Mental symptoms in victims of sarin poisoning 5 years after the Tokyo subway attack

Mental symptoms in victims of sarin poisoning 5 years after the Tokyo subway attack
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东京地铁袭击5年后沙林中毒受害者的精神症状

DOI:
10.1016/s0924-9338(02)80849-5
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发表时间:
2002
影响因子:
7.8
通讯作者:
K. Nobumasa
K. Nobumasa
中科院分区:
医学2区
文献类型:
--
作者:
A. Iwanami;O. Toshiyuki;T. Mamoru;K. Tadafumi;S. Tsukasa;K. Nobumasa

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背景:由于战争而被驱逐或逃离自己的国家,对那些遭受痛苦的人来说是一种痛苦的经历。根据联合国今天的数据,2200万人是战争难民。经验数据表明,大量难民患上了创伤后应激障碍。然而,人们对创伤后应激障碍在晚年的结局知之甚少。第二次世界大战后被驱逐者接受了几十年前创伤经历的躯体和心理影响检查。参与者在上个月经历了创伤后应激障碍的症状。10%的被驱逐者达到了创伤后应激障碍的DSM IV标准。方法:通过邮寄的方式,要求被驱逐者填写关于他们躯体症状(SCL-90-R)和精神症状(PTSD问卷)的问卷。为了验证研究结果,进行了临床访谈。结果:共回收问卷150份。70%的讨论:我们可以证明,对于那些遭受痛苦的人来说,逃亡和驱逐往往意味着创伤经历。我们还可以证明,如果没有适当的治疗,创伤相关症状可能会持续50多年。这项研究表明,有必要对被驱逐者和其他遭受心理创伤的人给予适当的照顾。
Background: Expulsion or flight from one’s own country due to warfare is a traumatic experience for those afflicted. According to UN data today 22 million people are refugees from war. Empirical data show that a large number of refugees develop PTSD. However, little is known about the outcome of PTSD in later life. Expellees after World War II were examined for somatic and psychological effects of traumatic experiences that date back several decades. participants had experienced symptoms of PTSD during the last month. 10% reached DSM IV criteria of PTSD.Methods: Via a mailing expellees from former German territories were asked to fill in questionnaires about their somatic (SCL-90-R) and psychic (PTSD-questionnaire) complaints. Clinical interviews were carried out in order to validate the results. Results: 150 returned questionnaires were analysed. 70% of allDiscussion: We could show that flight and expulsion frequently mean traumatic experience to those afflicted. We could also demonstrate that without adequate therapy, trauma related symptoms may last for more than fifty years. The study indicates the necessity of adequate care for expellees and other psychologically traumatised people.