Gender, social support, and posttraumatic stress in postwar Kosovo
Gender, social support, and posttraumatic stress in postwar Kosovo
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DOI：
10.1097/01.nmd.0000144695.02982.41
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发表时间：
2004-11-01
影响因子：
1.9
通讯作者：
Vlahov, D
中科院分区：
文献类型：
--
作者：
Ahern, J;Galea, S;Vlahov, D
社会支持和创伤经历对冲突局势中心理健康的影响可能因性别而异。2001年7月和8月进行了科索沃急诊部研究，以评估科索沃战争结束两年后的心理健康状况。在306名急诊科患者（87.7%的应答率）中，所有患者均为阿尔巴尼亚族，97.4%的患者经历过创伤事件，89.5%的患者有创伤后应激症状。妇女和经历更多创伤事件的人有更高的创伤后应激分数。有社会支持的人创伤后应激分数较低。在最后一个模型中，社会支持对女性有更大的保护作用，而创伤性事件对男性有更大的不利影响。科索沃战争结束两年后，创伤后压力症状仍然很普遍，特别是在社会支持较少的妇女中。针对社会支持的干预措施可能是战后背景下重要的公共卫生工作。
The effects of social support and traumatic experiences on mental health in conflict situations may be different by gender. The Kosovo Emergency Department Study was conducted in July and August 2001 to assess mental health 2 years after the end of the war in Kosovo. Of 306 emergency department patients (87.7% response rate), all were ethnic Albanian, 97.4% bad experienced traumatic events, and 89.5% had posttraumatic stress symptoms. Women and persons who experienced more traumatic events had higher posttraumatic stress scores. Persons with social support had lower posttraumatic stress scores. In a final model, social support had a greater protective effect for women, whereas traumatic events had a greater detrimental effect on men. Two years after the war in Kosovo, there remained a high prevalence of posttraumatic stress symptoms, particularly among women with low social support. Interventions targeting social support may be important public health efforts in the postwar context.