Background: Our goal was to accurately detect young children at risk for long-term psychiatric disturbances after potentially traumatic experiences in the course of relocation. In addition to detailed assessment of parent-rated parent and child symptomatology, we focused on disruptive behaviors in the education environment summarized as survival states, as these frequently lead to clinical referral. Methods: We screened 52 refugee children aged 3–7 (M = 5.14 years, SD = 1.17) for symptoms of Posttraumatic Stress Disorder (PTSD) with the Child and Adolescent Trauma Screening (CATS) in parent rating. The parents’ mental health was assessed using the Refugee Health Screener (RHS-15). Furthermore, the child’s educators were asked to evaluate the pathological survival states of the child and we made a general assessment of the children’s symptoms with the Strengths and Difficulties Questionnaire (SDQ) rated by parents and educators. Children in the refugee sample completed a working memory learning task (Subtest Atlantis from the Kaufmann Assessment Battery for Children, KABC-II) and delivered saliva samples for testing of the cortisol level. Results: The parental rating of their child’s PTSD symptoms was significantly related to their own mental well-being (r =.50, p
CITATION STYLE
Hahnefeld, A., Sukale, T., Weigand, E., Münch, K., Aberl, S., Eckler, L. V., … Mall, V. (2021). Survival states as indicators of learning performance and biological stress in refugee children: a cross-sectional study with a comparison group. BMC Psychiatry, 21(1). https://doi.org/10.1186/s12888-021-03233-y
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