Relationship of child loss to psychiatric and functional impairment in resettled Cambodian refugees
Relationship of child loss to psychiatric and functional impairment in resettled Cambodian refugees
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DOI：
10.1097/00005053-199808000-00006
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发表时间：
1998-08-01
影响因子：
1.9
通讯作者：
Frankel, M
中科院分区：
文献类型：
--
作者：
Caspi, Y;Poole, C;Frankel, M
从马萨诸塞州重新定居的柬埔寨难民社区招募了 168 名受访者，他们接受了关于创伤、身心健康和功能的研究。在 161 名曾经有过孩子的受访者中，70 名父母 (43%) 报告称他们有 1 到 6 个孩子死亡。失去孩子与健康相关问题、各种躯体症状以及文化猎犬的情绪困扰呈正相关。没有发现与抑郁症和创伤后应激障碍等传统精神症状有任何关系。孩子去世的父母与没有失去孩子的父母相比，正在进行大多数日常活动，并参与社会活动，程度相似甚至更大。然而，儿童流失与身体机能和社会活动方面与健康相关的限制的看法密切相关。需要进一步研究儿童流失的发生率及其对大规模创伤幸存者长期适应的影响。
One hundred sixty eight respondents, recruited from a community of resettled Cambodian refugees in Massachusetts, were interviewed for a study of trauma, physical and emotional health, and functioning. Of the 161 respondents who have ever had any children, 70 parents (43%) reported the death of between one and six of their children. Child loss was positively associated with health-related concerns, a variety of somatic symptoms, and culture-hound conditions of emotional distress. No relationship was found with conventional psychiatric symptoms of depression and posttraumatic stress disorder. Parents whose children died were performing most routine daily activities and participating in social activities to a similar and even greater extent than were parents who did not lose children. Nevertheless, child loss was strongly associated with a perception of health-related limitation in both physical functioning and social activities. Further research on the prevalence of child loss and its impact on long-term adjustment in survivors of mass trauma is indicated.