title: The association of exposure to the 2009 south war with the physical, psychological, and family well-being of Saudi children.
abstract: OBJECTIVE
  To evaluate the nutritional, psychological, behavioral, family adjustment, and psychiatric assessment of Saudi children exposed to the 2009-2010 Jazan war.
  
  
  METHODS
  This retrospective cohort study was conducted in Saudi Arabia in July 2010. One hundred and eighty-six children exposed to the South war in Jazan, and 157 unexposed children in King Khaled Military City, Hafr Al Batin were studied for evidence of malnutrition using physical measures, evaluating psychological problems using the Child Behavior Inventory, behavioral problems using the Rutter Scale A2, family adjustment using the McMaster Family adjustment device, and for psychiatric disorders. The association of different socioeconomic variables with the psychological outcome of the exposed group was also studied.
  
  
  RESULTS
  The exposed children were well nourished, had more anxiety (p=0.044), better adaptation (p&lt;0.001), less aggression (p=0.025), less deviant behavior (p=0.007), better family adjustment and had more post traumatic stress disorder, generalized anxiety, nightmares, and grief reaction. In the exposed children, females had more anxiety (p=0.006), and males had more antisocial behavior (p=0.02). Older children had less deviant behavior (p=0.005), better adaptation (p=0.007) and better planful behavior (p&lt;0.001). Children of elder mothers had better planful behavior (p=0.039). Children from bigger families were less aggressive (p=0.049), and had less antisocial behavior (p=0.04).
  
  
  CONCLUSIONS
  This study found that children exposed to the Jazan war had more anxiety. Unexpectedly they were well nourished and had higher adaptation, lower antisocial behavior, and better family adjustment. The socioeconomic status was associated with the psychological outcome.
authors: Department of Pediatrics, Northern Area Armed Forces Hospital, King Khaled Military City, PO Box 10018, Hafr Al Batin 31991, Kingdom of Saudi Arabia. Tel. +966 (13) 7871777 Ext. 2359. E-mail. melhatw@yahoo.com.
authors: Mohamed M
authors: MM
authors: El Hatw
authors: Aly A
authors: AA
authors: El Taher
authors: Ahmed
authors: A
authors: El Hamidi
authors: Fawziyah A
authors: FA
authors: Alturkait
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D001007:Anxiety / Q000523:psychology; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology*; D002675:Child, Preschool; D003863:Depression / Q000523:psychology; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D009752:Nutritional Status; D012189:Retrospective Studies; D012529:Saudi Arabia; D012923:Social Class; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology; D014857:Warfare
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