Childhood Adversity and Developmental Effects Childhood Adversity InteCrnhatiioldnahl oanodd C Arodssv-Deirscsiiptylin aarny dPe Drspeevcteivleospmental Effects and Prock Childhood Adversity International and Cross-Disciplinary Perspectives and Child trauma and violence is not an issue that is constrained to one nationality or one Prock Chieldthhniocitoy.d A Astadggveerirnsgi ntyum abnerd o f Dcheildvreenl oarpoumnde tnhet awlo rEldf faerec stusb jected to violence and Developmental Effects Child trauma and violence is not an issue that is constrained to one nationality or one Childhood Adversity Internaabtuioseetnh, anblio catihnty d.d AoCm rsoteassgstig-cDe raiinsncdgi ppnlouilnmitaibcreyar l P.o Tef hrcsehp iceludcrrtreievnne ats rvooulunmd eth eex wamorilnde as rteh esu ibssjuecet eodf dtoe vveiloolpenmceen atanld Developmental Eanfdfects trauma from a variety of viewpoints, including sociological, epidemiological, genetic, and Prock abuse, both domestic and political. The current volume examines the issue of developmental Childp tsrayuctrmhaiaua tmarinacd .f Trvohiomel e canh cvaeap rtiiese rtnsy o coto fan nvt iaieiswnsuepedo tiwhnaittsth ,i isinn c caolrunesd tbirnarogink seeodnc tiioon ltooong teihc nea alf,to ieollpnoiawdleiitnmyg io osrle oocgntiieoc anls,: genetic, and International and aebthunsiec••,i tb y o. •pAttchhs h y es di ctl aodechgmfh ifngaeieeletcdrsrgitit cslninec .goe c T agftnh nlwaueednmc a cdptr bh oaaveanlniripotd diotlc e evfaar nicsrlo.m hc clTeieoelh dndfnerrc to ecaecnmoi unf nrra eroarfedlonmin cu wti tn na viodnttoehn ltriui hnnncmetah e atweirirlon deoena rxrbetalaidrnlomo 'pnaskiera neherlne sepssp aui eentlbhrtcthsjeotep i acvietshntecseedutdi evf dot eooel lvfvo ediwoleolivepnenmglco seepen mactnteidon ntasl: C DevCerolossp-DmisInceitpenlritnnaaatlri yEo nPfaefler ascpntedsc tives traum•a f r otmhe a i mvapraiectty ooff cvhieilwdhpoooindts t,r ainucmluad oinng msoecniotalol gaincda lp, heypsidiceaml ihoeloalgtihc ainl,t oge andeutilcth, oanodd hC • the effects of war and armed conflict on children's health and development psych•ia t r i•cc .a T s het ehs etcu hidmaipeptsae ocrstf coinof tncethraviilendnehtdioo wondist httrhianau tam prear o bovrniod kmee nep nointsastloi b atinhlideti efposhl lfyooswri ctiarnelg ah tsemeacelttnihot niinns:t oa avadruieltthyo oofd ilh CIrnotsesr-nDaitsiocinpalli nanadry Perspectives ••• ttchhWheeil rdeiimtf• dtfneep ie cnfa gf t ceslbcdetr ayoiecofs nfftaf ee wta c r rscnehaetondurisl nt eddav atcnhiieeroodoxcsln oth easotdnee.rfm cr xt iretfneasr tdof.uer mmorcvmo aeHn noafatlnniiroc vmitnan orseted nntr h tnMcaaahlte t iaidlpodnirnrdcoeaa vnplli 'hdpSsyee chsr hipsecopaoaoelsltcl sh hita bieavnianeldlidtt hiC ed hisen ivfltooderl r oaetdprneum'asl tteHhmnooteosndpt iitna la ( Bvoasriteotny) ,o tfh is ChI dhoildh Cross-Disciplinary Perspectives •bWpinor t eroe is trkecdtve nbpicpAaiepnnfhcosrenfrBt eeeoeiroebtOlss ri vdrWbpickpysoeieonvintUh orenndnunapeate riroteseccdT' ndilr ss.rstdrcshkoei eo vtet vTTe ioe ievnaosnopealihsHnnniednncc 'ndnrdiosa ttrs o eEavebtsie cie rfir etmv.bo xcyoshniEee iniTn tohcn nDi'sd pasaslhtl oae,t.sdieiocn eIirfrtlk.rashTrsre eeri e Tivetnf vOi.s imarabselhnsled,oednin osRni'fp amaatrss e aot anieon rir.nm blkcrone rdHioiy ovhtns'mp iaousaeoasoeson rnnps nurlkavtrt i deoyhr vatfnacirar oraersre wotetnoid htnsasmam t uh epfone anMor nop r turwe wr Hood ioerr ssmvuecoudh aroetisentrirnodhpeuaolc vddd eekofnruaasoec s rtlerrapwrtr e t cdhsretaS no oeueto ekfcndasMo s nrh ssftnu owlor oidoderdt nburofueeoo di fidranrsre lnrlciiueeso nlcrgtdaetdssrinudaa eense v dfdlrn tasrado ioca esioSdnr frrenftcrCocleid fas ednrehhrcfhn ten or goeatotidhssicrrr lnfoeo devi osfeddnrean,lairw e ior egarsctarhsscm lnes one feavoh dco'uaaedndiswetironn nr icrv rHcColet stseeeraah en,coheir ndlnelastscmasioicvirl spoottdafsree moyoisuan, rtr s, vraeansnesc it apnil nsnt os tufrra s (yeo'tiueacBbys le lramann hiociot Hnqnytt hsirsmoral u edsotoedcolso,li emasl hhtotfnop op ntiourm)ogsluist,dobty i s,saaset hctdi hptl qnnhso u is(au,dtsooBb y fi alfcditooeqonh scgauudtotiofis sslft noe toasc)gu,, t i ssst h tasi, s Interna ildhood Anternational an Internationaod Adverood Adv cpAcDLwSPHwlihhrehhBiesooneairveesgOl si perrdicAroseelaiaU olt cDLwSPDHwcttnmaabalshrhp lihlr ihT'ldehmhiesroieecoa.,sm.nenae r vvre es ol gSaT esPi ia sepeerroircAcAcDLwS-PDHwtchr a HsrererePdmnlaniwaalihocreeo inolt hhBiesrosrimaoatballtsh.nea- Earucapaipoo vie eas flhlgneOemi sePirk olc tls.o,pmcerrrlnicA ctr Eee rge rsks ereouBioknSlaaiwestai tUo do Dso ltei esor-,nfchm afesbalnalsh, oiecPdm npor iiroMdhi sehTlfcnIegbmfeekssrc a.ri,otmrcTe-ea oue rur pa i oirks oaDfciSnasTawnelvesdi O.f trolploeiictslr-h chs c ctrignadtH e,stePdml uBniikon iea oitheticot RdnegirM lsiorin,nthfrnnesn vd-a eEuru s pao iioaciafarMdhi wsnetde rPbnr olllsoar lccaiclcre ctE re aog y n sHiyuyBdiiPikhndrlDecianltvdot d nDficpe ioeo,nohfinhiiesn c, cit ,o inrllt lwidoirMadhili sutiindthae oIibenseMar vlcliincirnTeacodnvyd ie sle asiosadatDdtcilaal vdtdee O e fdrhcPatp illasloiihc ecrreiw t r v,nnbet Hl iyoaiPiCdanll ivthadtniDcReennieMvoclih nrernheaindvde,le cdsmosa rltrei eSwdatldievu sio oeanr ocP lioln vicecire ii o e A vtcdnepiislH aayonPieprdaltictnlslne ntnioevectdhnat olef lamsiane,i rcdo at ri rlntbo o wddp tirlaciCusinee odtlp hDc nae cpoinh miierDtcdaikslelhya amennnmaotttrl.seieS tteeiovhsna t eeani la sts iTo veSrret ar a oeAbalnut di ieraraCotnenrhanidtctDcclaalnotonoh vc drnoltfat aetaely cbnnmho aiPitargneie Sodtplt oolvoecanoussli plhrh ve p aomdel lAenlaruDtotitinoheBmaeearai ochtnlnisndagnovodirotls fseetidea Tdoitoa arliureiganfa Caoaonpeht olace bre tnlnphrbl tct aplrernh tmmaentacD ehtert ehantmeiscbon vthaiPssdtalsaeet sill eeaoeiio i thselwTo dlraliutre naoa aaadntl ld irDoetareNnnrieBnaerl t chrianlnitoeetcgw reotatdrt sseatsectbe cnhdhnniPandtars ralfC v lohoeouaaho a se ww 't tlrab PetFrsa/edl nhlnamrrorn tahhfleBae eile rkohoin evi aidHsgolroatetortsshdl feiisr chllidhlia rdafnpitag fClakoc ooeitwhoahdiD o etNahnrbmigetstiFrraenshamlr eeihew t aeed s ieeeprottl reivaiwnenlnasae rttlinsil v fi inuiahhr lac ndXwaf'ticettg do P e aios/dai Dnrni etNftntedrifoe v earlwhsoaaohllreeeSd Hso adu s eeftndtemeleCsra lnlnyt s ir lpc v alakhbc oiutatrB an nXwo'teaDahhiPamedatssis/aensrnldenidewtf t t ieie lsooopso eeSridieHhsaot etnrP CidinoiHsyrep ivnllytocsr dacnpcetlakrhcoin th re, nta o vmiivaathftm ed tseiiosena.silhaaaalidiewnort loce eu poo fnriecvdsmletCeanrP ciin pi s c inrba.ioe rrcBBcnnwceta rea paD mie ara n(aDmiithlftdeodelcnodbtannahtieaal cs eei eyhs u iPtf rloCne’climleoCeHaels.M vt nlcs eac bod.Iit fB nhnre,ePt nph aDaHvdoifaa naaDeshil.idlenaatrsvia irtnriloclsd oeodoa iehovd s t teCrlCidDoiHpcM ei.v s troccsaearsBco Irwhaiphnhrme,ePnkt irmvinnaa eoidsrlciidi.ilna aervig lgrectlllocdehssooPdea dvdst’leasceSi sMtanpi la eslrcraFe orrscB t t w caeittfmseeaoHodkeft(rnininaefhoiiBl ndncnnsl rreeing actld eolhoa s 'Po eo C,’loacoldDfessMatMni lstoaseo s o cpw t r tfhipCnottsaolHdif isnranaoeae,rici id s es rinlagetlfldcr dnohasa da n o CtlscdDfS oMi)istii slortF u,ccrcpthi pcemeoi oiien(rainrue hrcirBin n lr.lgetlfbctdlcslo d a 'ooeoaos coS soiliolrF sunr ic tw cfmeCinlotel( inreyoh,Bnni sler dbt cclno h'oeoinoos ialn)oi shn i tw,fplCn et l eeo, rise rd.cnh n a )iht,ple e rtional and Cross-Disciplir. dversity Devand d Cross-Disciplinary Pe l and Cross-Disciplinarysity Developand ersity Develoand Dcttiorhnlririetai.neg lPiarsicnn rrwaeoaaeabiotlnahtlco m ori ispkteopirnae gk paronutirraiiresocbtiotdnnfabnpehnh rlwlorflc aageniy)eteoimin utlaecg s et rii swo itrarnaraopietrsscdnnretrrm pimnu ueiametg aairoyhnabmnp laaetlbc n el i tl pisnnoa)oplecieands ycoidtrhr,rimonuitz g nae rceopiiefabfatnalt b oar ldrdilamfltnegevo)oleoirini ,coosr sitdnrig esszdeoctnar lnteresdsfevdaee ut ao , vaviimsetni r spomcreidinsee dptod ce anledsor ss .eoencaavl ieds pip,acnSpnhter,l vieet sneirh cmrtiieneatpeicdalo draeaddraolseaeil n ial lf isni ynz,hnnc rid.tlde acoe dei pisrtaSennevan eflud sratehanveagoldsoo n inrterertdis nz ife gideiadee oliaaonipnh otclend vdna l p ircaepo nreuigndaooatseesimrrt ictluvsfpn igfi aoe ibaauvenerlttdealrnte etiolr e dnsnnvio rei.seol easase eetuiwrnnnS sdnn ztgf famaicueh ufoiaaudaowratnereemctlrhnec nem id eso hsso afvianh eFd oze,r iftonli caerkrloiat unsaaioolsthefsitetruinctfn,ge iunne eo sboamdfvigirasga;rolrn eton en tlcsliwaewslscte ols aoath snsuXsl,nerainte,ru ci tdimi irn weshattSoaadnw t t ccl eyttelinniaic ahh netonannssadanhlde ege,rurg dn1l deokn st awa dTrP9dth t i puodinahrainsr9 nrentmemiivnddniegenn1agtegoa o ed teecl.cswCh wect tsp tr .iehSinoaha so peorit(D hi dct iiuebuna1nwnhvnteyo rltosst9caeC. ue e ie paIthf9etal nPnhmro eh fdta r F1aar vi n1rft osvndooewom .iaet 9cc eproucucedrsSaohl9i kttmomrnehvlfFieriu 1 iag-sodldafeheeeedaso.m.amca s s as srurhrtSS a;at toseoi f ti(ihiahlrF oAchocbnulriatseyaee yri o,nodslf ca m ss oc rhhpC,thofnla;oe hoore aaeiaaprod A dl -srfstcrr sydt noa i .tf di occs i bowovucnuScCoehmleesmotreeuhovpothi e -scbelelceFrtennodaa.kitriral sviunri n arrhS omnaftleeewleteaiyah nhicdn d icmcseFiisl o ,t taniaa s ,hbhieirhp leomn lea e esyaacvndd er iTsrhfe sl nat oirsi,ibem la cegadaesluve i erTlfeltenyaahorn mr aegal lrye i ,l tyihn e r,nary Perspe elopmerspectives Perspectivmentalpment board amnedm faab mpeari rlfieoenrs t,s esinuvecprlpauold rnitn oggnr opthruoepf i2ts 0po0erg4cai fUnicinz tiaotte idaod nSost,ap ittneivcse lCu fdoaimnnggirl ietehsses;i oCanneadnlt etAhrn efgo Terr leF eianhm oAiludyso eCp oFtionounnen Acdtwaiotainorsdn,. , a Sa fh afeom siitsle yar fpaamsti ly ct n es Ea aeathnm pedpar arfoapewcAemnyhx etdoi eralsormiuciegpraceeupspaethnxm,ptinne ioeadiovitrpncizn serrpfocuoat.pa rlwcttngmoueiioorv regdooimsenrriloufanmi emcspnmtgphsoe i,so.etenmt hpticS ftenAe e mihtpeac chme2 lriliemit ou0fzehti egd0cAireaneir i4msmctang o mamrUg be eina nreen.ct di h ArmeciSio tesiaohecvbsp ndafe2ueet d i te0dArvShhe s 0etoaecn am4 fs afufotA a eydtmrrUhmsme ef oeencoCmief rleis AoiortPyteieienvumc esdoregs;ad e dfrcnaSil eraoa Pnt isnAatrccedsreutaadici e ocmtlnaaish nsaan d e eACtanSderr lTcioedom cAaracn uesndydtng seiaSo eg orholteepmeoniofocstl c iu Pystnoviaiis enoaeonoled l nn Af a fAiF aa aaPndoowdmltedo nuroAadiip n clpnrAinitddsaetiagdoi aststoCreo ni;tifo nilocoAp o An iusrtandniw annohC,o l Aca ednapoarird tludwf Fai oowvon.ona espSncosdtr ttehidF r ielFkrFoae sr oo om n f wfiaCsnsos timAti aelretaFiw hrreir ohe l p sCyaCcse aa tTrhraaesdo nirtwrrl.g ede d CeS,o r catheKrahunknerie erdn wrri, s,es c hiK ntuaihitp rn p r cseaahhnnsiittdpl d arennd ives tal E ffectl Effe Editor cehxeacirupteivrseo cnAo domfo mtphtieitot eAnem. mereimcabne Ar ocaf dtheem Aym oef rPiceadnia Atrcicasd Seemcyti oonf Poend Aiadtroicpsti oCno uanncdIi lSF ooBnst NeFro :Cs t9aerr7e C 8aan-r1ed, - cK7ui7rnrse1hn8itp 8 a-n1d1 0-4 ffe sct Lisa Albers PrEodictokr, MD, MPH Adoption. 90000 c s LisEad Aitolbr ers Prock, MD, MPH ISBN: 978-1-77188-110-4 t 90000 s Lisa Albers Prock, MD, MPH ISBN: 978-1-77188-110-4 90000 9 781771 881104 9 781771 881104 www.appleacademicpress.com 9 781771 881104 CHILDHOOD ADVERSITY AND DEVELOPMENTAL EFFECTS International and Cross-Disciplinary Perspectives CHILDHOOD ADVERSITY AND DEVELOPMENTAL EFFECTS International and Cross-Disciplinary Perspectives Edited by Lisa Albers Prock, MD, MPH CRC Press Apple Academic Press, Inc Taylor & Francis Group 3333 Mistwell Crescent 6000 Broken Sound Parkway NW, Suite 300 Oakville, ON L6L 0A2 Boca Raton, FL 33487-2742 Canada © 2015 by Apple Academic Press, Inc. Exclusive worldwide distribution by CRC Press an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20150406 International Standard Book Number-13: 978-1-4987-2212-4 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. Reason- able efforts have been made to publish reliable data and information, but the author and publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors and publishers have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www. copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organiza- tion that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com For information about Apple Academic Press product http://www.appleacademicpress.com ABOUT THE EDITOR LISA ALBERS PROCK, MD, MPH Dr. Prock is a Developmental Behavioral Pediatrician at Children’s Hospi- tal (Boston) where she co-founded and directs the Adoption Program and works in the Developmental Medicine Center. She is a co-director of the Translational Neuroscience Center at Boston Children’s Hospital, and she is the director of Developmental Behavioral Pediatric Services at Chil- dren’s Hospital and Harvard Medical School, where her responsibilities include Clinical Director of the Developmental Behavioral Pediatrics Fel- lowship Program. She also is active in international health and resident/ fellow education. She attended college at the University of Chicago, medi- cal school at Columbia University and received a master’s degree in public health from the Harvard School of Public Health. At the end of her train- ing, she worked as a primary care pediatrician at a community health cen- ter and as an inpatient hospital physician. After obtaining a public health degree in International Health, she lived and worked in Cambodia where she taught pediatrics and studied the epidemiology of tuberculosis in chil- dren. She returned to Boston for further training in general pediatrics and development as a Dyson Fellow at Children’s Hospital. Dr. Prock is currently involved in translational research efforts as the Principal Investigator for four clinical trials working with adolescents and young adults with Fragile X Syndrome. She is also co-director of the clin- ical arm of the Translational Neuroscience Center at Boston Children’s Hospital, a multidisciplinary collaboration to accelerate the translation of basic science fi ndings into clinical meaning for children with developmen- tal disabilities and their families. Dr. Prock has also combined her clini- cal interests in child development and international health with advocacy for children, particularly in the areas of foster care and adoption. She has been working with adoptees (both domestic and international) involved in medical, residential and educational settings since 1991. vi About the Editor Her research interests include the long-term developmental, behavioral and emotional concerns of adoptees. She has co-authored several original publications, edited several reference volumes, and written numerous ar- ticles. She has been a board member for several nonprofi t organizations, including the Center for Family Connections, a family therapy organiza- tion specializing in issues for foster-care and adoptive families; Adoptive Families Together, a parent support group specifi c to adoptive families; and the Treehouse Foundation, a foster family empowerment program. She has received numerous local and national awards for her work with children and families, most recently the 2004 United States Congressional Angel in Adoption Award. She is a past chairperson of the American Acad- emy of Pediatrics Section on Adoption and Foster Care and current execu- tive committee member of the American Academy of Pediatrics Council on Foster Care, Kinship and Adoption. CONTENTS Acknowledgment and How to Cite .............................................................ix List of Contributors ....................................................................................xi Introduction ..............................................................................................xxi Part I: An International Problem 1. Acts of Omission: An Overview of Child Neglect ....................................3 Child Welfare Information Gateway, U.S. Department of Health and Human Services, Children’s Bureau 2. Frequency of Child Maltreatment in a Representative Sample of the German Population ............................................................................25 Benjamin Iffl and, Elmar Brähler, Frank Neuner, Winfried Häuser, and Heide Glaesmer 3. Setting the Stage for Chronic Health Problems: Cumulative Childhood Adversity among Homeless Adults with Mental Illness in Vancouver, British Columbia ..............................................................41 Michelle L Patterson, Akm Moniruzzaman, and Julian M Somers 4. Emotional Abuse Towards Children by Schoolteachers in Aden Governorate, Yemen: A Cross-Sectional Study ......................................63 Amal S. S. Ba-Saddik and Abdullah S. Hattab 5. Child Neglect in One-Child Families from Suzhou City of Mainland China ........................................................................................81 Jing Hua, Zhe Mu, Bright I Nwaru, Guixiong Gu, Wei Meng, and Zhuochun Wu Part II: Children and War 6. Transgenerational Consequences of PTSD: Risk Factors for the Mental Health of Children Whose Mothers Have Been Exposed to the Rwandan Genocide ......................................................................101 Maria Roth, Frank Neuner, and Thomas Elbert 7. The Intergenerational Effects of War on the Health of Children ......129 Delan Devakumar, Marion Birch, David Osrin, Egbert Sondorp, and Jonathan C. K. Wells viii Contents Part III: The Developmental Impact on Mental and Physical Health 8. Childhood Adversity, Recent Life Stressors and Suicidal Behavior in Chinese College Students ...................................................................169 Zhiqi You, Mingxi Chen, Sen Yang, Zongkui Zhou, and Ping Qin 9. Childhood Sexual Abuse and the Development of Recurrent Major Depression in Chinese Women ...................................................187 Jing Chen, Yiyun Cai, Enzhao Cong, Ying Liu, Jingfang Gao, Youhui Li, Ming Tao, Kerang Zhang, Xumei Wang, Chengge Gao, Lijun Yang, Kan Li,Jianguo Shi, Gang Wang, Lanfen Liu, Jinbei Zhang, Bo Du, Guoqing Jiang, Jianhua Shen, Zhen Zhang, Wei Liang, Jing Sun, Jian Hu, Tiebang Liu, Xueyi Wang, Guodong Miao, Huaqing Meng, Yi Li, Chunmei Hu, Yi Li, Guoping Huang, Gongying Li, Baowei Ha, Hong Deng, Qiyi Mei, Hui Zhong,Shugui Gao, Hong Sang, Yutang Zhang, Xiang Fang, Fengyu Yu, Donglin Yang, Tieqiao Liu, Yunchun Chen, Xiaohong Hong, Wenyuan Wu, Guibing Chen, Min Cai, Yan Song, Jiyang Pan, Jicheng Dong, Runde Pan, Wei Zhang, Zhenming Shen, Zhengrong Liu, Danhua Gu, Xiaoping Wang, Xiaojuan Liu, Qiwen Zhang, Yihan Li, Yiping Chen, Kenneth S. Kendler, Shenxun Shi, and Jonathan Flint 10. Differences in the Association Between Childhood Trauma and BMI in Black and White South African Women .................................209 J. H. Goedecke, J. Forbes, and D. J. Stein 11. Childhood Trauma and PTSD Symptoms Increase the Risk of Cognitive Impairment in a Sample of Former Indentured Child Laborers in Old Age ...............................................................................219 Andrea Burri, Andreas Maercker, Sandy Krammer, and Keti Simmen-Janevska 12. Adverse Childhood Experiences, Psychosocial Well-Being and Cognitive Development Among Orphans and Abandoned Children in Five Low Income Countries ..............................................................241 Maya Escueta, Kathryn Whetten, Jan Ostermann, Karen O’Donnell, and The Positive Outcomes for Orphans (POFO) Research Team Part IV: Hope for the Future 13. School-Based Mental Health Intervention for Children in War-Affected Burundi: A Cluster Randomized Trial .........................271 Wietse A. Tol, Ivan H. Komproe, Mark J. D. Jordans, Aline Ndayisaba, Prudence Ntamutumba, Heather Sipsma, Eva S. Smallegange, Robert D. Macy, and Joop T. V. M. de Jong 14. Trauma-Focused Cognitive Behavioral Therapy for Children ..........297 Child Welfare Information Gateway, Children’s Bureau Author Notes ....................................................................................................313 Index .................................................................................................................321 ACKNOWLEDGMENT AND HOW TO CITE The editor and publisher thank each of the authors who contributed to this book. The chapters in this book were previously published in various places in various formats. To cite the work contained in this book and to view the individual permissions, please refer to the citation at the begin- ning of each chapter. Each chapter was read individually and carefully se- lected by the editor; the result is a book that provides a nuanced look at the outcomes of childhood adversity around the world. The chapters included examine the following topics: • Written from a completely American perspective, Chapter 1 provides a comprehensive overview of the compendium topic, as represented within the United States, offering prevalence numbers, definitions, a summary of research, and discussion of the related factors social workers need to con- sider in relation to this issue. • The authors of Chapter 2 provide parallel information to that offered in the previous chapter, though in less depth, for German society instead of American. • In Chapter 3, we shift our attention to Canada, where the authors consider the connections between childhood adversity and adult homelessness, of- fering social workers a better understanding of how two population groups intersect and in fact may need to be perceived holistically rather than as two separate social issues. • In Chapter 4, the authors provide a fascinating discussion of how school teachers’ “disciplinary style” within Yemen society may actually be a form of emotional abuse that is facilitated by socio-cultural factors. • China’s one-child families create a particular environment within which to consider the problem of child abuse. The authors of Chapter 5 under- line China’s unique societal demands that make it difficult to compare the prevalence of this issue to other regions of the world, while offering a foun- dation and direction for further research. • The first of two chapters examining the effect of war on children, the au- thors of Chapter 6 focus on trans-generational mental health issues. Their findings did not support the hypothesis that parental PTSD is associated with children’s mental health. Instead, mental health issues in children are closely associated with trans-generational maternal violence (violence tak-
Description: