<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Panter-Brick, C.</style></author><author><style face="normal" font="default" size="100%">Goodman, A.</style></author><author><style face="normal" font="default" size="100%">Tol, W.</style></author><author><style face="normal" font="default" size="100%">Eggerman, M.</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Mental health and childhood adversities: a longitudinal study in Kabul, Afghanistan.</style></title><secondary-title><style face="normal" font="default" size="100%">J Am Acad Child Adolesc Psychiatry</style></secondary-title><alt-title><style face="normal" font="default" size="100%">J Am Acad Child Adolesc Psychiatry</style></alt-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">Adolescent</style></keyword><keyword><style  face="normal" font="default" size="100%">Adult</style></keyword><keyword><style  face="normal" font="default" size="100%">Afghan Campaign 2001-</style></keyword><keyword><style  face="normal" font="default" size="100%">Afghanistan</style></keyword><keyword><style  face="normal" font="default" size="100%">Child</style></keyword><keyword><style  face="normal" font="default" size="100%">Cross-Sectional Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Depressive Disorder</style></keyword><keyword><style  face="normal" font="default" size="100%">Developing Countries</style></keyword><keyword><style  face="normal" font="default" size="100%">Domestic Violence</style></keyword><keyword><style  face="normal" font="default" size="100%">Family Conflict</style></keyword><keyword><style  face="normal" font="default" size="100%">Female</style></keyword><keyword><style  face="normal" font="default" size="100%">Humans</style></keyword><keyword><style  face="normal" font="default" size="100%">Life Change Events</style></keyword><keyword><style  face="normal" font="default" size="100%">Longitudinal Studies</style></keyword><keyword><style  face="normal" font="default" size="100%">Male</style></keyword><keyword><style  face="normal" font="default" size="100%">Mental Disorders</style></keyword><keyword><style  face="normal" font="default" size="100%">Personality Assessment</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychometrics</style></keyword><keyword><style  face="normal" font="default" size="100%">Psychosocial Deprivation</style></keyword><keyword><style  face="normal" font="default" size="100%">Resilience, Psychological</style></keyword><keyword><style  face="normal" font="default" size="100%">Risk Factors</style></keyword><keyword><style  face="normal" font="default" size="100%">Social Environment</style></keyword><keyword><style  face="normal" font="default" size="100%">Socioeconomic Factors</style></keyword><keyword><style  face="normal" font="default" size="100%">Stress Disorders, Post-Traumatic</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2011</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2011 Apr</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">50</style></volume><pages><style face="normal" font="default" size="100%">349-63</style></pages><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;OBJECTIVE: To identify prospective predictors of mental health in Kabul, Afghanistan.&lt;/p&gt;
&lt;p&gt;METHOD: Using stratified random-sampling in schools, mental health and life events for 11-to 16-year-old students and their caregivers were assessed. In 2007, 1 year after baseline, the retention rate was 64% (n = 115 boys, 119 girls, 234 adults) with no evidence of selection bias. Self- and caregiver-rated child mental health (Strengths and Difficulties Questionnaire), depressive (Depression Self-Rating Scale), and posttraumatic stress (Child Revised Impact of Events Scale) symptoms and caregiver mental health (Self-Report Questionnaire) were assessed. Lifetime trauma and past-year traumatic, stressful, and protective experiences were assessed.&lt;/p&gt;
&lt;p&gt;RESULTS: With the exception of posttraumatic stress, one-year trajectories for all mental health outcomes showed significant improvement (p &amp;lt; .001). Family violence had a striking impact on the Strengths and Difficulties Questionnaire data, raising caregiver-rated scores by 3.14 points (confidence interval [CI] 2.21-4.08) or half a standard deviation, and self-rated scores by 1.26 points (CI 0.50-2.03); past-year traumatic beatings independently raised self-rated scores by 1.85 points (CI 0.03-3.66). A major family conflict raised depression scores by 2.75 points (CI 0.89-4.61), two thirds of a standard deviation, whereas improved family life had protective effects. Posttraumatic stress symptom scores, however, were solely contingent on lifetime trauma, with more than three events raising scores by 5.38 points (CI 1.76-9.00).&lt;/p&gt;
&lt;p&gt;CONCLUSIONS: Family violence predicted changes in mental health problems other than posttraumatic stress symptoms in a cohort that showed resilience to substantial socioeconomic and war-related stressors. The importance of prospectively identifying impacts of specific types of childhood adversities on mental health outcomes is highlighted to strengthen evidence on key modifiable factors for intervention in war-affected populations.&lt;/p&gt;
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