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Social ecology of child soldiers: child, family, and community determinants of mental health, psychosocial well-being, and reintegration in Nepal.

Publication ,  Journal Article
Kohrt, BA; Jordans, MJD; Tol, WA; Perera, E; Karki, R; Koirala, S; Upadhaya, N
Published in: Transcult Psychiatry
November 2010

This study employed a social ecology framework to evaluate psychosocial well-being in a cross-sectional sample of 142 former child soldiers in Nepal. Outcome measures included the Depression Self Rating Scale (DSRS), Child Posttraumatic Stress Disorder Symptom Scale (CPSS), and locally developed measures of functional impairment and reintegration. Hierarchical linear modeling was used to examine the contribution of factors at multiple levels. At the child level, traumatic exposures, especially torture, predicted poor outcomes, while education improved outcomes. At the family level, conflict-related death of a relative, physical abuse in the household, and loss of wealth during the conflict predicted poor outcomes. At the community level, living in high caste Hindu communities predicted lack of reintegration supports. Ultimately, social ecology is well suited to identify intervention foci across ecological levels based on community differences in vulnerability and protective factors.

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Published In

Transcult Psychiatry

DOI

EISSN

1461-7471

Publication Date

November 2010

Volume

47

Issue

5

Start / End Page

727 / 753

Location

England

Related Subject Headings

  • Torture
  • Stress Disorders, Post-Traumatic
  • Socioeconomic Factors
  • Socialization
  • Social Support
  • Social Environment
  • Risk Factors
  • Residence Characteristics
  • Religion and Psychology
  • Psychiatry
 

Citation

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Kohrt, B. A., Jordans, M. J. D., Tol, W. A., Perera, E., Karki, R., Koirala, S., & Upadhaya, N. (2010). Social ecology of child soldiers: child, family, and community determinants of mental health, psychosocial well-being, and reintegration in Nepal. Transcult Psychiatry, 47(5), 727–753. https://doi.org/10.1177/1363461510381290
Kohrt, Brandon A., Mark J. D. Jordans, Wietse A. Tol, Em Perera, Rohit Karki, Suraj Koirala, and Nawaraj Upadhaya. “Social ecology of child soldiers: child, family, and community determinants of mental health, psychosocial well-being, and reintegration in Nepal.Transcult Psychiatry 47, no. 5 (November 2010): 727–53. https://doi.org/10.1177/1363461510381290.
Kohrt BA, Jordans MJD, Tol WA, Perera E, Karki R, Koirala S, et al. Social ecology of child soldiers: child, family, and community determinants of mental health, psychosocial well-being, and reintegration in Nepal. Transcult Psychiatry. 2010 Nov;47(5):727–53.
Kohrt, Brandon A., et al. “Social ecology of child soldiers: child, family, and community determinants of mental health, psychosocial well-being, and reintegration in Nepal.Transcult Psychiatry, vol. 47, no. 5, Nov. 2010, pp. 727–53. Pubmed, doi:10.1177/1363461510381290.
Kohrt BA, Jordans MJD, Tol WA, Perera E, Karki R, Koirala S, Upadhaya N. Social ecology of child soldiers: child, family, and community determinants of mental health, psychosocial well-being, and reintegration in Nepal. Transcult Psychiatry. 2010 Nov;47(5):727–753.
Journal cover image

Published In

Transcult Psychiatry

DOI

EISSN

1461-7471

Publication Date

November 2010

Volume

47

Issue

5

Start / End Page

727 / 753

Location

England

Related Subject Headings

  • Torture
  • Stress Disorders, Post-Traumatic
  • Socioeconomic Factors
  • Socialization
  • Social Support
  • Social Environment
  • Risk Factors
  • Residence Characteristics
  • Religion and Psychology
  • Psychiatry