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Understanding resilience in armed conflict: Social resources and mental health of children in Burundi
Hall, BJ1; Tol, WA1; Jordans, MJD2,3; Bass, J1; de Jong, JTVM4,5,6,7

Little is known about the role of cognitive social capital among war-affected youth in low- and middle-income countries. We examined the longitudinal association between cognitive social capital and mental health (depression and posttraumatic stress disorder (PTSD) symptoms), functioning, and received social support of children in Burundi. Data were obtained from face-to-face interviews with 176 children over three measurement occasions over the span of4-months. Cognitive social capital measured the degree to which children believed their community was trustworthy and cohesive. Mental health measures included the Depression Self-Rating Scale (DSRS) (Birleson, 1981), the Child Posttraumatic Symptom Scale (Foa et al., 2001), and a locally constructed scale of functional impairment. Children reported received social support by listing whether they received different types of social support from self-selected key individuals. Cross-lagged path analytic modeling evaluated relationships between cognitive social capital, symptoms and received support separately over baseline (T1), 6-week follow-up (T2), and 4-month follow-up (T3). Each concept was treated and analyzed as a continuous score using manifest indicators. Significant associations between study variables were unidirectional. Cognitive social capital was associated with decreased depression between T1 and T2 (B = -.22, p < .001) and T2 and T3 (beta = .25, p < .001), and with functional impairment between T1 and T2 (beta = -.15, p = .005) and T2 and T3 (beta = -.14, p = .005); no association was found for PTSD symptoms at either time point. Cognitive social capital was associated with increased social support between T1 and T2 (beta = .16, p = .002) and T2 and T3 (beta = .16, p = .002). In this longitudinal study, cognitive social capital was related to a declining trajectory ofchildren's mental health problems and increases in social support. Interventions that improve community relations in war-affected communities may alter the trajectories of resource loss and gain with conflict-affected children. (C) 2014 Elsevier Ltd. All rights reserved.

KeywordResilience Social Capital Children Posttraumatic Stress Disorder Depression Functioning War
Indexed BySSCI
WOS Research AreaPublic, Environmental & Occupational Health ; Biomedical Social Sciences
WOS SubjectPublic, Environmental & Occupational Health ; Social Sciences, Biomedical
WOS IDWOS:000339131500015
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Cited Times [WOS]:18   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionFaculty of Social Sciences
Affiliation1.Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD 21205 USA
2.Healthnet TPO, NL-1072 RG Amsterdam, Netherlands
3.Kings Coll London, Inst Psychiat, London WC2R 2LS, England
4.Univ Amsterdam, Amsterdam Inst Social Sci Res, NL-1012 CX Amsterdam, Netherlands
5.Boston Univ, Sch Med, Boston, MA 02118 USA
6.Vrije Univ Amsterdam Med Ctr, NL-1081 HZ Amsterdam, Netherlands
7.Rhodes Univ, ZA-6139 Grahamstown, South Africa
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GB/T 7714
Hall, BJ,Tol, WA,Jordans, MJD,et al. Understanding resilience in armed conflict: Social resources and mental health of children in Burundi[J]. SOCIAL SCIENCE & MEDICINE,2014,114:121-128.
APA Hall, BJ,Tol, WA,Jordans, MJD,Bass, J,&de Jong, JTVM.(2014).Understanding resilience in armed conflict: Social resources and mental health of children in Burundi.SOCIAL SCIENCE & MEDICINE,114,121-128.
MLA Hall, BJ,et al."Understanding resilience in armed conflict: Social resources and mental health of children in Burundi".SOCIAL SCIENCE & MEDICINE 114(2014):121-128.
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