Describes some of the features of psychological distress observed in children exposed to war and highlights markers of special risk to help physicians identify children who may require further services. A literature survey includes studies of Southeast Asian and Latin-American youth resettling in North America or Europe, many of who had witnessed mass murder, abuses in concentration camps, homicides, or the murder of family members; many also experienced other forms of persecution and deprivation. Psychological ramifications included post-traumatic stress disorder (PTSD), depression, anxiety, failure to concentrate, hyperactivity, sleep disturbances, and defiant or aggressive behavior. While an intact family helps children heal from traumatic events, the immigration experience itself can cause stress, contributing to children?s adjustment problems. Taken together, the studies suggest an inventory of symptoms pediatricians can look for when interviewing refugee children and families: especially critical is whether the father or mother has died and whether the mother suffers from depression or PTSD. Psychic trauma is difficult to treat and requires a multifaceted therapeutic approach, including art, relaxation, behavioral therapy, or even medication. Pediatricians need to coordinate the care of traumatized children, including enlisting the help of mental health professionals and ensuring that mothers are supported. (Description from resource)
