Dynamics of the psychological state of internally displaced school-age children and adolescents
DOI:
https://doi.org/10.15574/SP.2024.7(143).6874Keywords:
adolescents, internally displaced persons, local residents, emotional state, questionnaire, psychological supportAbstract
Internally displaced persons (IDPs) are one of the most disadvantaged population groups in countries affected by hostilities, man-made disasters or other social conflicts and violence.
Aim - to identify gender peculiarities of the emotional state of school-age children and adolescents in war conditions in order to develop effective strategies for psychological support in a timely manner.
Materials and methods. In May 2022, 1017 IDPs adolescents and 4144 adolescents from Lviv and Lviv region (LR) were surveyed anonymously, and a year later, 1173 adolescents in Lviv region, including 139 IDPs.
Results. An analysis of responses about feelings, impressions and emotional state of school-age children and adolescents shows that fear for the lives of their relatives and their fate was the most significant feeling for both IDPs and local residents. Fear for home, housing, and family property remained the second most important fear. A constant feeling of anxiety, helplessness and despair was reported by one-third of IDPs children and adolescents at the beginning of hostilities and evacuation, but during the year this figure decreased to the level of LR. These feelings were more often experienced by girls, regardless of their city of residence. Almost half of all respondents, regardless of their city of residence and gender, reported anger at the situation. Most adolescents expressed confidence that everything will be fine. By almost all indicators, girls from the IDPs group were more emotionally stressed.
Conclusions. The problem of the health status of school-age children and adolescents of IDPs and the organization of medical and psychological assistance to them requires careful study and solution. The traumatic events of the war in Ukraine and the internal migration of school-age children and adolescents have had a significant impact on the mental state of not only them, but also local residents, especially girls. This group of children should be considered as a risk group. Determining their emotional state is of great importance for the prevention of reducing the prevalence of psychopathology, psychosocial dysfunction, timely diagnosis and treatment.
No conflict of interest was declared by the authors.
References
Akkaya-Kalayci T, Popow C, Waldhör T, Winkler D, Özlü-Erkilic Z. (2017, Mar). Psychiatric emergencies of minors with and without migration background. Neuropsychiatr. 31(1): 1-7. Epub 2016 Dec 13. https://doi.org/10.1007/s40211-016-0213-y; PMid:27966096 PMCid:PMC5348547
Andrade AS, Roca JS, Pérez SR. (2023, Mar 20). Children's emotional and behavioral response following a migration: a scoping review. J Migr Health. 7: 100176. https://doi.org/10.1016/j.jmh.2023.100176; PMid:37034241 PMCid:PMC10074795
Axelsson L, Bäärnhielm S, Dalman C, Hollander A-C. (2020). Differences in psychiatric care utilisation among unaccompanied refugee minors, accompanied migrant minors and Swedish-born minors. Soc. Psychiatry Psychiatr. Epidemiol. 55(11): 1449-1456. https://doi.org/10.1007/s00127-020-01883-z; PMid:32405789 PMCid:PMC7578114
Beiser M, Puente-Duran S, Hou F. (2015). Cultural distance and emotional problems among immigrant and refugee youth in Canada: Findings from the New Canadian Child and Youth Study (NCCYS). Int. J. Intercult. Relat. 49: 33-45. https://doi.org/10.1016/j.ijintrel.2015.06.005
Bianchi D, Cavicchiolo E, Lucidi F, Manganelli S, Girelli L et al. (2021). School dropout intention and self-esteem in immigrant and native students living in poverty: the protective role of peer acceptance at school. School Mental Health. 13(2): 266-278. https://doi.org/10.1007/s12310-021-09410-4
Buchanan ZE, Abu-Rayya HM, Kashima E, Paxton SJ, Sam DL. (2018). Perceived discrimination, language proficiencies, and adaptation: Comparisons between refugee and non-refugee immigrant youth in Australia Int. J. Intercult. Relat. 63: 105-112. https://doi.org/10.1016/j.ijintrel.2017.10.006
Celik R, Altay N, Yurttutan S, Toruner EK. (2019). Emotional indicators and anxiety levels of immigrant children who have been exposed to warfare. J. Child Adolesc. Psychiatr. Nurs. 32(2): 51-60. https://doi.org/10.1111/jcap.12233; PMid:30977580
Cotter S, Healy C, Ni Cathain D, Williams P, Clarke M, Cannon M. (2019). Psychopathology and early life stress in migrant youths: an analysis of the 'Growing up in Ireland' study. Irish J. Psychol. Med. 36(3): 177-185. https://doi.org/10.1017/ipm.2018.53; PMid:30764889
Danylenko H ta in. (2022). Medyko-sotsialni aspekty stanu zdorov'ia pidlitkiv - vnutrishno peremishchenykh osib. Okhorona zdorov'ia ditei ta pidlitkiv. 2: 8-13.
Duinhof EL, Smid SC, Vollebergh WAM, Stevens GWJM. (2020). Immigration background and adolescent mental health problems: the role of family affluence, adolescent educational level and gender. Soc. Psychiatry Psychiatr Epidemiol. 55(4): 435-445. https://doi.org/10.1007/s00127-019-01821-8; PMid:31932903
Fang L, Sun RCF, Yuen M. (2016). Acculturation, Economic Stress, Social Relationships and School Satisfaction Among Migrant Children in Urban China. J Happiness Stud. 17: 507-531. https://doi.org/10.1007/s10902-014-9604-6
Hvass AM, Wejse C. (2017). Systematic health screening of refugees after resettlement in recipient countries: A scoping review. Annals of Human Biology. 44: 475-483. https://doi.org/10.1080/03014460.2017.1330897; PMid:28562071
Khamis V. (2019). Post-traumatic stress disorder and emotion dysregulation among Syrian refugee children and adolescents resettled in Lebanon and Jordan. Child Abuse & Neglect. 89: 29-39. https://doi.org/10.1016/j.chiabu.2018.12.013; PMid:30612072
Khan NZ, Shilpi AB, Sultana R, Sarker S, Razia S et al. (2019). Displaced Rohingya children at high risk for mental health problems: Findings from refugee camps with in Bangladesh. Child: Care, Health and Development. 45: 28-35. https://doi.org/10.1111/cch.12623; PMid:30335204
Minreintehratsii Ukrainy. (2023). Minreintehratsii zvituie pro robotu u 2022 rotsi. URL: https://minre.gov.ua/news/minreintegraciyi-zvituye-pro-robotu-u-2022-roci.
MON Ukrainy. (2022). De i yak navchaiutsia ukrainski dity v chasy viiny: problemy, propozytsii, rekomendatsii. URL: https://eo.gov.ua/de-i-iak-navchaiutsia-ukrainski-dity-v-chasy-viyny-problemy-propozytsii-rekomendatsii/2022/11/16/.
Pirozhenko TO. (2006). Psykholohichna kharakterystyka mizhosobystisnykh stosunkiv suchasnykh pidlitkiv. Ukrainska psykholohiia: suchasnyi potentsial. Kyiv: DOK. T. 2: 332-338.
Schwartz L, Nakonechna M, Campbell G, Brunner D, Stadler C, Schmid M et al. (2022, Sep 29). Addressing the mental health needs and burdens of children fleeing war: a field update from ongoing mental health and psychosocial support efforts at the Ukrainian border. Eur J Psychotraumatol. 13(2): 2101759. https://doi.org/10.1080/20008198.2022.2101759; PMid:36212118 PMCid:PMC9543048
Semikina МY, Fedchenko VY, Yavdak OY, Cheredniakova OS, Volkova SO. (2020). The peculiarities of emotional state of internally displaced persons Psychiatry, Neurology and Medical Psychology. (13). doi: 10.26565/2312-5675-2020-13-0.
Spaas C, Verelst A, Devlieger I еt al. (2022). Mental Health of Refugee and Non-refugee Migrant Young People in European Secondary Education: The Role of Family Separation, Daily Material Stress and Perceived Discrimination in Resettlement. J Youth Adolescence. 51: 848-870. https://doi.org/10.1007/s10964-021-01515-y; PMid:34686949
Sprynska ZV. (2018). Psykholohichni osoblyvosti vnutrishno peremishchenykh osib. Teoriia i praktyka suchasnoi psykholohii. 6: 50-56.
Stark L, Seff I, Yu G, Salama M, Wessells M et al. (2022). Correlates of suicide ideation and resilience among native- and foreign-born adolescents in the United States. J. Adolesc. Health. 70(1): 91-98. https://doi.org/10.1016/j.jadohealth.2021.07.012; PMid:34412951
Stevens GW, Walsh SD, Huijts T, Maes M, Madsen KR et al. (2015, Dec). An Internationally Comparative Study of Immigration and Adolescent Emotional and Behavioral Problems: Effects of Generation and Gender. J Adolesc Health. 57(6): 587-594. Epub 2015 Aug 21. https://doi.org/10.1016/j.jadohealth.2015.07.001; PMid:26304003
Tello AM, Castellon NE, Aguilar A, Sawyer CB. (2017). Unaccompanied refugee minors from Central America: understanding their journey and implications for counselors. The Professional Counselor. 7(4): 360-374. https://doi.org/10.15241/amt.7.4.360
Verkhovna Rada Ukrainy. (2015). Pro zabezpechennia prav i svobod vnutrishno peremishchenykh osib. Zakon Ukrainy. Vidomosti Verkhovnoi Rady 1; st.1.
Ying L, Yan Q, Shen X et al. (2019). Economic Pressure and Loneliness in Migrant Children in China: The Mediating Roles of Parent-Child Communication and Parental Warmth. Child Psychiatry Hum Dev. 50: 142-149. https://doi.org/10.1007/s10578-018-0827-3; PMid:29982974
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