidity of conduct and post traumatic stress disorder and 6.1% had comorbidity of oppositional defiant disorder and post traumatic stress disorder. Conclusions: This study revealed that children living in areas of conflict and war are the main group at risk of developing post traumatic stress disorder and other behavioral problems including attention deficit with hyperactivity, conduct, and oppositional defiant disorder, and the internationallaws must protect the civilians during the conflict, establishing safe havens for children and their families to decrease the effect of war on children.展开更多
To the editor:Adverse home environments(AHE),characterised by family conflict,parental separation or dysfunctional parenting,are linked to negative mental health outcomes in children and adults.12 AHE disproportionate...To the editor:Adverse home environments(AHE),characterised by family conflict,parental separation or dysfunctional parenting,are linked to negative mental health outcomes in children and adults.12 AHE disproportionately affect children with neurodevelopmental disorders such as attention-deficit/hyperactivity disorder(ADHD),which is characterised by inattention,hyperactivity/impulsivity and functional impairments.3 Apart from core symptoms,including inattention and hyperactivity,disruptive behaviour disorders(DBD),such as oppositional defiant disorder(ODD)and conduct disorder(CD),may be associated with AHE.Conduct problems are risk factors for ODD.And CD has become a main concern for childhood mental health.展开更多
As clashes between Lebanese paramilitary group Hezbollah and Israeli forces threaten to drag the two sides into open war, Hezbollah leader Sheikh Hassan Nasrallah made an appearance in a televised statement, saying hi...As clashes between Lebanese paramilitary group Hezbollah and Israeli forces threaten to drag the two sides into open war, Hezbollah leader Sheikh Hassan Nasrallah made an appearance in a televised statement, saying his forces have "complete strength and power" and "yearn for a ground conflict" with Israelis.展开更多
目的了解伴注意缺陷多动障碍(A D H D)的对立违抗性障碍(O D D)患儿的行为特征。方法:以ICD-10作为诊断标准对门诊就诊儿童进行诊断,得到O D D伴A D H D者40例(64.52%),O D D不伴A D H D者22例(35.48%)。自编家庭情况调查表调查患儿的...目的了解伴注意缺陷多动障碍(A D H D)的对立违抗性障碍(O D D)患儿的行为特征。方法:以ICD-10作为诊断标准对门诊就诊儿童进行诊断,得到O D D伴A D H D者40例(64.52%),O D D不伴A D H D者22例(35.48%)。自编家庭情况调查表调查患儿的基本情况。用家长填A chenbach儿童行为量表评定儿童行为。结果:与O D D组相比,合并A D H D组的家长更多对患儿经常打骂和严厉管教;对儿童的不良行为更多地采取打骂的方式。合并组父亲急燥易怒者比O D D组多;合并组起病年龄及就诊年龄比O D D组早;合并组在CB CL思维、注意问题,违纪、攻击行为,外化性问题,行为总分均高于O D D组。结论:O D D合并A D H D的患儿在思维、注意问题,违纪、攻击行为,外化性问题方面表现更突出,家长对儿童管教方式及不良行为处理方式影响O D D的发生。提示要注重O D D、A D H D的早期干预。展开更多
文摘Aim: The aim of this study was to investigate the impact of war on children and comorbidity of post traumatic stress disorder, attention deficit with hyperactivity, conduct, and oppositional defiant disorder in Palestinian children. Methods: The study was conducted in the entire Gaza Strip 6 months after the end of the war on Gaza that lasted for 23 days. The study sample included 410 children aged 6 to 17 years. Children completed measures of experience of traumatic events (Gaza Traumatic Checklist-War on Gaza), post traumatic stress disorder index, attention deficit with hyperactivity scale for parents and self, conduct disorder scale, and oppositional defiant disorder. Results: Palestinians children investigated 6 months after the war on Gaza still reported traumatic experiences: 94.6% heard the sonic sounds of the jet fighters, 91.7% heard shelling of the area by artillery, 92% watched mutilated bodies on television, 80% were deprived from water or electricity during the war, 50.7% said they left home for safer place. Using Diagnostic Manual of Mental Disorders-IV (DSM-IV) criteria for post traumatic stress disorder, 25.1% of children reported no psychological reactions, 25.9% of children reported one criteria, 39.3% of children reported partial post traumatic stress disorder and 9.8% of children reported full criteria for post traumatic stress disorder. According to the parents’ report, the results showed 31.3% of children met the criteria for inattentive type, 36.3% of children were impulsive and 29% met criteria for combined type. According to the children’s report, the results showed 28.8% of children met the criteria for inattentive type, 37.3% of children were impulsive and 28.3% met criteria for combined type. Using DSM-IV diagnostic criteria of conduct disorder and oppositional defiant disorder, the study showed that 38.1% of parents reported conduct disorder in their children and 46.3% reported oppositional defiant disorder. While 39.3% of children themselves reported conduct disorder and 44% of them reported oppositional defiant disorder. The study showed that 5.1% of children had comorbidity of post traumatic stress disorder and attention deficit disorder, 4.4% had comorbidity of post traumatic stress disorder and impulsivity-hyperactivity disorder, and 4.4% had comorbidity of post traumatic stress disorder and attention deficit with hyperactivity combined type. Also, 4.6% of children had comorbidity of conduct and post traumatic stress disorder and 6.1% had comorbidity of oppositional defiant disorder and post traumatic stress disorder. Conclusions: This study revealed that children living in areas of conflict and war are the main group at risk of developing post traumatic stress disorder and other behavioral problems including attention deficit with hyperactivity, conduct, and oppositional defiant disorder, and the internationallaws must protect the civilians during the conflict, establishing safe havens for children and their families to decrease the effect of war on children.
基金supported by National Natural Science Foundation Youth Project (81901386)the Fundamental Research Funds for the Central Universities (YG2025ZD07)+5 种基金the National Science and Technology Innovation 2030 Major Project of China (2021ZD0203900)National Natural Science Foundation of China (NSFC) grant (82422029)the Science and Technology Commission of Shanghai Municipality (24Y22800200, 22QA1407900)NSFC grant (82271530)Innovation teams of high-level universities in Shanghaithe Scientific Research and Innovation Team of Liaoning Normal University (24TD004).
文摘To the editor:Adverse home environments(AHE),characterised by family conflict,parental separation or dysfunctional parenting,are linked to negative mental health outcomes in children and adults.12 AHE disproportionately affect children with neurodevelopmental disorders such as attention-deficit/hyperactivity disorder(ADHD),which is characterised by inattention,hyperactivity/impulsivity and functional impairments.3 Apart from core symptoms,including inattention and hyperactivity,disruptive behaviour disorders(DBD),such as oppositional defiant disorder(ODD)and conduct disorder(CD),may be associated with AHE.Conduct problems are risk factors for ODD.And CD has become a main concern for childhood mental health.
文摘As clashes between Lebanese paramilitary group Hezbollah and Israeli forces threaten to drag the two sides into open war, Hezbollah leader Sheikh Hassan Nasrallah made an appearance in a televised statement, saying his forces have "complete strength and power" and "yearn for a ground conflict" with Israelis.
文摘目的了解伴注意缺陷多动障碍(A D H D)的对立违抗性障碍(O D D)患儿的行为特征。方法:以ICD-10作为诊断标准对门诊就诊儿童进行诊断,得到O D D伴A D H D者40例(64.52%),O D D不伴A D H D者22例(35.48%)。自编家庭情况调查表调查患儿的基本情况。用家长填A chenbach儿童行为量表评定儿童行为。结果:与O D D组相比,合并A D H D组的家长更多对患儿经常打骂和严厉管教;对儿童的不良行为更多地采取打骂的方式。合并组父亲急燥易怒者比O D D组多;合并组起病年龄及就诊年龄比O D D组早;合并组在CB CL思维、注意问题,违纪、攻击行为,外化性问题,行为总分均高于O D D组。结论:O D D合并A D H D的患儿在思维、注意问题,违纪、攻击行为,外化性问题方面表现更突出,家长对儿童管教方式及不良行为处理方式影响O D D的发生。提示要注重O D D、A D H D的早期干预。
