Pushpakumara PHGJ,Chandrakumara WAJC

研究背景：斯里兰卡政府在斯里兰卡北部和东部进行了长达三十年的反恐战争。东北部有一些村庄与猛虎组织控制的领土接壤，在这三十年里，这些村庄的社区经常遭到袭击。本研究旨在比较一个受战争影响的边境村庄儿童的心理健康状况，以及一个未受战争直接影响的村庄同龄儿童的心理卫生状况。研究材料和方法：研究对象为一所公立学校的8年级和9年级学生（n=148），并完成了自我管理问卷和经验证的僧伽罗语版优势和困难问卷（SDQ）。138名年龄匹配的学生被选为对照组，他们来自一个社会经济相似但未受战争影响的边境村庄。对照组也完成了同样的问卷调查。研究结果：受试者组包括76名（51%）男性和72名（49%）女性。年龄12-16岁（中位数14，IQR 13-14）。生活在边境村庄的大多数儿童（n=85，57.0%）都经历过与战争有关的某种极其可怕的事件。居住在边境村庄的近五分之一（n=2617.6%）的人因恐怖袭击失去了至少一名直系亲属。大多数边境村庄的儿童（n=94，63.5%）认为战争对他们的生活产生了重大的负面影响。生活在边境村庄的儿童出现行为问题的风险高出2.5倍（OR 3.1，95%CI 1.6至6.0）生活在边境村的儿童出现同伴关系问题的风险多出2倍（OR 1.9，95%CI 1.1至3.2）。生活在边境乡村的儿童出现多动/注意力不集中问题的风险增加2倍（OR2.3，95% CI 1.2至4.2）。研究结论：生活在边境村庄的大多数儿童报告说，他们与内战有不同的接触，这可能会造成相当大的长期心理影响。与非边境村庄的儿童相比，边境村庄的孩子在SDQ上出现临界异常值的风险明显更高。这很可能是由于战争的影响及其对边境村庄儿童心理健康的影响。

心理健康；战争；边境村庄；儿童；冲突

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