Abstract
The literature on resilience in children affected by armed conflict is limited by (a) a lack of longitudinal research designs, (b) limited knowledge on transactional processes, (c) sparse findings across diverse sociocultural settings, and (d) poor theoretical development. This chapter describes four recent research projects that were aimed at overcoming some of these limitations. First, we report the findings of a longitudinal study of former child soldiers in Sierra Leone that examined risk and protective processes in psychosocial adjustment and social reintegration. Second, we describe how variables at different ecological levels contributed to outcomes on a measure of positive psychosocial well-being, developed in a participatory way with former child soldiers in Nepal. Third, we highlight the role that single-case studies can play in the development of theory regarding treatment processes, by presenting a study with children affected by armed conflict in Burundi and Sudan. Finally, we describe a study that examined mediators and moderators of intervention effects in a cluster randomized trial of a school-based intervention with children in Indonesia. These examples are meant as an illustration of how advances in longitudinal and multilevel statistics, combined with attention to theory development and a participatory context-sensitive approach, may improve understanding of the complexity of resilience of children in areas of armed conflict.
In the previous chapter, we outlined an ecological resilience approach to promoting mental health and psychosocial well-being in children affected by political violence. Subsequently, we reviewed empirical findings on resilience in this population in light of this theoretical framework. The current chapter aims to note major limitations of current relevant knowledge on ecological resilience and describe four recent research efforts that attempted to address some of these limitations.
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References
Baker, R., & Hinton, R. (2001). Approaches to children’s work and rights in Nepal. The Annals of the American Academy of Political and Social Science, 575, 176–193.
Betancourt, T. S., Agnew-Blais, J., Gilman, S. E., Williams, D. R., & Ellis, B. H. (2010). Past horrors, present struggles: The role of stigma in the association between war experiences and psychosocial adjustment among former child soldiers in Sierra. Social Science & Medicine, 70(1), 17–26.
Betancourt, T. S., Borisova, I. I., Williams, T. P., Brennan, R. T., Whitfield, T. H., de la Soudiere, M., et al. (2010). Sierra Leone’s former child soldiers: A follow-up study of psychosocial adjustment and community reintegration. Child Development, 81(4), 1077–1095.
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(6), 606–615.
Betancourt, T. S., & Ettien, A. (2010). Transitional Justice and Youth Formerly Associated with Armed Forces and Groups in Sierra Leone: Acceptance, Marginalization and Psychosocial Adjustment. New York: UNICEF.
Betancourt, T. S., & Khan, K. T. (2008). The mental health of children affected by armed conflict: Protective processes and pathways to resilience. International Review of Psychiatry, 20(3), 317–328.
Betancourt, T. S., Simmons, S., Borisova, I. I., Brewer, S. E., Iweala, U., & de la Soudiere, M. (2008). High hopes, grim reality: Reintegration and the education of former child soldiers in Sierra Leone. Comparative Education Review, 52(4), 565–587.
Betancourt, T. S., Zaeh, S. E., Ettien, A., & Khan, L. N. (2012). Psychosocial adjustment and mental health services in post-conflict Sierra Leone: Experiences of CAAFAG and war-affected youth, families and service providers. In S. Parmentier (Ed.), New Series on Transitional Justice. Antwerp: Intersentia.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge: Harvard University Press.
Bronfenbrenner, U. (Ed.). (2005). Making human beings human: Bioecological perspectives on human development. Thousand Oaks, CA: Sage.
Cummings, E. M., Goeke-Morey, M. C., Schermerhorn, A. C., Merrilees, C. E., & Cairns, E. (2009). Children and political violence from a social ecological perspective: Implications from research on children and families in Northern Ireland. Clinical Child and Family Psychology Review, 12, 16–38.
Feder, A., Nestler, E. J., & Charney, D. S. (2009). Psychobiology and molecular genetics of resilience. National Reviews in Neuroscience, 10(6), 446–457.
Haglund, M. E. M., Nestadt, P. S., Cooper, N. S., Southwick, S. M., & Charney, D. S. (2007). Psychobiological mechanisms of resilience: Relevance to prevention and treatment of stress-related psychopathology. Development and Psychopathology, 19, 889–920.
His Majesty’s Government. (1992). Children’s Act of 2048.
Jordans, M. J. D., Komproe, I. H., Tol, W. A., Smallegange, E., Ntamutumba, P., & de Jong, J. T. V. M. (2012). Potential treatment mechanisms of counseling for children in Burundi: A series of n=1 studies. The American Journal of Orthopsychiatry, 82, 338–348.
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(1), 2–14.
Karki, R., Kohrt, B. A., & Jordans, M. J. D. (2009). Child led indicators: Pilot testing a child participation tool for psychosocial support programmes for former child soldiers in Nepal. Intervention: International Journal of Mental Health, Psychosocial Work & Counselling in Areas of Armed Conflict, 7(2), 92–109.
Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, 1–27.
Kazdin, A. E., & Nock, M. E. (2003). Delineating mechanisms of change in child and adolescent therapy: Methodological issues and research recommendations. Journal of Child Psychology and Psychiatry, 44(8), 1116–1129.
Kohrt, B. A. (2009). Vulnerable social groups in post-conflict settings: A mixed-methods policy analysis and epidemiology study of caste and psychological morbidity in Nepal. Intervention: International Journal of Mental Health, Psychosocial Work & Counselling in Areas of Armed Conflict, 7(3), 239–264.
Kohrt, B. A., & Harper, I. (2008). Navigating diagnoses: Understanding mind-body relations, mental health, and stigma in Nepal. Culture, Medicine and Psychiatry, 32(4), 462–491.
Kohrt, B. A., & Hruschka, D. J. (2010). Nepali concepts of psychological trauma: The role of idioms of distress, ethnopsychology and ethnophysiology in alleviating suffering and preventing stigma. Culture, Medicine and Psychiatry, 34(2), 322–352.
Kraemer, H. C., Wilson, T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in clinical trials. Archives of General Psychiatry, 59, 877–883.
Lundervold, D. A., & Belwood, M. F. (2000). The best kept secret in counseling: Single-case (n=1) experimental designs. Journal of Counseling and Development, 78, 92–102.
MacMullin, C., & Loughry, M. (2004). Investigating psychosocial adjustment of former child soldiers in Sierra Leone and Uganda. Journal of Refugee Studies, 17(4), 460–472.
Masten, A. S. (2007). Resilience in developing systems: Progress and promise as the fourth wave rises. Development and Psychopathology, 19, 921–930.
Punamaki, 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(3), 256–276.
Sameroff, A. J., & Mackenzie, M. J. (2003). Research strategies for capturing transactional models of development: The limits of the possible. Development and Psychopathology, 15, 613–640.
Shonkoff, J. P. (2010). Building a new biodevelopmental framework to guide the future of early childhood policy. Child Development, 81(1), 357–367.
Shonkoff, J. P., & Phillips, D. A. (2000). From neurons to neighborhoods: The science of early childhood development. Washington, DC: National Academy Press.
Tol, W. A., Komproe, I. H., Jordans, M. J. D., Gross, A. L., Susanty, D., Macy, R. D., et al. (2010). Mediators and moderators of a psychosocial intervention for children affected by political violence. Journal of Consulting and Clinical Psychology, 78(6), 818–828.
Tol, W. A., Komproe, I. H., Susanty, D., Jordans, M. J. D., Macy, R. D., & De Jong, J. T. V. M. (2008). School-based mental health intervention for children affected by political violence in Indonesia: A cluster randomized trial. Journal of the American Medical Association, 300(6), 655–662.
Tol, W. A., Reis, R., Susanty, D., & de Jong, J. T. V. M. (2010). Communal violence and child psychosocial wellbeing: Qualitative findings from Poso, Indonesia. Transcultural Psychiatry, 47(1), 112–135.
Ungar, M. (2008). Resilience across cultures. British Journal of Social Work, 38(2), 218–235.
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Tol, W.A., Jordans, M.J.D., Kohrt, B.A., Betancourt, T.S., Komproe, I.H. (2013). Promoting Mental Health and Psychosocial Well-Being in Children Affected by Political Violence: Part II—Expanding the Evidence Base. In: Fernando, C., Ferrari, M. (eds) Handbook of Resilience in Children of War. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6375-7_3
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