Understanding resilience in armed conflict: social resources and mental health of children in Burundi.

Journal: Social science & medicine (1982)

Volume: 114

Issue: 

Year of Publication: 2015

Affiliated Institutions:  Macau (SAR), People's Republic of China; Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, N. Broadway, Baltimore, MD , USA. Electronic address: brianhall@umac.mo. Johns Hopkins Bloomberg School of Public Health, Department of Mental Health, N. Broadway, Baltimore, MD , USA. Healthnet TPO, RG Amsterdam, The Netherlands; Kings College, Institute of Psychiatry, Strand, London WCR LS, United Kingdom. Amsterdam Institute for Social Science Research (AISSR), University of Amsterdam, Kloveniersburgwal , CX Amsterdam, The Netherlands; Boston University School of Medicine, E Concord St, Boston, MA , USA; Cultural and International Psychiatry VU University Medical Center, De Boelelaan , HZ Amsterdam, The Netherlands; Rhodes University, Drosty Rd, Grahamstown , South Africa.

Abstract summary 

Little is known about the role of cognitive social capital among war-affected youth in low- and middle-income countries. We examined the longitudinal association between cognitive social capital and mental health (depression and posttraumatic stress disorder (PTSD) symptoms), functioning, and received social support of children in Burundi. Data were obtained from face-to-face interviews with 176 children over three measurement occasions over the span of 4-months. Cognitive social capital measured the degree to which children believed their community was trustworthy and cohesive. Mental health measures included the Depression Self-Rating Scale (DSRS) (Birleson, 1981), the Child Posttraumatic Symptom Scale (Foa et al., 2001), and a locally constructed scale of functional impairment. Children reported received social support by listing whether they received different types of social support from self-selected key individuals. Cross-lagged path analytic modeling evaluated relationships between cognitive social capital, symptoms and received support separately over baseline (T1), 6-week follow-up (T2), and 4-month follow-up (T3). Each concept was treated and analyzed as a continuous score using manifest indicators. Significant associations between study variables were unidirectional. Cognitive social capital was associated with decreased depression between T1 and T2 (B = -.22, p < .001) and T2 and T3 (β = -.25, p < .001), and with functional impairment between T1 and T2 (β = -.15, p = .005) and T2 and T3 (β = -.14, p = .005); no association was found for PTSD symptoms at either time point. Cognitive social capital was associated with increased social support between T1 and T2 (β = .16, p = .002) and T2 and T3 (β = .16, p = .002). In this longitudinal study, cognitive social capital was related to a declining trajectory of children's mental health problems and increases in social support. Interventions that improve community relations in war-affected communities may alter the trajectories of resource loss and gain with conflict-affected children.

Authors & Co-authors:  Hall Tol Jordans Bass de Jong

Study Outcome 

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Statistics
Citations :  Alloy LB, Abramson LY, Whitehouse WG, Hogan ME, Panzarella C, Rose DT. Prospective incidence of first onsets and recurrences of depression in individuals at high and low cognitive risk for depression. Journal of Abnormal Psychology. 2006;115:145–156.
Authors :  5
Identifiers
Doi : 10.1016/j.socscimed.2014.05.042
SSN : 1873-5347
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Children;Depression;Functioning;Posttraumatic stress disorder;Resilience;Social capital;War
Study Design
Longitudinal Study
Study Approach
Country of Study
Burundi
Publication Country
England