Onset of posttraumatic stress disorder and major depression among refugees and voluntary migrants to the United States.
Onset of posttraumatic stress disorder and major depression among refugees and voluntary migrants to the United States.
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前往美国的难民和自愿移民出现创伤后应激障碍和重度抑郁症。
DOI：
10.1002/jts.21763
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发表时间：
2012
影响因子：
3.3
通讯作者：
Gany,Francesca
中科院分区：
文献类型：
--
作者：
Rasmussen,Andrew;Crager,Mia;Baser,RayE;Chu,Tracy;Gany,Francesca
虽然难民通常被认为是在创伤后应激障碍（PTSD）和重度抑郁发作（MDE）的风险增加，很少有研究比较难民和自愿移民之间的PTSD和MDE发作。鉴于移民历史的差异，发病率应该在移民前后有所不同。全国拉丁裔和亚裔美国人调查（NLAAS）是一个具有全国代表性的复杂数据集，测量拉丁裔和亚裔移民到美国的精神病发病率，精神卫生服务使用和移民历史。在3，260名外国出生的参与者中，660人是难民（加权比例为9.52%）。难民更有可能报告与战争有关的创伤史，但其他创伤事件的报告相似。难民移民前PTSD发病率高于自愿移民，OR = 4.86，95% CI [2.01，11.76]，而移民后PTSD发病率低于自愿移民，OR= 0.61，95% CI [0.29，1.28]; MDE的OR值分别为1.98，95%CI [1.11，3.51]和1.02，95%CI [0.65，1.62]。虽然难民抵达东道国更紧迫的精神病需求，发病率是随着时间的推移，这表明移民后难民和自愿移民可能是最好的服务类似的计划。
Although refugees are generally thought to be at increased risk for posttraumatic stress disorder (PTSD) and major depressive episode (MDE), few studies have compared onset of PTSD and MDE between refugees and voluntary migrants. Given differences in migration histories, onset should differ pre‐ and postmigration. The National Latino and Asian American Survey (NLAAS) is a national representative, complex dataset measuring psychiatric morbidity, mental health service use, and migration history among Latino and Asian immigrants to the United States. Of the 3,260 foreign‐born participants, 660 were refugees (a weighted proportion of 9.52%). Refugees were more likely to report a history of war‐related trauma, but reports of other traumatic events were similar. Premigration onset of PTSD was statistically higher for refugees than voluntary migrants, odds ratio (OR)= 4.86, 95% confidence interval (CI) [2.01, 11.76], where postmigration onset for PTSD was not,OR= 0.61, 95% CI [0.29, 1.28]; a similar pattern was found for MDE,OR= 1.98, 95% CI [1.11, 3.51]; andOR= 1.02, 95% CI [0.65, 1.62], respectively. Although refugees arrive in host countries with more pressing psychiatric needs, onset is comparable over time, suggesting that postmigration refugees and voluntary migrants may be best served by similar programs.