Associations of conflict and migration on childhood cognitive development in Ethiopia: Evidence from a longitudinal study / Lina Y. DEMIS in Journal of Child Psychology and Psychiatry, 63-11 (November 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-11 (November 2022) . - p.1279-1287 Titre : Associations of conflict and migration on childhood cognitive development in Ethiopia: Evidence from a longitudinal study Type de document : Texte imprimé et/ou numérique Auteurs : Lina Y. DEMIS, Auteur ; Jeremy C. KANE, Auteur ; Martha Claire GREENE, Auteur Article en page(s) : p.1279-1287 Langues : Anglais (eng) Mots-clés : Child  Child, Preschool  Humans  Infant  Longitudinal Studies  Ethiopia/epidemiology  Child Development  Cognition  Educational Status  Cognitive development  caregiver mental health  conflict  migration Index. décimale : PER Périodiques Résumé : BACKGROUND: Migration has substantial consequences on the wellness of affected households, thereby exposing children to circumstances that are detrimental for healthy cognitive development. This study evaluates the relationship between conflict and migration during conception or early childhood and childhood cognitive development outcomes among families in Ethiopia. We hypothesized that migration is associated with worse cognitive development outcomes among children and that this association is mediated by educational disparities and caregiver psychological distress. METHODS: The study used longitudinal data of children enrolled in the Young Lives Study (YLS) conducted in Ethiopia during 2002 (age 1), 2006-2007 (age 5), and 2009-2010 (age 8). We used multivariate linear and logistic regression to analyze the association between migration on cognitive development during middle childhood. Household migration and caregiver psychological distress were measured during round 1, type of education was measured at round 2, and cognitive development was measured at round 3. RESULTS: Results of the multivariate regression analysis showed that migrant children achieved lower scores on a test of verbal intelligence after controlling for sex, ethnicity, religion, and caregiver distress (Î2: -8.09; 95% CI: -15.33, -0.85). Results of the mediation analysis show that the type of schooling that children attended, but not caregiver psychological distress, mediated the association between migration and cognitive development. Migrant children were more likely to attend private schools, which buffered the association between migration and lower cognitive development. CONCLUSIONS: This study suggests that migration is a key determinant of childhood cognitive development among migrated populations. More research is needed to build the evidence base to support interventions for this growing, underserved population. En ligne : http://dx.doi.org/10.1111/jcpp.13571 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490 [article] Associations of conflict and migration on childhood cognitive development in Ethiopia: Evidence from a longitudinal study [Texte imprimé et/ou numérique] / Lina Y. DEMIS, Auteur ; Jeremy C. KANE, Auteur ; Martha Claire GREENE, Auteur . - p.1279-1287. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-11 (November 2022) . - p.1279-1287 Mots-clés : Child  Child, Preschool  Humans  Infant  Longitudinal Studies  Ethiopia/epidemiology  Child Development  Cognition  Educational Status  Cognitive development  caregiver mental health  conflict  migration Index. décimale : PER Périodiques Résumé : BACKGROUND: Migration has substantial consequences on the wellness of affected households, thereby exposing children to circumstances that are detrimental for healthy cognitive development. This study evaluates the relationship between conflict and migration during conception or early childhood and childhood cognitive development outcomes among families in Ethiopia. We hypothesized that migration is associated with worse cognitive development outcomes among children and that this association is mediated by educational disparities and caregiver psychological distress. METHODS: The study used longitudinal data of children enrolled in the Young Lives Study (YLS) conducted in Ethiopia during 2002 (age 1), 2006-2007 (age 5), and 2009-2010 (age 8). We used multivariate linear and logistic regression to analyze the association between migration on cognitive development during middle childhood. Household migration and caregiver psychological distress were measured during round 1, type of education was measured at round 2, and cognitive development was measured at round 3. RESULTS: Results of the multivariate regression analysis showed that migrant children achieved lower scores on a test of verbal intelligence after controlling for sex, ethnicity, religion, and caregiver distress (Î2: -8.09; 95% CI: -15.33, -0.85). Results of the mediation analysis show that the type of schooling that children attended, but not caregiver psychological distress, mediated the association between migration and cognitive development. Migrant children were more likely to attend private schools, which buffered the association between migration and lower cognitive development. CONCLUSIONS: This study suggests that migration is a key determinant of childhood cognitive development among migrated populations. More research is needed to build the evidence base to support interventions for this growing, underserved population. En ligne : http://dx.doi.org/10.1111/jcpp.13571 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=490

Moderators of treatment response to trauma-focused cognitive behavioral therapy among youth in Zambia / Jeremy C. KANE in Journal of Child Psychology and Psychiatry, 57-10 (October 2016)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 57-10 (October 2016) . - p.1194-1202 Titre : Moderators of treatment response to trauma-focused cognitive behavioral therapy among youth in Zambia Type de document : Texte imprimé et/ou numérique Auteurs : Jeremy C. KANE, Auteur ; Laura K. MURRAY, Auteur ; Judith A. COHEN, Auteur ; Shannon DORSEY, Auteur ; Stephanie SKAVENSKI VAN WYK, Auteur ; Jennica GALLOWAY HENDERSON, Auteur ; Mwiya IMASIKU, Auteur ; John MAYEYA, Auteur ; Paul BOLTON, Auteur Article en page(s) : p.1194-1202 Langues : Anglais (eng) Mots-clés : Posttraumatic stress disorder  orphans and vulnerable children  Zambia  trauma-focused cognitive behavioral therapy  moderation analysis Index. décimale : PER Périodiques Résumé : Background The effectiveness of mental health interventions such as trauma-focused cognitive behavioral therapy (TF-CBT) may vary by client, caregiver, and intervention-level variables, but few randomized trials in low- and middle-income countries (LMIC) have conducted moderation analyses to investigate these characteristics. This study explores moderating factors to TF-CBT treatment response among a sample of orphans and vulnerable children (OVC) in Zambia. Methods Data were obtained from a completed randomized trial of TF-CBT among 257 OVC in Zambia. Trauma symptoms and functioning were measured at baseline and following the end of treatment. Mixed effects regression models were estimated for each moderator of interest: gender, age, number of trauma types experienced, history of sexual abuse, orphan status, primary caretaker, school status, and parental involvement in treatment. Results Treatment effectiveness was moderated by history of sexual abuse with greater reductions in both outcomes (trauma, p < .05; functioning, p < .01) for those that experienced sexual abuse. Primary caretaker was also a moderator with greater trauma reductions in those who identified their mother as the primary caretaker (p < .01), and better functioning in those that identified their father as the primary caretaker (p < .05). Nonorphans and single orphans (mother alive) showed greater reduction in functional impairment (p < .01) compared with double orphans. There was no significant moderator effect found by gender, age, number of trauma types, school status, or caregiver participation in treatment. Conclusions This study suggests that TF-CBT was effective in reducing trauma symptoms and functional impairment among trauma-affected youth overall and that it may be particularly effective for survivors of child sexual abuse and children whose primary caretaker is a biological parent. Scale-up of TF-CBT is warranted given the wide range of effectiveness and prevalence of child sexual abuse. Future randomized trials of interventions in LMIC should power for moderation analyses in the study design phase when feasible. En ligne : http://dx.doi.org/10.1111/jcpp.12623 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=295 [article] Moderators of treatment response to trauma-focused cognitive behavioral therapy among youth in Zambia [Texte imprimé et/ou numérique] / Jeremy C. KANE, Auteur ; Laura K. MURRAY, Auteur ; Judith A. COHEN, Auteur ; Shannon DORSEY, Auteur ; Stephanie SKAVENSKI VAN WYK, Auteur ; Jennica GALLOWAY HENDERSON, Auteur ; Mwiya IMASIKU, Auteur ; John MAYEYA, Auteur ; Paul BOLTON, Auteur . - p.1194-1202. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 57-10 (October 2016) . - p.1194-1202 Mots-clés : Posttraumatic stress disorder  orphans and vulnerable children  Zambia  trauma-focused cognitive behavioral therapy  moderation analysis Index. décimale : PER Périodiques Résumé : Background The effectiveness of mental health interventions such as trauma-focused cognitive behavioral therapy (TF-CBT) may vary by client, caregiver, and intervention-level variables, but few randomized trials in low- and middle-income countries (LMIC) have conducted moderation analyses to investigate these characteristics. This study explores moderating factors to TF-CBT treatment response among a sample of orphans and vulnerable children (OVC) in Zambia. Methods Data were obtained from a completed randomized trial of TF-CBT among 257 OVC in Zambia. Trauma symptoms and functioning were measured at baseline and following the end of treatment. Mixed effects regression models were estimated for each moderator of interest: gender, age, number of trauma types experienced, history of sexual abuse, orphan status, primary caretaker, school status, and parental involvement in treatment. Results Treatment effectiveness was moderated by history of sexual abuse with greater reductions in both outcomes (trauma, p < .05; functioning, p < .01) for those that experienced sexual abuse. Primary caretaker was also a moderator with greater trauma reductions in those who identified their mother as the primary caretaker (p < .01), and better functioning in those that identified their father as the primary caretaker (p < .05). Nonorphans and single orphans (mother alive) showed greater reduction in functional impairment (p < .01) compared with double orphans. There was no significant moderator effect found by gender, age, number of trauma types, school status, or caregiver participation in treatment. Conclusions This study suggests that TF-CBT was effective in reducing trauma symptoms and functional impairment among trauma-affected youth overall and that it may be particularly effective for survivors of child sexual abuse and children whose primary caretaker is a biological parent. Scale-up of TF-CBT is warranted given the wide range of effectiveness and prevalence of child sexual abuse. Future randomized trials of interventions in LMIC should power for moderation analyses in the study design phase when feasible. En ligne : http://dx.doi.org/10.1111/jcpp.12623 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=295

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