Psychological impact of disasters on children: review of assessment and interventions
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There is a wide range of mental and behavioral sequel in children following disasters, which can last long. This review discusses the nature and extent of the psychiatric problems, their management options and process to organize the psychological interventions for affected children.
Literatures were searched through PubMed with the words “children, disaster, psychiatry, and mental health” and relevant cross references were included in the review.
Proportions of children having posttraumatic symptoms or syndromal diagnoses vary in different studies depending on various factors like nature and severity of disaster, diagnostic criteria used, cultural issues regarding meaning of trauma, support available, etc. Common psychiatric manifestations among children include acute stress reactions, adjustment disorder, depression, panic disorder, post-traumatic stress disorder, anxiety disorders specific to childhood and psychotic disorders. Comorbidities and sub-clinical syndromes are also common. Most of the post-disaster mental health interventions can be provided in the community by the local disaster workers. Supportive counselling, cognitive behavior therapy, brief trauma/grief-focused psychotherapy, and play therapy are the commonly utilized methods of psychological intervention, which can be given in groups. Information about the efficacy of medications is still emerging, while many are being used and found useful.
Following disaster, systematic screening for psychological problems in children is suggested. An integrated approach using psycho-socio-educational and clinical interventions is expected to be effective.
Key wordsassessment children disaster intervention psychiatric disorders
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- 1.American Academy of Child and Adolescent Psychiatry. Practice parameters for the assessment and treatment of posttraumatic stress disorder in children and adolescents. J Am Acad Child Adolesc Psychiatry 1998;37(10 Suppl):4S–26S.Google Scholar
- 2.Amaya-Jackson L. Posttraumatic stress disorder in children and adolescents. In: Sadock B, Sadock V, eds. Kaplan and Sadock’s Comprehensive textbook of psychiatry, 7th ed. Philadelphia: Lippincott Williams and Wilkins,2000:2763–2769.Google Scholar
- 3.Kar N, Jagadisha, Murali N. Post-traumatic stress disorder in children following disaster. Kerala J Psychiatry 2001;16:7–14.Google Scholar
- 5.Davidson J, Smith R. Traumatic experiences in psychiatric outpatients. J Trauma Stress 1990;3:459–475.Google Scholar
- 16.Drell MJ, Siegel CH, Gaensbauer TJ. Post traumatic stress disorder. In: Zeanah CH, eds. Handbook of Infant Mental Health. New York: Guildford, 1993:291–304.Google Scholar
- 20.Malmquist CP. Children who witness parental murder: post traumatic aspects. J Am Acad Child Psychiatry 1986;25:320–325.Google Scholar
- 29.Rutter M. Continuities and discontinuities from infancy. In: Osofsky JD, eds. Handbook of infant development, 2nd ed. New York: Wiley, 1987:1256–1296.Google Scholar
- 30.Hoare P. Essential child psychiatry. Edinburgh: Churchill Livingstone, 1993.Google Scholar
- 37.Sack WH, Angell RH, Kinzie JD, Rath B. The psychiatric effects of massive trauma on Cambodian Children, II: The family, the home and the school. J Am Acad Child Psychiatry 1986;25:377–383.Google Scholar
- 40.Kar N, Misra BN. Mental health care following disasters: a handbook for disaster workers. Quality of Life Research and Development Foundation: Bhubaneswar, 2008.Google Scholar
- 56.NICE (National Institute for Clinical Excellence). Posttraumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care. NICE Clinical Guideline No. 26. London: National Institute for Clinical Excellence, 2005. http://www.nice.org.uk/nicemedia/pdf/CG026NICEguideline.pdf.Google Scholar
- 58.Stoddard FJ. Care of infants, children and adolescents with burn injuries. In: Lewis M, eds. Child and adolescent psychiatry. Washington DC: American Psychiatric Press, 1996:1016–1033.Google Scholar
- 59.Young JG, Kaplan D, Pascualvaca D, Brasic JR. Psychiatric examination of the infant, child and adolescent. In: Kaplan HI, Sadock BJ, eds. Comprehensive textbook of psychiatry. Baltimore: William and Wilkins, 1995:2169–2206.Google Scholar
- 60.Kernberg PF. Individual Psychotherapy. In: Kaplan HI, Sadock BJ, eds. Comprehensive textbook of psychiatry. Baltimore: William and Wilkins, 1995:2399–2412.Google Scholar