Abstract
Background
Community violence exposure among youth can lead to various negative outcomes, including post-traumatic stress symptoms. Research in the Western world indicates that a number of social support factors may moderate the relation between violence exposure and internalizing symptoms. Little research has been carried out in non-Western countries. This study aimed to fill this gap by exploring the relations among violence exposure, parental warmth, positive school climate, and post-traumatic stress reactions among youth in The Republic of The Gambia, Africa.
Methods
A school-based survey of youth behaviors, feelings, attitudes, and perceptions was administered to 653 students at senior secondary schools in four Gambian communities.
Results
Students reported high levels of exposure to violence. Over half of students reported witnessing someone threatened with serious physical harm, beaten up or mugged, attacked or stabbed with a knife/piece of glass, or seriously wounded in an incident of violence. Nearly half of students reported being beaten up or mugged during the past year, and nearly a quarter reported being threatened with serious physical harm. There were no sex differences in levels of exposure. Traumatic stress symptoms were common, especially among females. Both violence witnessing and violent victimization significantly predicted post-traumatic stress symptoms, and positive school climate moderated the relationship. Among youth victimized by violence, positive school climate was most strongly correlated with lower levels of post-traumatic stress at low levels of exposure. Among youth who had witnessed violence, positive school climate was most strongly correlated with lower levels of post-traumatic stress at high levels of exposure.
Conclusion
Community-based programs that bring together parents, schools, and youth may play an important role in combating the negative effects of some types of violence exposure among Gambian youth. Youth experiencing high levels of violent victimization represent a sample of particular concern and merit special research and clinical attention.
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References
Ainsworth MDS (1973) The development of infant–mother attachment. In: Caldwell BM, Ricciuti HN (eds) Review of child development research, vol 3. University of Chicago Press, Chicago
American School Health Association (1990) The national adolescent student health survey: a report of the health of America’s youth. Third Party Publishing, Oakland
Amnesty International (2008) Gambia: Fear Rules. London
Araya M, Chotai J, Komproe IH, de Jong JTVM (2007) Gender differences in traumatic life events, coping strategies, perceived social support and sociodemographics among postconflict displaced persons in Ethiopia. Soc Psychiatry Psychiatr Epidemiol 42(4):307–315
Bailey BN, Hannigan JH, Delaney-Black V, Covington C, Sokol RJ (2006) The role of maternal acceptance in the relation between community violence exposure and child functioning. J Abnorm Child Psychol 34(1):54–67
Barone C, Weissberg RP, Kasprow WJ, Voyce CK, Arthur MW, Shriver TP (1995) Involvement in multiple problem behaviors of young urban adolescents. J Prim Prev 15:261–283
Boxer P, Edwards-Leeper L, Goldstein SE (2003) Exposure to ‘low-level’ aggression in school: associations with aggressive behavior, future expectations, and perceived safety. Violence Vict 18(6):691–704
Breslau N, Davis G, Andreski P, Peterson E (1991) Traumatic events and posttraumatic stress disorder in an urban population of young adults. Arch Gen Psychiatry 48:216–222
Bronfenbrenner U (1977) Toward an experimental ecology of human development. Am Psychol 32:513–531
Ceballo R (2000) The neighborhood club: A supportive intervention group for children exposed to urban violence. Am J Orthopsychiatry 70(3):401–407
Centers for Disease Control (1991) HIV/AIDS surveillance report. Centers for Disease Control, Atlanta
Centers for Disease Control (1991) Youth risk behavior survey. Centers for Disease Control, Atlanta
Cicchetti D, Lynch M (1993) Toward an ecological/transactional model of community violence and child maltreatment: consequences for children’s development. Psychiatry 56:96–118
Douki S, Zineb SB, Nacef F, Halbreich U (2007) Women’s mental health in the Muslim world: cultural, religious, and social issues. J Affect Disord 102:177–189
DuRant RH, Pendergrast C, Codenhead RA, Slavens G, Linder WC (1994) Factors associated with the use of violence among urban black adolescents. Am J Public Health 84:612–622
Eiser C, Havermans T, Eiser J (1995) The emergence during adolescence of gender differences in symptom reporting. J Adolesc 18:307–316
Elliott DS, Huizinga D, Menard S (1989) Multiple problem youth: delinquency, substance use, and mental health problems. Springer, New York
Fitzpatrick KM, Boldizar JP (1993) The prevalence and consequences of exposure to violence among African-American youth. J Am Acad Child Adolesc Psychiatry 32:424–430
Foster JD, Kuperminc GP, Price AW (2004) Gender differences in posttraumatic stress and related symptoms among inner-city minority youth exposed to community violence. J Youth Adolesc 33(1):59–69
Frederick C, Pynoos R, Nader K (1992) Childhood PTSD reaction index. Unpublished manuscript
Frey A, Ruchkin V, Martin A, Schwab-Stone M (2009) Adolescents in transition: school and family characteristics in the development of violent behaviors entering high school. Child Psychiatry Hum Dev 40(1):1–13
Gambia National Assembly (2006) Report on schools survey. Assembly Select Committee on Education and Training, Banjul
Giaconia RM, Reinherz HZ, Silverman AB, Pakiz B, Frost AK, Cohen E (1995) Traumas and posttraumatic stress disorder in a community population of older adolescents. J Am Acad Child Adolesc Psychiatry 34:1369–1380
Hawkins JD, Catalano RF (1990) Seattle social development project. Social Development Research Group, School of Social Work, University of Washington
Henrich C, Brookmeyer K, Shahar G (2005) Weapon violence in adolescence: Parent and school connectedness as protective factors. J Adolesc Health 37(4):306–312
Hoffman WA (2002) The incidence of traumatic events and trauma-associated symptoms/experiences amongst tertiary students. South Afr J Psychology 32(4):48–53
Horowitz K, Weine S, Jekel J (1995) PTSD symptoms in urban adolescent girls: compounded community trauma. J Acad Child Adoelsc Psychiatry 34:1353–1361
Jessor R, Donovan JE, Costa FM (1989) School health study. Institute of Behavioral Science, University of Colorado, Boulder
Johnston LD, Bachman J, O’Malley PM (1990) Monitoring the future. Institute for Social Research, University of Michigan, Ann Arbor
Kasen S, Johnson J, Cohen P (1990) The impact of school emotional climate on student psychopathology. J Abnorm Child Psychol 18(2):165–177
Kliewer W, Lepore SJ, Oskin D, Johnson PD (1998) The role of social and cognitive processes in children’s adjustment to community violence. J Consult Clin Psychol 66:199–209
Luthar S, Cicchetti D, Becker B (2000) The construct of resilience: a critical evaluation and guidelines for future work. Child Dev 71(3):543–562
Luthar S, Goldstein A (2004) Children’s exposure to community violence: implications for understanding risk and resilience. J Clin Child Adolesc Psychology 33(3):499–505
Lynch M, Cicchetti D (1998) An ecological–transactional analysis of children and contexts: the longitudinal interplay among child maltreatment, community violence, and children’s symptomatology. Dev Psychopathol 10:235–257
Martinez P, Richters JE (1993) The NIMH community violence project: children’s distress symptoms associated with violence exposure. In: Reiss D, Richters JE, Radke-Yarrow M, Scharff D (eds) Children and violence. Guilford Press, New York
Ndetei DM, Khasakhala L, Maru H, Pizzo M, Mutiso V, Ongecha-Owuor F, Kokonya D (2008) Clinical epidemiology in patients admitted at Mathari Psychiatric Hospital, Nairobi, Kenya. Soc Psychiatry Psychiatr Epidemiol 43(9):736–742
Ndow M (2009) Zero tolerance for violence against women. Daily Observer Newspaper, Gambia
Nossiter A (2009) Witch hunts and foul potions heighten fear of leader in Gambia. The New York Times, Gambia
O’Donnell DA, Schwab-Stone ME, Muyeed AZ (2002) Multidimensional resilience in urban children exposed to community violence. Child Dev 73(4):1265–1282
Overseas Security Advisory Council (2008) The Gambia 2008 Crime and Safety Report. United States Department of State, Washington DC
Ozer EJ, Weinstein EJ (2004) Urban adolescents’ exposure to community violence: the role of support, school safety, and social constraints in a school-based sample of boys and girls. J Clin Child Adolesc Psychol 33:463–476
Population Reference Bureau (2007) Demographic and Health Highlights of The Gambia. PRB, Washington DC
Predictive Analytics Company (2006) Statistical Package for the Social Sciences
Pynoos R, Frederick C, Nader K (1987) Life threat and post-traumatic stress in school-age children. Arch Gen Psychiatry 44:1057–1063
Richters JE, Martinez PE (1993) The NIMH community violence project. I. Children as victims of and witnesses to violence. Psychiatry 56:7–21
Roosa MW (2000) Some thoughts about resilience versus positive development, main effects versus interactions, and the value of resilience. Child Dev 71(3):567–569
Rosario M, Salzinger S, Feldman RS, Ng-Mak DS (2008) Intervening processes between youths’ exposure to community violence and internalizing symptoms over time: the roles of social support and coping. Am J Community Psychol 41:43–62
Schwab-Stone ME (1995) The social and health assessment. Yale University Medical School, New Haven
Schwab-Stone ME, Ayers TS, Kasprow W, Voyce C, Barone C, Shriver T, Weissberg RP (1995) No safe haven: a study of violence exposure in an urban community. J Am Acad Child Adolesc Psychiatry 34:1343–1352
Schwab-Stone ME, Chen C, Greenberger E, Silver D, Lichtman J, Voyce C (1999) No safe haven. II. The effects of violence exposure in urban youth. J Am Acad Child Adolesc Psychiatry 38:359–367
Shields N, Nadasen K, Pierce L (2008) The effects of community violence on children in Cape Town, South Africa. Child Abuse Negl 32(5):589–601
Solberg V, Carlstrom AH, Howard KAS, Jones JE (2007) Classifying at-risk high school youth: the influence of exposure to community violence and protective factors on academic and health outcomes. Career Dev Quart 55(4):313–327
Springer C, Padgett DK (2000) Gender differences in young adolescents’ exposure to violence and rates of PTSD symptomatology. Am J Orthopsychiatry 70(3):370–379
Sroufe LA (1996) Emotional development: the organization of emotional life in the early years. Cambridge University Press, New York
United Nations Children’s Fund (2004) Gambian mothers seize the right to education for their daughters and themselves. http://www.unicef.org/infobycountry/gambia_17474.html
Weissberg RP, Voyce CK, Kasprow WJ (1991) The social and health assessment. Yale University Medical School, New Haven
Wilson WC, Rosenthal BC, Battle WS (2007) Effects of gender, ethnicity, and educational status on exposure to community violence and psychological distress in adolescence. J Aggress Maltreatment Trauma 15(1):93–111
World Bank (2006) World Development Indicators, World Bank, Washington DC
World Health Organization (2000) Women’s mental health: an evidence based review. WHO, Geneva
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O’Donnell, D.A., Roberts, W.C. & Schwab-Stone, M.E. Community violence exposure and post-traumatic stress reactions among Gambian youth: the moderating role of positive school climate. Soc Psychiat Epidemiol 46, 59–67 (2011). https://doi.org/10.1007/s00127-009-0162-x
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DOI: https://doi.org/10.1007/s00127-009-0162-x