Traumatic events and posttraumatic stress disorder in individuals with severe mental illness in a non-western setting: Data from rural Ethiopia.
Traumatic events and posttraumatic stress disorder in individuals with severe mental illness in a non-western setting: Data from rural Ethiopia.
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DOI：
10.1037/tra0001006
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Ng LC
中科院分区：
文献类型：
--
作者：
Ametaj AA;Hook K;Cheng Y;Serba EG;Koenen KC;Fekadu A;Ng LC
创伤性事件和随之而来的压力并没有在严重精神疾病（SMI）患者身上得到广泛的研究，尽管他们对这两者的脆弱性增加了。在资源匮乏的环境中，对于重度精神障碍患者的创伤性事件和创伤后反应的了解要少得多。为了解决这一知识差距，我们的研究侧重于创伤及其对埃塞俄比亚农村重度精神分裂症患者及其护理人员的影响。研究目的是确定利益相关者认为创伤性的事件；描述这类事件对心理健康的影响；并辨别与重度精神分裂症最相关的事件和创伤后症状。从埃塞俄比亚的48名参与者中收集了定性访谈，其中包括重度精神障碍患者、他们的护理人员、卫生保健提供者以及社区和宗教领袖。基于emic和etic相结合的方法，重大创伤事件包括埃塞俄比亚农村地区常见的事件（例如，财产丢失、强迫婚姻）和重度精神障碍患者认可的事件（例如，在资源匮乏的环境中受到约束或束缚、重度精神障碍疾病）。此外，创伤性事件的鉴定符合西方医学标准（例如，身体攻击、性攻击）。通常报告的创伤后症状包括愤怒和悲伤等情绪；想得太多；哭了;以及躯体（如烧灼感）和生理（如呼吸短促）症状。对于符合诊断和统计手册的症状，我们发现所有四个症状群都存在。总体而言，研究结果表明，重度精神分裂症患者及其照顾者通常会出现创伤性事件和与创伤相关的症状，包括重度精神分裂症患者。
Traumatic events and ensuing stress are not widely studied in individuals with severe mental illness (SMI) despite their increased vulnerability to both. Far less is known about traumatic events and posttrauma reactions in people with SMI in low-resourced settings. To address this gap in knowledge, our study focused on trauma and its effects for individuals with SMI and their caregivers in rural Ethiopia. Study aims were to identify events that were considered traumatic by stakeholders; characterize the mental health effects of such events; and discern events and posttrauma symptoms most relevant for SMI. Qualitative interviews were gathered from 48 participants in Ethiopia who included individuals with SMI, their caregivers, health care providers, and community and religious leaders. Based on a combined emic and etic approach, major traumatic events included those commonly experienced in rural Ethiopia (e.g., lost property, forced marriage) and endorsed by individuals with SMI (e.g., restraining or chaining, SMI illness in a low-resourced setting). In addition, traumatic events were identified consistent with Western medical criteria (e.g., physical assault, sexual assault). Posttrauma symptoms that were commonly reported included emotions like anger and sadness; thinking too much; crying; and somatic (e.g., burning sensation) and physiological (e.g., shortness of breath) symptoms. As for symptoms consistent with the Diagnostic and Statistical Manual, we found the presence of all four symptom clusters. Overall, results point to the common occurrence of traumatic events and trauma-linked symptoms for individuals with SMI and their caregivers, including as a result of SMI.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
6.9
作者：
Koenen KC;Ratanatharathorn A;Ng L;McLaughlin KA;Bromet EJ;Stein DJ;Karam EG;Meron Ruscio A;Benjet C;Scott K;Atwoli L;Petukhova M;Lim CCW;Aguilar-Gaxiola S;Al-Hamzawi A;Alonso J;Bunting B;Ciutan M;de Girolamo G;Degenhardt L;Gureje O;Haro JM;Huang Y;Kawakami N;Lee S;Navarro-Mateu F;Pennell BE;Piazza M;Sampson N;Ten Have M;Torres Y;Viana MC;Williams D;Xavier M;Kessler RC
通讯作者：
Kessler RC
DOI：
10.1146/annurev-clinpsy-050817-084833
发表时间：
2018-01-01
期刊：
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 14
影响因子：
--
作者：
Clark, David M.
通讯作者：
Clark, David M.
影响因子：
1.2
作者：
Eagle, Gillian;Kaminer, Debra
通讯作者：
Kaminer, Debra
DOI：
10.1192/bjp.bp.114.153676
发表时间：
2016-01
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
Fekadu A;Hanlon C;Medhin G;Alem A;Selamu M;Giorgis TW;Shibre T;Teferra S;Tegegn T;Breuer E;Patel V;Tomlinson M;Thornicroft G;Prince M;Lund C
通讯作者：
Lund C