Prevalence and determinants of PTSD among Palestinian children exposed to military violence

Author: Qouta, S., Punamäki, R.L., El Sarraj, E.

Source:
European Child and Adolescent Psychiatry, 12(6): 265-272, December 2003
The prevalence and determinants of PTSD were assessed among 121 Palestinian children (6-16 years; 45 percent girls and 55 percent boys) living in the area of bombardment. The mothers (21-55 years) and the children themselves reported their exposure to military violence (being personally the target of violence or witnessing it towards others) and symptoms of PTSD (intrusion, avoidance, and hypervigilance). The results showed that 54 percent of the children suffered from severe, 33.5 percent from moderate, and 11 percent from mild and doubtful levels of PTSD. Girls were more vulnerable; 58 percent of them suffered from severe PTSD, and none scored on the mild or doubtful levels of PTSD. The child's gender and age, mother's education, and PTSD symptoms were significant, and the exposure to traumatic experiences marginally significant, determinants of children's PTSD symptoms. The most vulnerable to intrusion symptoms were younger girls whose mothers showed a high level of PTSD symptoms, whereas those most vulnerable to avoidance symptoms were children who had personally been targets of military violence and whose mothers were better educated and showed a high level of PTSD symptoms. The results are discussed in the context of military violence interfering with the protective function of family and home.