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Assessment of the Psychosocial Development of Children Attending Nursery Schools in Karen Refugee Camps in Thailand

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Abstract

The Karen, an ethnic minority group in Burma, have experienced a prolonged state of exile in refugee camps in neighboring Thailand because of ethnic conflict in their home country. Nursery schools in the three largest Karen refugee camps aim to promote the psychosocial development of young children by providing a child-centered, creative, learning-friendly environment. Psychosocial development and potentially concerning behaviors of two to five-year-old children in nursery schools were examined by use of a psychosocial checklist. The results showed that psychosocial development of the children increased with age, with most five year olds being proficient in playing cooperatively with other children. Sadness or emotional outbursts were observed for a third of the children. Difficulty separating from parents was also observed. The results also showed that children who attended the nursery schools for more than a year were better at playing cooperatively with other children and were more aware of their own and others’ feelings. On the other hand, children who were newer to the nursery schools were more polite and better at following rules and controlling their feelings when frustrated. The results indicate that nursery schools can be a promising practice to promote healthy psychosocial development of children in protracted refugee situations.

Résumé

Les Karens, un groupe ethnique minoritaire de Birmanie, ont vécu en état d’exil prolongé dans des camps de réfugiés dans le pays voisin de la Thaïlande en raison de conflits ethniques dans leur pays d’origine. Les écoles maternelles des trois plus vastes camps de réfugiés karens visent à promouvoir le développement psychosocial des jeunes enfants en mettant à leur disposition un environnement centré sur l’enfant, créatif et propice à l’apprentissage. Le développement psychosocial ainsi que les comportements potentiellement à risque d’enfants de maternelles de 2 à 5 ans ont été analysés à l’aide d’une liste de contrôle psychosociale. Les résultats révèlent que le développement psychosocial de ces enfants augmente en fonction de leur âge, la plupart des enfants de 5 ans démontrant une capacité à jouer en coopération avec d’autres enfants. Un tiers des enfants manifestent de la tristesse ou des accès d’émotions. On observe également qu’ils ont de la difficulté à se séparer de leurs parents. Les résultats montrent aussi que les enfants qui fréquentaient les écoles maternelles depuis plus d’un an étaient mieux disposés à jouer en coopération avec d’autres enfants et plus conscients de leurs propres sentiments et de ceux des autres. D’autre part, les enfants qui étaient plus nouveaux en maternelle étaient plus polis, suivaient mieux les règlements et contrôlaient mieux leurs émotions quand ils étaient frustrés. Les résultats indiquent que les écoles maternelles peuvent être une pratique prometteuse pour promouvoir le sain développement psychosocial d’enfants en situation prolongée de réfugiés.

Resumen

Los Karen, un grupo étnico minoritario de Birmania, han experimentado un estado de exilio prolongado en campos de refugiados en la vecina Tailandia debido al conflicto étnico en su tierra natal. Las guarderías de los tres campos de refugiados Karen más grandes, tienen el objetivo de promover el desarrollo psicosocial de los niños brindándoles de un ambiente enfocado en ellos, creativo y que invita al aprendizaje. Se examinó el desarrollo psicosocial y comportamientos potencialmente preocupantes de niños de dos a cinco años usando pautas de chequeo psicosocial. Los resultados mostraron que el desarrollo psicosocial de los niños aumenta con la edad, y que la mayoría de los niños de 5 años son capaces de jugar de manera cooperativa con otros niños. Un tercio de los niños presentó tristeza o arrebatos emocionales. También se observó dificultad al separarse de los padres. Los resultados también muestran que los niños que asistieron a guarderías por más de un año eran mejores jugando de forma cooperativa con otros niños y estaban más conscientes de los sentimientos de sí mismos y de los demás. Por otro lado, los niños nuevos en las guarderías eran más corteses y eran mejores siguiendo reglas y controlando sus sentimientos cuando se frustraban. Los resultados indican además que las guarderías pueden ser una práctica prometedora para promover un desarrollo psicosocial saludable de los niños que viven en campos de refugiados por períodos de tiempo prolongado.

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Notes

  1. The new military-backed government after the election of November 2010 implemented a series of reforms and signed a ceasefire with the Karen in January 2012; however, the situation on the ground in Karen areas has not substantially changed (Hindstrom, 2012; Karen Human Rights Group, 2012).

References

  • Alaimo, K., Olson, C. M., & Frongillo, E. A, Jr. (2001). Food insufficiency and American school-aged children’s cognitive, academic, and psychosocial development. Pediatrics, 108(1), 44–53.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (revised) (4th ed.). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Anders, K. E. (1980). Deference for the elders and control over the younger among the Karen in Thailand. Retrieved May 11, 2012, from http://www.ibiblio.org/obl/docs/KirstenEA-Deference.pdf

  • Bassuk, E. L., & Rosenberg, L. (1990). Psychosocial characteristics of homeless children and children with homes. Pediatrics, 85, 257–261.

    Google Scholar 

  • Bombay, A., Matheson, K., & Anisman, H. (2009). Intergenerational trauma: Convergence of multiple processes among First Nations people in Canada. Journal of Aboriginal Health, 5, 6–47.

    Google Scholar 

  • Bowlby, R. (2007). Babies and toddlers in non-parental daycare can avoid stress and anxiety if they develop a lasting secondary attachment bond with one carer who is consistently accessible to them. Attachment & Human Development, 9(4), 307–319.

    Article  Google Scholar 

  • Bronstein, I., & Montgomery, P. (2011). Psychological distress in refugee children: A systematic review. Clinical Child and Family Psychology Review, 14, 44–56.

    Article  Google Scholar 

  • Bureau of Democracy, Human Rights, and Labor. (2007). 2006 country reports on human rights practices: Burma. Retrieved July 23, 2011, from http://www.state.gov/g/drl/rls/hrrpt/2006/78768.htm

  • Bureau of Democracy, Human Rights, and Labor. (2011). 2010 country reports on human rights practices: Burma. Retrieved July 23, 2011, from http://www.state.gov/documents/organization/160450.pdf

  • Burmese Border Consortium. (2004). Twenty years on the border. Bangkok, Thailand: Burmese Border Consortium.

    Google Scholar 

  • Cardno Agrisystems Limited. (2009). Vulnerability analysis in burmese refugee camps in Thailand. Retrieved May 2, 2012, from http://www.tbbc.org/resources/2009-10-livelihoods-vulnerability-analysis.pdf

  • Cassidy, J., & Mohr, J. J. (2001). Unsolvable fear, trauma, and psychopathology: Theory, research, and clinical considerations related to disorganized attachment across the life span. Clinical Psychology: Science and Practice, 8(3), 275–298.

    Article  Google Scholar 

  • Dekel, R., & Goldblatt, H. (2008). Is there intergenerational transmission of trauma? The case of combat veteran’s children. American Journal of Orthopsychiatry, 78(3), 281–289.

    Article  Google Scholar 

  • Fazel, M., Doll, H., & Stein, A. (2009). A school-based mental health intervention for refugee children: An exploratory study. Clinical Child Psychology and Psychiatry, 14(2), 297–309.

    Article  Google Scholar 

  • Flisher, A. J., Kramer, R. A., Hoven, C. W., Greenwald, S., Algeria, M., Bird, H. R., et al. (1997). Psychosocial characteristics of physically abused children and adolescents. Journal of American Academy of Child and Adolescent Psychiatry, 36(1), 123–131.

    Article  Google Scholar 

  • Goldstein, R. D., Wampler, N. S., & Wise, P. H. (1997). War experiences and distress symptoms of Bosnian children. Pediatrics, 100(5), 873–878.

    Article  Google Scholar 

  • Habir, E. E., Marriage, K., Littlefield, L., & Pratt, K. (1994). Teachers’ perceptions of maladaptive behaviour in Lebanese refugee children. Australian and New Zealand Journal of Psychiatry, 28(1), 100–105.

    Article  Google Scholar 

  • Heim, C., & Nemeroff, C. B. (2001). The role of childhood trauma in the neurobiology of mood and anxiety disorders: Preclinical and clinical studies. Biological Psychiatry, 49, 1023–1039.

    Article  Google Scholar 

  • Hindstrom, H. (2012). Attacks continue despite Karen ceasefire. Democratic voice of Burma. Retrieved June 15, 2012, from http://www.dvb.no/news/attacks-continue-despite-karen-ceasefire/20059

  • Human Rights Documentation Unit. (2007). Burma human rights yearbook 2006. Retrieved May 9, 2012, from http://www.ncgub.net/NCGUB/mediagallery/downloadd538.pdf?mid=20070702190012811

  • Human Rights Documentation Unit. (2009). Burma human rights yearbook 2008. Retrieved July 23, 2011, from http://www.ncgub.net/NCGUB/mediagallery/downloadc516.pdf?mid=20091123192152709

  • Karen Buddhist Dhamma Dhutta Foundation. (2010). The Karen people: culture, faith and history. Retrieved May 11, 2012, from http://www.karen.org.au/docs/Karen_people_booklet.pdf

  • Karen Human Rights Group. (2012). Abuse since the DKBA and KNLA ceasefires: Forced labour and arbitrary detention in Dooplaya. Retrieved June 15, 2012, from http://www.khrg.org/khrg2012/khrg12f2.html

  • Kerestes, 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.

    Article  Google Scholar 

  • Kiernan, K. E., & Huerta, M. C. (2008). Economic deprivation, maternal depression, parenting and children’s cognitive and emotional development in early childhood. The British Journal of Sociology, 59(4), 783–806.

    Article  Google Scholar 

  • Kinzie, J. D., Sack, W. H., Angell, R. H., Manson, S., & Rath, B. (1986). The psychiatric effects of massive trauma on Cambodian children: I. The children. Journal of the American Academy of Child Psychiatry, 25(3), 370–376.

    Article  Google Scholar 

  • Lamphear, V. S. (1985). The impact of maltreatment on children’s psychosocial adjustment: A review of the research. Child Abuse and Neglect, 9, 251–263.

    Article  Google Scholar 

  • Lustig, S. L., Kia-Keating, M., Knight, W. G., Geltman, P., Ellis, H., Kinzie, J. D., et al. (2004). Review of child and adolescent refugee mental health. Journal of the American Academy of Child and Adolescent Psychiatry, 43(1), 24–36.

    Article  Google Scholar 

  • Macksoud, M. S., & Aber, J. L. (1996). The war experience and psychosocial development of children in Lebanon. Child Development, 67, 70–88.

    Article  Google Scholar 

  • Milner, J. & Loescher, G. (2011). Responding to protracted refugee situations: Lessons from a decade of discussion. Forced migration policy briefing 6. Retrieved August 21, 2012, from http://repository.forcedmigration.org/pdf/?pid=fmo:5937

  • Miyake, K., Chen, S.-J., & Campos, J. J. (1985). Infant temperament, mother’s mode of interaction, an attachment in Japan: An interim report. Monographs of the Society for Research in Child Development, 50(1/2), 276–297.

    Article  Google Scholar 

  • Mollica, R. F., Poole, C., Son, L., Murray, C. C., & Tor, S. (1997). Effects of war trauma on Cambodian refugee adolescents’ functional health and mental health status. Journal of American Academy of Child and Adolescent Psychiatry, 36(8), 1098–1106.

    Article  Google Scholar 

  • Mosier, C. E., & Rogoff, B. (2003). Privileged treatment of toddlers: Cultural aspects of individual choice and responsibility. Developmental Psychology, 39(6), 1047–1060.

    Article  Google Scholar 

  • Office of the Surgeon General. (1999). Mental health: a report of the surgeon general. Retrieved July 29, 2011, from http://www.surgeongeneral.gov/library/mentalhealth/home.html

  • Osofsky, J. D. (1995). The effects of exposure to violence on young children. American Psychologist, 50(9), 782–788.

    Article  Google Scholar 

  • Phan, Z., & Lewis, D. (2010). Undaunted: my struggle for freedom and survival in Burma. New York, NY: Free Press.

    Google Scholar 

  • Raboteg-Saric, Z., Zuzul, M., & Kerestes, G. (1994). War and children’s aggressive and prosocial behaviour. European Journal of Personality, 8, 201–212.

    Article  Google Scholar 

  • Riley, A. W., Coiro, M. J., Broitman, M., Colantuoni, E., Hurley, K. M., Bandeen-Roche, K., et al. (2009). Mental health of children of low-income depressed mothers: Influences of parenting, family environment, and raters. Psychiatric Services, 60(3), 329–336.

    Article  Google Scholar 

  • Sandy, S. V., & Cochran, K. M. (2000). The development of conflict resolution skills in children: Preschool to adolescence. In M. Deutsch & P. T. Coleman (Eds.), The handbook of conflict resolution: Theory and practice (pp. 316–342). San Francisco, CA, USA: Jossey-Bass.

    Google Scholar 

  • Schuengel, C., Bakermans-Kranenburg, M. J., & Van IJzendoorn, M. H. (1999). Frightening maternal behavior linking unresolved loss and disorganized infant attachment. Journal of Consulting and Clinical Psychology, 67(1), 54–63.

    Article  Google Scholar 

  • South, A. (2011). Burma’s longest war: anatomy of the Karen conflict. Amsterdam, The Netherlands: Transnational Institute and Burma Center Netherlands.

    Google Scholar 

  • Thailand Burma Border Consortium. (n.d.). Mae Sot area. Retrieved May 2, 2012, from http://www.tbbc.org/camps/mst.htm

  • Thailand Burma Border Consortium. (2006). Burmese border refugee sites with population figures: September 2006. Retrieved July 23, 2012, from http://www.tbbc.org/camps/map-2006-09-sep-ccsdpt-tbbc.pdf

  • Thailand Burma Border Consortium. (2007). Programme report: July to December 2006 including revised funding appeal for 2007. Retrieved May 2, 2012, from http://www.tbbc.org/resources/2006-6-mth-rpt-jul-dec.pdf

  • The Karen Women’s Organization. (2007). State of terror: The ongoing rape, murder, torture and forced labour suffered by women living under the Burmese military regime in Karen state. Mae Sariang, Mae Hong Son, Thailand: The Karen Women’s Organization.

    Google Scholar 

  • UNHCR. (2006). 2005 UNHCR statistical yearbook: Thailand. Retrieved July 23, 2011, from http://www.unhcr.org/4641bec911.html

  • UNHCR. (2007). 2006 UNHCR global report: Thailand. Retrieved July 23, 2011, from http://www.unhcr.org/publ/PUBL/4666d2680.pdf

  • Vaage, A. B., Thomsen, P. H., Rousseau, C., Wentzel-Larsen, T., Ta, T. V., & Hauff, E. (2011). Paternal predictors of the mental health of children of Vietnamese refugees. Child and Adolescent Psychiatry and Mental Health, 5(2). Retrieved August 19, 2011, from http://www.capmh.com/content/5/1/2

  • Yehuda, R., Halligan, S. L., & Grossman, R. (2001). Childhood trauma and risk for PTSD: Relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion. Development and Psychopathology, 13, 733–753.

    Article  Google Scholar 

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Acknowledgments

The nursery school program and program evaluation were supported by the Bernard van Leer Foundation. I would like to thank the staff of Taipei Overseas Peace Service for supporting the development of the psychosocial checklist and collecting input and final data from the teachers. Special appreciation goes to Muetae Thitiphanawan for providing information on the program, camp situation, and Karen culture. I also express gratitude to all the nursery school teachers for their great work with children and for completing the checklist for the evaluation. I would also like to thank Dr Charles Oberg for his support and feedback and Anne Maertz for her review and copy editing of the manuscript.

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Tanaka, A. Assessment of the Psychosocial Development of Children Attending Nursery Schools in Karen Refugee Camps in Thailand. IJEC 45, 279–305 (2013). https://doi.org/10.1007/s13158-012-0077-7

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