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3 - Children and disasters: public mental health approaches

from Part II - Foundations of disaster psychiatry

Published online by Cambridge University Press:  09 August 2009

Robert S. Pynoos
Affiliation:
Center Director National Center for Child Traumatic Stress
Alan M. Steinberg
Affiliation:
Associate Director University of California
Melissa J. Brymer
Affiliation:
Director Terrorism and Disaster Programs National Center for Child Traumatic Stress USA
Robert J. Ursano
Affiliation:
Uniformed Services University of the Health Sciences, Maryland
Carol S. Fullerton
Affiliation:
Uniformed Services University of the Health Sciences, Maryland
Lars Weisaeth
Affiliation:
Universitetet i Oslo
Beverley Raphael
Affiliation:
University of Western Sydney
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Summary

Introduction

It has been estimated that, each year between 1990 and 1999, an average of 188 million people worldwide were affected by disaster, six times more than the average of 31 million people affected annually by conflict (International Strategy for Disaster Reduction, 2005). These figures for disasters do not include estimates for smaller disasters that typically are under-reported. Of particular concern around the world is that weather-related disasters have increased over the past decade, as evidenced by the devastating hurricanes across the Gulf Coast in the United States. Along with natural disasters, the possibility of Weapons of Mass Destruction (WMD) terrorism places significant numbers of children and families at enormous risk for psychosocial morbidity, and places extreme demands on shelters, schools, primary care settings, health and mental health care facilities, as well as federal, state and local agencies and organizations that play a role in coordinating or participating in disaster response. Children have unique risks from WMDs due to various physiological and psychological factors, including susceptibility to radiation, propensity to become hypothermic from mass decontamination, inadequate availability of pediatric emergency care and equipment, contraindications for pediatric use of standard treatments, and possible greater risk from the biological agents themselves (Pynoos et al., 2005a). Pandemic flu represents another type of catastrophic scenario, with special mental health aspects for children and families, including issues of potential quarantine for long periods.

To date, there are no reliable large-scale epidemiological data on the morbidity or mortality of children exposed to terrorism and disaster.

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Publisher: Cambridge University Press
Print publication year: 2007

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References

Ahmad, A., Sofi, M. A., Sundelin-Wahlsten, V. & Knorring, A. L. (2000). Posttraumatic stress disorder in children after the military operation “Anfal” in Iraqi Kurdistan. European Child and Adolescent Psychiatry, 9, 235–243.Google Scholar
Allen, A., Saltzman, W. R., Brymer, M. J., Oshri, A. & Silverman, W. K. (2006). An empirically informed intervention for children following exposure to severe hurricanes. Behavior Therapist, 29, 118–124.Google Scholar
Almqvist, K. & Hwang, P. (1999). Iranian refugees in Sweden. Coping processes in children and their families. Childhood, 6, 167–188.Google Scholar
Asarnow, J., Glynn, S., Pynoos, R. S.et al. (1999). When the earth stops shaking: earthquake sequelae among children diagnosed for pre-earthquake psychopathology. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 1016–1023.Google Scholar
Balaban, V. F., Steinberg, A. M., Brymer, M. J. et al. (2005). Screening and assessment for children's psychosocial needs following war and terrorism. In Promoting the Psychosocial Well-Being of Children Following War and Terrorism, eds. Friedman, M. J. & Mikus-Kos, A., pp. 121–161. Amsterdam: IOS Press.
Brown, E. J. & Goodman, R. F. (2005). Childhood traumatic grief: an exploration of the construct in children bereaved on September 11. Journal of Clinical Child and Adolescent Psychology, 34, 248–259.Google Scholar
Chemtob, C. M., Nakashima, J. & Carlson, J. G. (2002a). Brief treatment for elementary school children with disaster-related posttraumatic stress disorder: a field study. Journal of Clinical Psychology, 58, 99–112.Google Scholar
Chemtob, C. M., Nakashima, J. P., Roger, S. & Hamada, S. (2002b). Psychosocial intervention for post-disaster trauma symptoms in elementary school children. Archives of Pediatric and Adolescent Medicine, 56, 211–216.Google Scholar
Cohen, J. A. (2005). Treating traumatized children: current status and future directions. Journal of Trauma and Dissociation, 6, 109–121.Google Scholar
Cohen, J. A. & Mannarino, A. P. (2004). Treatment of childhood traumatic grief. Journal of Clinical Child and Adolescent Psychology, 33, 819–831.Google Scholar
Cohen, J. A., Mannarino, A. P., Gibson, L. E. et al. (2006). Interventions for children and adolescents following disasters. In Interventions Following Mass Violence and Disaster: Strategies for Mental Health Practice, eds. Ritchie, E. C., Watson, P. J. & Friedman, M. J., pp. 227–256. New York: Guilford.
Compas, B. E., Connor-Smith, J. K., Saltzman, H., Thomsen, A. H. & Wadsworth, M. E. (2001). Coping with stress during childhood and adolescence: problems, progress, and potential in theory and research. Psychological Bulletin, 127, 87–127.Google Scholar
Fairbrother, G., Stuber, J., Galea, S., Fleischman, A. R. & Pfefferbaum, B. (2003). Posttraumatic stress reactions in New York City children after the September 11, 2001, terrorist attacks. Ambulatory Pediatrics, 3, 304–311.Google Scholar
Fairbrother, G., Stuber, J., Galea, S., Pfefferbaum, B. & Fleischman, A. R. (2004). Unmet need for counseling services by children in New York city after the September 11 attacks on the World Trade Center: implications for pediatricians. Pediatrics, 113, 1367–1374.Google Scholar
Furman, R. (1973). A child's capacity for mourning. In The Child in his Family: The Impact of Disease and Death, eds. Anthony, E. J. & Koupernik, C., pp. 225–231. New York: John Wiley & Sons.
Goenjian, A. K. (1993). A mental health relief programme in Armenia after the 1988 earthquake: implementation and clinical observations. British Journal of Psychiatry, 163, 230–239.Google Scholar
Goenjian, A. K., Pynoos, R. S., Steinberg, A. M.et al. (1995). Psychiatric comorbidity in children after the 1988 earthquake in Armenia. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 1174–1184.Google Scholar
Goenjian, A. K., Pynoos, R. S., Karayan, I.et al. (1997). Outcome of psychotherapy among pre-adolescents after the 1988 earthquake in Armenia. American Journal of Psychiatry, 154, 536–542.Google Scholar
Goenjian, A. K., Stilwell, B. M., Steinberg, A. M.et al. (1999). Moral development and psychopathological interference with conscience functioning among adolescents after trauma. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 376–384.Google Scholar
Goenjian, A. K., Molina, L., Steinberg, A. M.et al. (2001). Posttraumatic stress and depressive reactions among Nicaraguan adolescents after hurricane Mitch. American Journal of Psychiatry, 158, 788–794.Google Scholar
Goenjian, A. K., Walling, D., Steinberg, A. M.et al. (2005). Five years post-disaster: a prospective study of posttraumatic stress and depressive reactions among treated and untreated adolescents. American Journal of Psychiatry, 12, 2302–2308.Google Scholar
Green, B. L., Korol, M., Grace, M. C.et al. (1991). Children and disaster: age, gender, and parental effects of PTSD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 30, 945–951.Google Scholar
Guarnaccia, S., Canino, G., Rubio-Stipec, M. & Braro, M. (1993). The prevalence of ataques de nerrios in the Puerto Ricodisaster study. The role of culture in psychiatric epidemiology. Journal of Nervous and Mental Diseases, 181, 157–165.Google Scholar
Halcon, L. L., Robertson, C. L., Savik, K.et al. (2004). Trauma and coping in Somali and Oromo refugee youth. Journal of Adolescent Health, 35, 17–25.Google Scholar
Hanford, H. A., Mayes, S. D., Mattison, R. E.et al. (1986). Child and parent reactions to the Three Mile Island nuclear accident. Journal of the American Academy of Child and Adolescent Psychiatry, 25, 346–356.Google Scholar
Hoven, C. W., Duarte, C. S., Lucas, C. P.et al. (2005). Psychopathology among New York city public school children 6 months after September 11. Archives of General Psychiatry, 62, 545–552.Google Scholar
International Strategy for Disaster Reduction. (2005). Available at www.unisdr.org.
Jones, L. & Kafetsios, K. (2002). Assessing adolescents' mental health in war-affected societies: the significance of symptoms. Child Abuse and Neglect, 26, 1059–1080.Google Scholar
Jones, R. T., Hadder, J. M., Carvajal, F. et al. (2006). Conducting research in diverse, minority, and marginalized communities. In Methods for Disaster Mental Health Research, eds. Norris, F., Galea, S., Friedman, M. & Watson, P.. New York: Guilford Press.
Kinzie, J. D., Boehnlein, J. & Sack, W. H. (1998). The effects of massive trauma on Cambodian parents and children. In International Handbook of Multigenerational Legacies of Trauma. The Plenum Series on Stress and Coping, ed. Danieli, Y., pp. 211–222. New York: Plenum Press.
Kline, P. M. & Mone, E. (2003). Coping with war: three strategies employed by adolescent citizens of Sierra Leone. Child and Adolescent Social Work Journal, 20, 321–333.Google Scholar
Laor, N., Wolmer, L., Mayes, L. C.et al. (1997). Israeli preschool children under Scuds: a 30-month follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 349–356.Google Scholar
Laor, N., Wolmer, L. & Cohen, D. J. (2001). Mothers' functioning and children's symptoms 5 years after a SCUD missile attack. American Journal of Psychiatry, 158, 1020–1026.Google Scholar
Layne, C. M., Pynoos, R. S., Saltzman, W. R.et al. (2001). Trauma/grief-focused group psychotherapy: school-based postwar intervention with traumatized Bosnian adolescents. Group Dynamics Theory, Research and Practice, 5, 277–290.Google Scholar
Layne, C. M., Warren, J. S., Saltzman, W. S. et al. (2006). Contextual influences on posttraumatic adjustment: retraumatization and the roles of revictimization, posttraumatic adversities and distressing reminders. In Psychological Effects of Catastrophic Disasters: Group Approaches to Treatment, eds. Schein, L. A., Spitz, H. I., Burlingame, G. M. & Muskin, P. R., pp. 235–286. New York: Haworth Press.
March, J. S., Amaya-Jackson, L., Murry, M. C. & Schulte, A. (1998). Cognitive-behavioral psychotherapy for children and adolescents with posttraumatic stress disorder after an industrial fire. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 585–593.Google Scholar
McNally, R. J., Bryant, R. A. & Ehlers, A. (2003). Does early psychological intervention promote recovery from posttraumatic stress?Psychological Science in the Public Interest, 4, 45–79.Google Scholar
Mollica, R. F., Cui, X., McInnes, K. & Massagli, M. P. (2002). Science-based policy for psychosocial interventions in refugee camps: a cambodian example. Journal of Nervous and Mental Diseases, 190, 158–166.Google Scholar
Nader, K., Pynoos, R., Fairbanks, L. & Frederick, C. (1990). Children's PTSD reactions one year after a sniper attack at their school. American Journal of Psychiatry, 147, 1526–1530.Google Scholar
Pfefferbaum, B., Nixon, S. J., Krug, R. S.et al. (1999). Clinical needs assessment of middle and high school students following the 1995 Oklahoma City bombing. American Journal of Psychiatry, 156, 1069–1074.Google Scholar
Pfefferbaum, B., Nixon, S. J., Tivis, R. D.et al. (2001). Television exposure in children after a terrorist incident. Psychiatry, 64, 202–211.Google Scholar
Pynoos, R. S. (1992). Grief and trauma in children and adolescents. Bereavement Care, 11, 2–10.Google Scholar
Pynoos, R. S. & Steinberg, A. M. (2006). Recovery of children and adolescents after exposure to violence: a developmental ecological framework. In Interventions for children Exposed to Violence, eds. Lieberman, A. F. & DeMartino, R., pp. 17–44. New Jersey: Johnson & Johnson Pediatric Institute.
Pynoos, R. S., Frederick, C., Nader, K.et al. (1987). Life threat and posttraumatic stress in school-age children. Archives of General Psychiatry, 44, 1057–1063.Google Scholar
Pynoos, R. S., Goenjian, A., Tashjian, M.et al. (1993). Post-traumatic stress reactions in children after the 1988 Armenian earthquake. British Journal of Psychiatry, 163, 239–247.Google Scholar
Pynoos, R. S., Steinberg, A. M. & Wraith, R. (1995). A developmental model of childhood traumatic stress. In Manual of Developmental Psychopathology: Risk, Disorder and Adaptation, eds. Cicchetti, D. & Cohen, D. J., pp. 72–93. New York: John Wiley & Sons.
Pynoos, R. S., Steinberg, A. M., Ornitz, E. M. & Goenjian, A. K. (1997). Issues in the developmental neurobiology of traumatic stress. Annals of the New York Academy of Sciences, 821, 176–193.Google Scholar
Pynoos, R. S., Goenjian, A. K. & Steinberg, A. M. (1998). A public mental health approach to the postdisaster treatment of children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 7, 195–210.Google Scholar
Pynoos, R. S., Steinberg, A. M. & Piacentini, J. C. (1999). A developmental psychopathology model of childhood traumatic stress and intersection with anxiety disorders. Biological Psychiatry, 46, 1542–1554.Google Scholar
Pynoos, R., Schreiber, M. D., Steinberg, A. M. & Pfefferbaum, B. J. (2005a). Impact of terrorism on children. In Comprehensive Textbook of Psychiatry, 8th edn., eds. Sadock, B. J. & Sadock, V. A., pp. 3551–3564. Philadelphia: Lippincott Williams & Wilkins.
Pynoos, R. S., Steinberg, A. M., Schreiber, M. D. & Brymer, M. (2005b). Children and families: a new framework for preparedness and response to danger, terrorism and trauma. In Psychological Effects of Catastrophic Disasters: Group Approaches to Treatment, eds. Schein, L. A., Spitz, H. I., Burlingame, G. M. & Mushkin, P. R., pp. 83–112. New York: Haworth Press.
Roussos, A., Goenjian, A. K., Steinberg, A. M.et al. (2005). Posttraumatic stress and depressive reactions among children and adolescents after the 1999 Ano Liosia earthquake in Greece. American Journal of Psychiatry, 162, 530–537.Google Scholar
Sack, W. H., Clarke, G. N., Kinney, R.et al. (1995). The Khmer Adolescent Project. II: Functional capacities in two generations of Cambodian refugees. Journal of Nervous and Mental Disease, 183, 177–181.Google Scholar
Saltzman, W. R., Layne, C. M., Steinberg, A. M., Arslanagic, B. & Pynoos, R. S. (2003). Developing a culturally and ecologically sound intervention program for youth exposed to war and terrorism. Child and Adolescent Psychiatric Clinics of North America, 12, 319–342.Google Scholar
Savin, D., Sack, W. H., Clarke, G. N., Meas, N. & Richart, I. (1996). The Khmer Adolescent Project: III. A study of trauma from Thailand's Site II refugee camp. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 384–391.Google Scholar
Shaw, J. A., Applegate, B., Tanner, S.et al. (1995). Psychological effects of Hurricane Andrew on an elementary school population. Journal of American Academy of Child and Adolescent Psychiatry, 34, 1185–1192.Google Scholar
Steinberg, A. M. & Ritzmann, R. F. (1990). A living systems approach to understanding the concept of stress. Behavioral Science, 35, 138–146.Google Scholar
Steinberg, A. M., Brymer, M. J., Decker, K. & Pynoos, R. S. (2004). The UCLA PTSD Reaction Index. Current Psychiatry Reports, 6, 96–100.Google Scholar
Steinberg, A. M., Brymer, M. J., Steinberg, J. R. & Pfefferbaum, B. (2006). Conducting research with children and adolescents after disaster. In Methods for Disaster Mental Health Research, eds. Norris, F., Galea, S., Friedman, M. & Watson, P.. New York: Guildford.
Stuber, J., Galea, S., Pfefferbaum, B.et al. (2005). Behavior problems in New York City's children after the September 11, 2001, terrorist attack. American Journal of Orthopsychiatry, 75, 190–200.Google Scholar
Terr, L. (1983). Chowchilla revisited: the effects of psychic trauma four years after a schoolbus kidnapping. American Journal of Psychiatry, 140, 1543–1550.Google Scholar
US Government (1976). Rules and regulations for the Disaster Relief Act. PL 93–288, Section 413. Federal Register, November 6, 1976.
Vernberg, E. M., Silverman, W. K., Greca, A. M. & Prinstein, M. J. (1996). Prediction of posttraumatic stress symptoms in children after Hurricane Andrew. Journal of Abnormal Psychology, 105, 237–248.Google Scholar
Vogel, M. & Vernberg, E. M. (1993). Psychological responses of children to natural and human-made disasters: I. Children's psychological reactions to disasters. Journal of Clinical Child Psychology, 22, 464–484.Google Scholar
Yule, W. (1992). Post-traumatic stress disorder in child survivors of shipping disasters; the sinking of the “Jupiter.”Psychotherapy and Psychosomatics, 57, 200–205.Google Scholar
Yule, W., Udwin, O. & Murdoch, K. (1990). The “Jupiter” sinking: effects on children's fears, depression and anxiety. Journal of Child Psychology and Psychiatry and Allied Disciplines, 31, 1051–1061.Google Scholar

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