PTSD, depression and anxiety among former abductees in Northern Uganda
PTSD, depression and anxiety among former abductees in Northern Uganda
复制标题
乌干达北部前被绑架者的创伤后应激障碍、抑郁和焦虑
作者：
Anett Pfeiffer;T. Elbert
背景乌干达北部的人们暴露在极端程度的创伤应激中，数千名被绑架的人成为叛军战士。方法采用结构化访谈的方法，对72名曾被绑架的成年人(其中62人曾是儿童兵)的创伤后应激障碍(PTSD)、抑郁和焦虑的患病率和严重程度进行评估。结果随着创伤应激暴露的回顾报道增加，焦虑和PTSD的发生率增加(r=.45)。49%的受访者被诊断为创伤后应激障碍，70%的受访者出现抑郁症状，59%的受访者出现焦虑症状。在多元线性回归分析中，四个因素最能解释创伤后应激障碍症状的发展：男性受访者(性别)、居住在境内流离失所者营地(地点)、有亲属在战争中被杀害(家庭成员在战争中丧生)以及经历过大量创伤事件(创伤事件次数)的男性受访者比其他人更有可能出现创伤后应激障碍症状。虽然不同意简单的剂量-反应-效应，但我们也观察到与叛军相处的时间与创伤后应激障碍症状水平之间存在负相关。结论被绑架者继续遭受严重的精神疾病。然而，适应叛军的生活条件可能会减少与创伤相关的精神痛苦。
BackgroundThe population in Northern Uganda has been exposed to extreme levels of traumatic stress and thousands abducted forcibly became rebel combatants.MethodsUsing structured interviews, the prevalence and severity of posttraumatic stress disorder (PTSD), depression and anxiety was assessed in 72 former abducted adults, 62 of them being former child soldiers.ResultsAs retrospective reports of exposure to traumatic stress increased, anxiety and PTSD occurrence increased (r = .45). 49% of respondents were diagnosed with PTSD, 70% presented with symptoms of depression, and 59% with those of anxiety. In a multiple linear regression analysis four factors could best explain the development of PTSD symptoms: male respondents (sex) living in an IDP-Camp (location) with a kinship murdered in the war (family members killed in the war) and having experienced a high number of traumatic events (number of traumatic events) were more likely to develop symptoms of PTSD than others. In disagreement to a simple dose-response-effect though, we also observed a negative correlation between the time spent with the rebels and the PTSD symptom level.ConclusionsFormer abductees continue to suffer from severe mental ill-health. Adaptation to the living condition of rebels, however, may lower trauma-related mental suffering.
影响因子：
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作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
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作者：
N. Breslau;G. Davis;P. Andreski;E. Peterson
通讯作者：
N. Breslau;G. Davis;P. Andreski;E. Peterson