N. Laor et al., ISRAELI PRESCHOOLERS UNDER SCUD MISSILE ATTACKS - A DEVELOPMENTAL PERSPECTIVE ON RISK-MODIFYING FACTORS, Archives of general psychiatry, 53(5), 1996, pp. 416-423
Background: The devastating effects of traumatic events on children ar
e modulated by risk and protective factors. This study examines the di
fferential effects of traumatic displacement of preschool children and
their families following Scud missile attacks on Israel during the Pe
rsian Gulf War. Methods: Three groups participated in the study: famil
ies displaced after their houses were damaged, undisplaced families fr
om the same neighborhood (without home damage), and families from a di
stant city that was threatened but not directly attacked. Data concern
ing the traumatic event, the child (personality, internalizing, extern
alizing, and stress symptoms), the mother (Symptom Checklist-90-Revise
d), and the family (Family Adaptability and Cohesion Evaluation Scales
) were gathered 6 months after the end of the war. Results: Displaced
children and mothers showed higher externalizing and stress symptom le
vels compared with undisplaced and threatened subjects. Destruction of
the house and displacement, but not mere distance from the missile im
pact, explained symptomatic behavior. Inadequate family cohesion predi
cted symptomatic reaction for 3- and 4-year-old children but not for o
lder ones. Conclusions: Both human and nonhuman factors contribute to
the preschool child's adaptive mechanisms that regulate environmental
stressful stimuli. These risk-modifying factors become more autonomous
of caretakers with increasing age.