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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Kohrt, BA; Jordans, MJD; Tol, WA; Perera, E; Karki, R; Koirala, S; Upadhaya, N

Published Date

  • November 2010

Published In

Volume / Issue

  • 47 / 5

Start / End Page

  • 727 - 753

PubMed ID

  • 21088102

Pubmed Central ID

  • PMC3833694

Electronic International Standard Serial Number (EISSN)

  • 1461-7471

Digital Object Identifier (DOI)

  • 10.1177/1363461510381290


  • eng

Conference Location

  • England