Common mental disorders in postconflict settings
Common mental disorders in postconflict settings
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DOI：
10.1016/s0140-6736(03)13692-6
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发表时间：
2003-06-21
期刊：
影响因子：
168.9
通讯作者：
Van Ommeren, M
中科院分区：
文献类型：
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作者：
de Jong, JTVM;Komproe, IH;Van Ommeren, M
对低收入国家冲突后精神后遗症的研究主要集中在症状上，而不是全面的精神诊断评估。我们评估了来自阿尔及利亚、柬埔寨、埃塞俄比亚和巴勒斯坦冲突后社区的3048名受访者，目的是确定情绪障碍、躯体形式障碍、创伤后应激障碍（PTSD）和其他焦虑症的患病率。创伤后应激障碍和其他焦虑症是最常见的问题。在三个国家中，暴露于与武装冲突有关的暴力的个体最有可能患上创伤后应激障碍，但在不同的环境中，这种暴力是各种疾病和合并症组合的常见风险因素。在三个国家中，没有经历过这种暴力的人患焦虑症的比例最高。与武装冲突相关的暴力经历与较高的障碍发生率相关，阿尔及利亚焦虑的风险比为2-10 (95% CI 1.38-2.85)，巴勒斯坦PTSD的风险比为10.03 （95% CI 5.26-16.65）。冲突后心理健康规划应处理创伤后应激障碍以外的一系列常见疾病。
Research into postconflict psychiatric sequelae in low-income countries has been focused largely on symptoms rather than on full psychiatric diagnostic assessment. We assessed 3048 respondents from postconflict communities in Algeria, Cambodia, Ethiopia, and Palestine with the aim of establishing the prevalence of mood disorder, somatoform disorder, posttraumatic stress disorder (PTSD), and other anxiety disorders. PTSD and other anxiety disorders were the most frequent problems. In three countries, PTSD was the most likely disorder in individuals exposed to violence associated with armed conflict, but such violence was a common risk factor for various disorders and comorbidity combinations in different settings. In three countries, anxiety disorder was reported most in people who had not been exposed to such violence. Experience of violence associated with armed conflict was associated with higher rates of disorder that ranged from a risk ratio of 2-10 (95% CI 1.38-2.85) for anxiety in Algeria to 10.03 (5.26-16.65) for PTSD in Palestine. Postconflict mental health programmes should address a range of common disorders beyond PTSD.