Quality of Life of Palestine Children Exposed to Wars in Gaza | Chapter 02 | Current Trends in Disease and Health Vol. 2

Aim: This study aimed to investigate the impact of trauma due to wars on quality of life of Palestine children living in Gaza with special reference to 2009 war.

It is analytic study; the study sample consisted of 195 children and adolescents who were selected purposely from three areas in the Gaza Strip. Those children exposed to variety of traumatic events besides losing their homes during ground incursion of the border and shelling and bombardment of the area. They were 101 boys (51.8%) and 94 girls (48.2%). The age ranged from 7 to 18 years with mean age of 12.84 (SD = 2.9). Children were assessed by socio-demographic questionnaire, Gaza Traumatic Events Checklist, and Health Related Quality of Life.

Results: The highest frequencies of reported traumatic events by Palestinians children were 97.9% hear shelling of the area by artillery, 93.3% hear the sonic sounds of the jetfighters, 90.8% watched mutilated bodies in TV, and 85.6% were forced to move from home to a safer place during the war. The study showed that mean total quality of life was 62.80, physical functioning was 69.87,   emotional functioning was 51.96, mean of social functioning was 77.62, and school functioning mean was 47.53. Total traumatic events reported by children were negatively strongly correlated with total Health Related Quality of Lief (HRQoL), physical, emotional, and social functioning. However, traumatic experiences by children were not correlated with school function.

Conclusion: In summary, this study not only supports the findings of the body of research as it relates to traumatic experiences in children and adolescents and impact of their health quality of life, but also has important implications for establishing and implementation of different psychosocial intervention programs for the school-aged population in Gaza Strip. There are need to be considered in the planning of educational and mental health support services by different governmental United Nations organizations, and non-governmental organization in Gaza. Also, successful treatment of the mental health symptoms associated with traumatic events first requires an acknowledgment of the trauma and then a process which allows for comprehensive assessment and accurate diagnosis. 

Author(s) Details

Prof. Abdelaziz Mousa Thabet
Department of Child and Adolescent Psychiatry, Al-Quds University, School of Public Health, Child Institute, P.O.Box 5314, Gaza, Palestine.

Sanaa S. Thabet
Child and Family Training and Counseling Center-NGO, Palestine.

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Prevalence of Psychosomatic Symptoms among Traumatized Palestinian Adolescents in the Gaza Strip | Chapter 01 | Perspectives of Arts and Social Studies Vol. 2

Aims: To estimate the prevalence of psychosomatic symptoms among traumatized Palestinian adolescents in Gaza Strip. 

Methods: The study sample consisted of 380 adolescents randomly selected from secondary schools in Gaza Strip, of whom 171 were boys and 209 were girls between 15-18 years. Data was collected using a socio-demographic checklist, the Gaza Traumatic Events Checklist, and the Psychosomatic Symptoms Scale. For statistical analysis, questionnaire data was normally distributed, for this reason independent t-test was used to investigate differences between two groups. Associations between continuous variables were measured by the Pearson’s correlation coefficient test. One-way ANOVA post hoc Tukey was used to investigate differences between more than two groups.

Results: The most common reported traumatic events due to the war on Gaza were: watching mutilated bodies and wounded people in TV (92.3%), and hearing shelling of the area by artillery (89.4%). The mean number of traumatic events experienced by Palestinian adolescents was 14. Boys reported significantly more traumatic events than girls. Adolescents from family with monthly income less than 150 US $ experienced more traumatic events than the other groups. Mean psychosomatic symptoms was 48.19, digestive system symptoms was 19.97, cardiovascular symptoms was 10.23,  respiratory system symptoms was 3.82, urogenital system symptoms was 2.98,  skeletal musculature symptoms was 5.29, and skin symptoms was 7.34. Boys scored more in total psychosomatic and skin symptoms. There was a significant relationship between traumatic experiences and psychosomatic symptoms.

Conclusion: Palestinian adolescents experienced significant traumatic events due to the war on Gaza Strip which were significantly associated with developing psychosomatic symptoms. Such findings highlight the urgent need for establishing community mental health school based programs to help adolescents with such symptoms and increase awareness about their nature and management. Also there is need for conducting training courses for teachers and school counsellors to increase their knowledge about general mental health problems in schools and ways of dealing with such problems. Also, training courses for primary care and hospital physicians, who might attribute to physical causes, and liaison between physical and mental health services.

Author(s) Details

Thabet Abdelaziz
School of Public Health, Community Mental Health Department and Child Institute, Al Quds University, Palestine.

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View Volume: https://doi.org/10.9734/bpi/pass/v2

Neurocysticercosis and Psycho-social Trauma | Chapter 04 | New Insights into Disease and Pathogen Research Vol. 1

This chapter describes a patient with neurocysticercosis who presented with psychotic features. He came to Cairns, Queensland, Australia as a refugee following his experiences of civil unrest in Rwanda. A review of the current literature on neurocysticercosis is described including an introduction, clinical presentation of neurocysticercosis, diagnosis, treatment, case presentation, clinical course, Axis 1-IV diagnoses and discussion highlighting psychosocial trauma. A history of the genocide he survived in Rwanda in 1994 is summarised along with a discussion of traumatic or dissociative psychosis that was included in his differential diagnosis. The patient was admitted through the Emergency Department where he was assessed and treated in a medical ward with the involvement of the Psychiatric Liaison Team and Infectious Disease Team. CT and MRI of the brain confirmed the diagnosis of neurocysticercosis. Medical treatment was administered for neurocysticercosis and community psychiatric and medical follow-up were undertaken.

Medical treatment of neurocysticercosis was successful but the patient subsequently developed a seizure disorder that was treated effectively and subsequently resolved without the need for continuing medication. The patient’s psychotic disorder was treated with medication and supportive psychotherapy. His delirium cleared quickly after two days treatment with an antipsychotic was given. Unresolved grief related to psycho-social trauma was addressed as an on-going process during his community psychiatric treatment.

Neurocysticercosis is rare and should be considered in immigrants from countries that have endemic neurocysticercosis. A small minority of patients present with psychosis. This patient who survived extensive trauma presented with psychosis that required assessment for traumatic or dissociative psychosis.

Author(s) Details

Dr. Mila Goldner-Vukov

Cairns Base Hospital Mental Health Unit, Cairns, QLD, Australia.

Dr. Laurie Jo Moore

Cairns Base Hospital Mental Health Unit, Cairns, QLD, Australia.

Dr. Hesitha Abeysundera, MBBS, FRANZCP, FAChAM, Cert. Addiction Psych.

Cairns Base Hospital Mental Health Unit, Cairns, QLD, Australia.

Dr. Arulmathy Arunachalam, MBBS, FRANZCP, FPOA.

Cairns Base Hospital Mental Health Unit, Cairns, QLD, Australia.

Read full article: http://bp.bookpi.org/index.php/bpi/catalog/view/53/528/467-1

View Volume: https://doi.org/10.9734/bpi/nidpr/v1