The mental health of children affected by armed conflict: protective processes and pathways to resilience.
This paper examines the concept of resilience in the context of children affected by armed conflict. Resilience has been frequently viewed as a unique quality of certain 'invulnerable' children. In contrast, this paper argues that a number of protective processes contribute to resilient mental health outcomes in children when considered through the lens of the child's social ecology. While available research has made important contributions to understanding risk factors for negative mental health consequences of war-related violence and loss, the focus on trauma alone has resulted in inadequate attention to factors associated with resilient mental health outcomes. This paper presents key studies in the literature that address the interplay between risk and protective processes in the mental health of war-affected children from an ecological, developmental perspective. It suggests that further research on war-affected children should pay particular attention to coping and meaning making at the individual level; the role of attachment relationships, caregiver health, resources and connection in the family, and social support available in peer and extended social networks. Cultural and community influences such as attitudes towards mental health and healing as well as the meaning given to the experience of war itself are also important aspects of the larger social ecology.
Harvard School of Public Health, Cambridge, MA 02115, USA. Theresa_Betancourt@Harvard.edu
Theresa Stichick
TS
Betancourt
Kashif Tanveer
KT
Khan
D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D054540:Child, Orphaned / Q000523:psychology; D003156:Community Mental Health Services; D003466:Cultural Characteristics; D003469:Culture; D005190:Family / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D009769:Object Attachment; D012036:Refugees / Q000523:psychology; D012307:Risk Factors; D012931:Social Environment; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D014857:Warfare