The Mental Health Costs of Armed Conflicts-A Review of Systematic Reviews Conducted on Refugees, Asylum-Seekers and People Living in War Zones.
The Mental Health Costs of Armed Conflicts-A Review of Systematic Reviews Conducted on Refugees, Asylum-Seekers and People Living in War Zones.
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DOI：
10.3390/ijerph20042840
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发表时间：
2023-02-06
影响因子：
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通讯作者：
Carpiniello, Bernardo
中科院分区：
文献类型：
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作者：
Carpiniello, Bernardo
目的：武装冲突产生一系列令人痛心的后果，包括死亡，所有这些都对幸存者的生活产生负面影响。本文件通过对2005年至今发表的所有系统性审查和/或荟萃分析的审查，特别侧重于战争对成人和儿童/青少年难民或生活在战区的难民的心理健康影响。结果：15篇在成人人群中进行的系统性综述和/或荟萃分析，以及7篇与儿童和青少年有关的综述被选作本综述的目的。暴露在武装冲突中的人中焦虑、抑郁和创伤后应激障碍(PTSD)的患病率比没有暴露的人高出两到三倍，妇女和儿童最容易受到武装冲突后果的影响。一系列与战争有关的、移徙和移徙后的压力造成了境内流离失所者、寻求庇护者和难民的短期和长期心理健康问题。结论：所有精神病学家和精神病学协会都应承担必要的社会责任，致力于提高政治决策者对武装冲突造成的心理健康后果的认识，这是他们关心遭受战争后果的人的义务的一部分。
Aims: Armed conflicts produce a wide series of distressing consequences, including death, all of which impact negatively on the lives of survivors. This paper focuses specifically on the mental health consequences of war on adults and child/adolescent refugees or those living in war zones through a review of all systematic reviews and/or meta-analyses published from 2005 up until the current time. Results: Fifteen systematic reviews and/or meta-analyses conducted in adult populations, and seven relating to children and adolescents, were selected for the purpose of this review. Prevalence rates of anxiety, depression and post-traumatic stress disorder (PTSD) were two- to three-fold higher amongst people exposed to armed conflict compared to those who had not been exposed, with women and children being the most vulnerable to the outcome of armed conflicts. A series of war-related, migratory and post-migratory stressors contribute to short- and long-term mental health issues in the internally displaced, asylum seekers and refugees. Conclusion: It should be a required social responsibility for all psychiatrists and psychiatric associations to commit to raising awareness amongst political decision-makers as to the mental health consequences caused by armed conflicts, as part of their duty of care for people experiencing the consequences of war.