Abstract
Objectives—This study aimed to establish prevalence of adolescents' exposure to violence and related symptoms in the South African context and to explore relationships between exposure and symptoms.
Setting—Four high schools in Cape Town, South Africa.
Methods—Self report questionnaires were administered to 104 students. Types of violence explored included: witnessing or being a victim of violence perpetrated by someone known to the child or in the home and witnessing or being a victim of violence perpetrated by a stranger. The Harvard Trauma Scale, Beck Depression Inventory, and Zung Self-Rating Anxiety Scale were used to assess potentially related symptoms.
Results—The majority of children had been exposed to at least one type of violence, and exposure to the one type of violence was related to the other type. Symptoms of post-traumatic stress disorder and depression appear to be related to most types of exposure to violence, but anxiety symptoms only to exposure to violence perpetrated by someone known to the child or in the home.
Conclusions—Rates of exposure to violence, and related symptoms, were unacceptably high. Symptoms were associated with exposure to violence.
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Selected References
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- Aneshensel C. S., Sucoff C. A. The neighborhood context of adolescent mental health. J Health Soc Behav. 1996 Dec;37(4):293–310. [PubMed] [Google Scholar]
- Barbarin O. A. Social risks and psychological adjustment: a comparison of African American and South African children. Child Dev. 1999 Nov-Dec;70(6):1348–1359. doi: 10.1111/1467-8624.00099. [DOI] [PubMed] [Google Scholar]
- Berton M. W., Stabb S. D. Exposure to violence and post-traumatic stress disorder in urban adolescents. Adolescence. 1996 Summer;31(122):489–498. [PubMed] [Google Scholar]
- Ensink K., Robertson B. A., Zissis C., Leger P. Post-traumatic stress disorder in children exposed to violence. S Afr Med J. 1997 Nov;87(11):1526–1530. [PubMed] [Google Scholar]
- Flisher A. J., Ziervogel C. F., Chalton D. O., Leger P. H., Robertson B. A. Risk-taking behaviour of Cape Peninsula high-school students. Part VII. Violent behaviour. S Afr Med J. 1993 Jul;83(7):490–494. [PubMed] [Google Scholar]
- Gorman-Smith D., Tolan P. The role of exposure to community violence and developmental problems among inner-city youth. Dev Psychopathol. 1998 Winter;10(1):101–116. doi: 10.1017/s0954579498001539. [DOI] [PubMed] [Google Scholar]
- Lynch M., Cicchetti D. An ecological-transactional analysis of children and contexts: the longitudinal interplay among child maltreatment, community violence, and children's symptomatology. Dev Psychopathol. 1998 Spring;10(2):235–257. doi: 10.1017/s095457949800159x. [DOI] [PubMed] [Google Scholar]
- Mollica R. F., Caspi-Yavin Y., Bollini P., Truong T., Tor S., Lavelle J. The Harvard Trauma Questionnaire. Validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis. 1992 Feb;180(2):111–116. [PubMed] [Google Scholar]
- Monck E., Graham P., Richman N., Dobbs R. Adolescent girls. II. Background factors in anxiety and depressive states. Br J Psychiatry. 1994 Dec;165(6):770–780. doi: 10.1192/bjp.165.6.770. [DOI] [PubMed] [Google Scholar]
- Moses A. Exposure to violence, depression, and hostility in a sample of inner city high school youth. J Adolesc. 1999 Feb;22(1):21–32. doi: 10.1006/jado.1998.0198. [DOI] [PubMed] [Google Scholar]
- Peltzer K. Posttraumatic stress symptoms in a population of rural children in South Africa. Psychol Rep. 1999 Oct;85(2):646–650. doi: 10.2466/pr0.1999.85.2.646. [DOI] [PubMed] [Google Scholar]
- Sasson Y., Iancu I., Fux M., Taub M., Dannon P. N., Zohar J. A double-blind crossover comparison of clomipramine and desipramine in the treatment of panic disorder. Eur Neuropsychopharmacol. 1999 Mar;9(3):191–196. doi: 10.1016/s0924-977x(98)00024-8. [DOI] [PubMed] [Google Scholar]
- Schwab-Stone M., Chen C., Greenberger E., Silver D., Lichtman J., Voyce C. No safe haven. II: The effects of violence exposure on urban youth. J Am Acad Child Adolesc Psychiatry. 1999 Apr;38(4):359–367. doi: 10.1097/00004583-199904000-00007. [DOI] [PubMed] [Google Scholar]
- Singer M. I., Anglin T. M., Song L. Y., Lunghofer L. Adolescents' exposure to violence and associated symptoms of psychological trauma. JAMA. 1995 Feb 8;273(6):477–482. [PubMed] [Google Scholar]
- Sinoff G., Ore L., Zlotogorsky D., Tamir A. Short Anxiety Screening Test--a brief instrument for detecting anxiety in the elderly. Int J Geriatr Psychiatry. 1999 Dec;14(12):1062–1071. doi: 10.1002/(sici)1099-1166(199912)14:12<1062::aid-gps67>3.0.co;2-q. [DOI] [PubMed] [Google Scholar]