Violence exposure, posttraumatic stress disorder, and depressive symptoms among recent immigrant schoolchildren.
OBJECTIVE
Many recent immigrant children are at risk for violence exposure and related psychological distress resulting from experiences before, during, and after immigration. This study examines the rates of violence exposure and associated symptoms among recent immigrant children in Los Angeles.


METHODS
1,004 recent immigrant schoolchildren (aged 8-15 years) were surveyed about their prior exposure to violence and symptoms of posttraumatic stress disorder (PTSD) and depression. Participants included children whose native language was Spanish, Korean, Russian, or Western Armenian.


RESULTS
Participants reported high levels of violence exposure, both personal victimization and witnessing violence, in the previous year and in their lifetimes. Thirty-two percent of children reported PTSD symptoms in the clinical range, and 16% reported depressive symptoms in the clinical range. Although boys and older children were more likely to have experienced violence, girls reported more PTSD and depressive symptoms. Linear multiple regressions revealed that PTSD symptoms were predicted by both recent and lifetime violence exposure (p values < .001 and p < .05, respectively), when depressive symptoms and gender were controlled. On the other hand, depressive symptoms were predicted by recent victimization only (p < .001) when PTSD and gender were controlled.


CONCLUSIONS
These findings document the need for interventions addressing the psychological sequelae of violence exposure in immigrant children.
Jaycox
Lisa H
LH
RAND, Arlington, VA 22202-5050, USA. jaycox@rand.org
Stein
Bradley D
BD
Kataoka
Sheryl H
SH
Wong
Marleen
M
Fink
Arlene
A
Escudero
Pia
P
Zaragoza
Catalina
C
D000293:Adolescent; D002648:Child; D003863:Depression / Q000453:epidemiology* / Q000517:prevention & control; D004641:Emigration and Immigration; D005060:Europe / Q000208:ethnology; D005260:Female; D006801:Humans; D007723:Korea / Q000208:ethnology; D016014:Linear Models; D015141:Los Angeles / Q000453:epidemiology; D008297:Male; D015999:Multivariate Analysis; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology* / Q000517:prevention & control; D014754:Violence / Q000523:psychology*