Restricted accessResearch articleFirst published online 2022-9
Palestinian children living amidst political and military violence deploy active protection strategies against psychological trauma: How agency can mitigate traumatic stress via life satisfaction
This exploratory study assessed the association between agency and life satisfaction, as well as the potential for life satisfaction, in its turn, to alleviate trauma symptoms and reduce negative emotion in a group of children exposed to war and military violence in Palestine. Two hundred and fifty Palestinian children, who had been recruited at primary schools in urban and rural areas, and refugee camps, completed the Multilevel Student’s Life Satisfaction Scale, Children’s Hope Scale (CHS), Children’s Impact of Event Scale (CRIES) and Positive and Negative Affect Scales. We performed structural equation modelling to evaluate the effects of agency on negative emotions and trauma symptoms via life satisfaction. The participants appeared to play an agentic role in mobilizing their own life satisfaction, and the more satisfied they were with their lives, the less they suffered from trauma symptoms. In terms of clinical practice, we advocate more active and participatory approaches to fostering children’s agency, a complex construct in need of further investigation via mixed-method quanti-qualitative and ethnographic studies.
AlexanderJHCallaghanJEMSixsmithJ, et al. (2015) Children's corporeal agency and use of space in situations of domestic violence. In: HortonJEvansBSkeltonT (eds). Play, Recreation, Health and Wellbeing, Geographies of Children and Young People. London: Taylor & Francis, 1–21.
2.
BarberBKSchlutermanJM (2009) An overview of the empirical literature on adolescents and political violence. In: BarberBK (ed). Adolescents and War: How Youth Deal with Political Violence. New York: Oxford Press, 35–61.
3.
BenightCCBanduraA (2004) Social cognitive theory of posttraumatic recovery: the role of perceived self-efficacy. Behaviour Research and Therapy42: 1129–1148.
4.
BentlerPM (1990) Fit indexes, Lagrange multipliers, constraint changes and incomplete data in structural models. Multivariate Behavioral Research25: 163–172.
5.
BollenKA (1989) Structural Equations with Latent Variables. New York: John Wiley & and Sons, Inc.
6.
BothaAvan den BergH (2016) Trauma exposure and life satisfaction among at-risk black South African adolescents. Journal of Psychology in Africa26: 500–507.
7.
BoydenJ (2003) Children under fire: challenging assumptions about children's resilience. Children Youth and Environments13: 1–29.
8.
BrownKWestawayE (2011) Agency, capacity, and resilience to environmental change: lessons from human development, well-being, and disasters. Annual Review of Environment and Resources36: 321–342.
9.
BrowneMWCudeckR (1993) Alternative ways of assessing model fit. Sage Focus Editions, Vol. 154, 136.
10.
CairnsEWilsonR (1984) The impact of political violence on mild psychiatric morbidity in Northern Ireland. British Journal of Psychiatry145: 631–635.
11.
DarawshyNASGewirtzAMarsalisS (2020) Psychological intervention and prevention programs for child and adolescent exposure to community violence: a systematic review. Clinical Child and Family Psychology Review23: 1–14.
12.
DenovMAkessonB (2016) Children and political violence: at the intersection of rights and realities. Children & Society30: 337–344.
13.
DenovMShevellMC (2019) Social work practice with war-affected children and families: the importance of family, culture, arts, and participatory approaches. Journal of Family social work22: 1–16.
EbesutaniCSmithABernsteinA, et al. (2011) A bifactor model of negative affectivity: fear and distress components among younger and older youth. Psychological Assessment23: 679–691.
16.
GeorgeDMalleryM (2010) SPSS for Windows Step by Step: A Simple Study Guide and Rreference. Boston, MA: Allyn & Bacon.
17.
GiacamanRMatariaANguyen-GillhamV, et al. (2007) Quality of life in the Palestinian context: an inquiry in war-like conditions. Health Policy81: 68–84.
18.
GilliganC (2009) ‘Highly vulnerable'? Political violence and the social construction of traumatized children. Journal of Peace Research46: 119–134.
19.
HarozEEJordansMde JongJ, et al. (2017) Measuring hope among children affected by armed conflict: cross-cultural construct validity of the children's hope scale. Assessment24: 528–539.
20.
HorowitzMWilnerNAlvarezW (1979) Impact of event scale: a measure of subjective stress. Psychosomatic Medicine41: 209–218.
21.
HuebnerES (1994) Preliminary development and validation of a multidimensional life satisfaction scale for children. Psychological Assessment6: 149–158.
22.
HuebnerES (2004) Research on assessment of life satisfaction of children and adolescents. Social Indicators Research66: 3–33.
23.
HuebnerESDewT (1996) The interrelationships of positive affect, negative affect, and life satisfaction in an adolescent sample. Social Indicators Research38: 129–137.
24.
Israel-CohenYUzefovskyFKashy-RosenbaumG, et al. (2015) Gratitude and PTSD symptoms among Israeli youth exposed to missile attacks: examining the mediation of positive and negative affect and life satisfaction. The Journal of Positive Psychology10: 99–106.
25.
MarshHWHocevarD (1985) Application of confirmatory factor analysis to the study of self-concept: first-and higher order factor models and their invariance across groups. Psychological Bulletin97(3): 562–582.
26.
MarshallDJ (2014) Save (us from) the children: trauma, Palestinian childhood, and the production of governable subjects. Children's Geographies12(3): 281–296.
27.
MerrileesCECairnsETaylorLK, et al. (2013) Social identity and youth aggressive and delinquent behaviors in a context of political violence. Political Psychology34: 695–711.
28.
MorinAJSMarshHWNagengastB (2013) Exploratory structural equation modeling. In: Hancock GR and Mueller RO (eds) Structural Equation Modeling: A Second Course. Charlotte, NC: Information Age, 395–436.
29.
PavotWDienerEColvinCR, et al. (1991) Further validation of the satisfaction with life scale: evidence for the cross-method convergence of well-being measures. Journal of Personality Assessment57: 149–161.
30.
PerrinSMeiser-StedmanRSmithP (2005) The Children's Revised Impact of Event Scale (CRIES): validity as a screening instrument for PTSD. Behavioural and Cognitive Psychotherapy33(4): 487–498.
31.
PunamäkiR-LPalosaariEDiabM, et al. (2015) Trajectories of posttraumatic stress symptoms (PTSS) after major war among Palestinian children: trauma, family- and child-related predictors. Journal of Affective Disorders172: 133–140.
32.
QoutaSPunamäkiR-LMontgomeryE, et al. (2007) Predictors of psychological distress and positive resources among Palestinian adolescents: trauma, child, and mothering characteristics. Child Abuse & Neglect31: 699–717.
33.
RabaiaYSalehMFGiacamanR (2014) Sick or sad? Supporting Palestinian children living in conditions of chronic political violence. Children & Society28: 172–181.
34.
RohmannEBrailovskaiaJBierhoffHW (2019) The framework of self-esteem: narcissistic subtypes, positive/negative agency, and self-evaluation. Current Psychology1–8. DOI: 10.1007/s12144-019-00431-6
35.
StiglitzJMSenAFitoussiJ (2009) Report by the commission on the measurement of economic performance and social progress. Paris: Commission on the Measurement of Economic Performance and Social Progress.
36.
SnyderCRCheavensJSympsonSC (1997) Hope: an individual motive for social commerce. Group Dynamics: Theory, Research, and Practice1: 107–118.
37.
SnyderCRHarrisCAndersonJR, et al. (1991) The will and the ways: development and validation of an individual-differences measure of hope. Journal of Personality and Social Psychology60: 570–585.
38.
SnyderCRHozaBPelhamWE, et al. (1997) The development and validation of the children's hope scale. Journal of Pediatric Psychology22: 399–421.
39.
SnyderCRSympsonSCYbascoFC, et al. (1996) Development and validation of the state hope scale. Journal of Personality and Social Psychology70: 321–335.
40.
VarelaJJZimmermanMARyanAM, et al. (2018) Life satisfaction, school satisfaction, and school violence: a mediation analysis for Chilean adolescent victims and perpetrators. Child Indicators Research11: 487–505.
41.
VeroneseGBarolaG (2018) Healing stories: an expressive-narrative intervention for strengthening resilience and survival skills in school-aged child victims of war and political violence in the Gaza Strip. Clinical Child Psychology and Psychiatry23: 311–332.
42.
VeroneseGCastiglioniMBarolaG, et al. (2012) Living in the shadow of occupation: life satisfaction and positive emotion as protective factors in a group of Palestinian school children. Children and Youth Services Review34: 225–233.
43.
VeroneseGCavazzoniFAntenucciS (2018) Narrating hope and resistance: a critical analysis of sources of agency among Palestinian children living under military violence. Child: Care, Health and Development44: 863–870.
44.
VeroneseGPepeA (2017a) Life satisfaction and trauma in clinical and non-clinical children living in a war-torn environment: a discriminant analysis. Journal of Health Psychology25: 459–471.
45.
VeroneseGPepeA (2017b) Positive and negative affect in children living in refugee camps. Evaluation & the Health Professions40: 3–32.
46.
VeroneseGPepeA (2018) Cross-cultural adaptation, psychometric proprieties and factor structure of the Multidimensional Student Life Satisfaction Scale (MSLSS): a study with Palestinian children living in refugee camps. Current Psychology1–10. DOI: 10.1007/s12144-018-9891-x
47.
VeroneseGPepeA (2021) Measuring traumatic reactions in Palestinian children: a psychometric assessment of the children revised impact of event scale-Arabic version (CRIES-13A). Child Psychiatry & Human Development1–11.
48.
VeroneseGPepeACavazzoniF, et al. (2019) Agency via life satisfaction as a protective factor from cumulative trauma and emotional distress among Bedouin children in Palestine. Frontiers in Psychology10: 1674.
49.
VeroneseGPepeAJaradahA, et al. (2017a) We must cooperate with one another against the Enemy”: agency and activism in school-aged children as protective factors against ongoing war trauma and political violence in the Gaza Strip. Child Abuse & Neglect70: 364–376.
50.
VeroneseGPepeAJaradahA, et al. (2017b) Modelling life satisfaction and adjustment to trauma in children exposed to ongoing military violence: an exploratory study in Palestine. Child Abuse & Neglect63: 61–72.
51.
VeroneseGPepeAMassaiuI, et al. (2017c) Posttraumatic growth is related to subjective well-being of aid workers exposed to cumulative trauma in Palestine. Transcultural Psychiatry54: 332–356.
52.
WatsonDClarkLATellegenA (1988) Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology54: 1063–1070.
53.
WessellsMG (2017) Children and armed conflict: interventions for supporting war-affected children. Peace and Conflict: Journal of Peace Psychology23: 4–13.
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