Mass Trauma : Disasters, Terrorism, and War - 21/03/14

Doi : 10.1016/j.chc.2013.12.004

Allan K. Chrisman, MD ^a,^b,^c,^⁎ , Joseph G. Dougherty, MD ^d,^e
^a Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA
^b Duke Child and Family Study Center, 2608 Erwin Road Lakeview Pavilion, Suite 300, Durham, NC 27705, USA
^c Mental Health Service Line, Department of Veterans Affairs Medical Center, Durham, NC 27705, USA
^d National Capital Consortium Child and Adolescent Psychiatry Fellowship, Uniformed Services University of the Health Sciences School of Medicine, 4301 Jones Bridge Road, Bethesda, MD 20814, USA
^e Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA

^∗Corresponding author. Duke Child and Family Study Center, 2608 Erwin Road Lakeview Pavilion, Suite 300, Durham, NC 27705.

Résumé

Disasters, war, and terrorism expose millions of children globally to mass trauma with increasing frequency and severity. The clinical impact of such exposure is influenced by a child’s social ecology, which is understood in a risk and resilience framework. Research findings informed by developmental systems theory and the related core principles of contemporary developmental psychopathology are reviewed. Their application to the recent recommendations for interventions based on evolving public health models of community resilience are discussed along with practical clinical tools for individual response.

Le texte complet de cet article est disponible en PDF.

Keywords : Child development, Children, Disasters, Mental health, Terrorism, Mass trauma, War

Plan

Key points

Introduction

Vulnerable pediatric populations

Community Response Strategies

Challenges

Important tools for practice

Skills for Psychological Recovery

Future directions

Summary

Disclosures: Allan K. Chrisman: Doris Duke Foundation; North Carolina Pediatric Society Foundation; this project was supported in part by salary from the Mid-Atlantic Mental Illness Research, Education and Clinical Center, Department of Veterans Affairs (VISN 6 MIRECC) of the Department of Veterans Affairs Office of Mental Health Services; Joseph G. Dougherty has no disclosures to report. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Army, Navy, Defense, or the US Government.