Department of Pediatrics, Albert Einstein College of Medicine/Children's Hospital at Montefiore, Bronx, NY, USA.
Curr Psychiatry Rep. 2021 Oct 13;23(12):80. doi: 10.1007/s11920-021-01295-z.
This paper reviews the empirical literature on exposures to disaster or terrorism and their impacts on the health and well-being of children with disabilities and their families since the last published update in 2017. We also review the literature on studies examining the mental health and functioning of children with disabilities during the COVID-19 pandemic.
Few studies have examined the effects of disaster or terrorism on children with disabilities. Research shows that children with disabilities and their families have higher levels of disaster exposure, lower levels of disaster preparedness, and less recovery support due to longstanding discriminatory practices. Similarly, many reports of the COVID-19 pandemic have documented its negative and disproportionate impacts on children with disabilities and their families. In the setting of climate change, environmental disasters are expected to increase in frequency and severity. Future studies identifying mitigating factors to disasters, including COVID-19; increasing preparedness on an individual, community, and global level; and evaluating post-disaster trauma-informed treatment practices are imperative to support the health and well-being of children with disabilities and their families.
目的综述:本文回顾了自 2017 年上一次更新以来,灾害或恐怖主义暴露及其对残疾儿童及其家庭健康和福祉影响的实证文献。我们还回顾了研究残疾儿童在 COVID-19 大流行期间心理健康和功能的文献。
最新发现:很少有研究探讨灾害或恐怖主义对残疾儿童的影响。研究表明,由于长期存在的歧视性做法,残疾儿童及其家庭遭受灾害的程度更高,灾害准备程度更低,恢复支持也更少。同样,许多关于 COVID-19 大流行的报告都记录了其对残疾儿童及其家庭的负面影响和不成比例的影响。在气候变化的背景下,预计环境灾害的频率和严重程度将会增加。未来的研究需要确定减轻灾害(包括 COVID-19)的因素,提高个人、社区和全球层面的准备程度,并评估灾后创伤知情治疗实践,这对于支持残疾儿童及其家庭的健康和福祉至关重要。