Mental health in adolescents displaced by the armed conflict: findings from the Colombian national mental health survey
Mental health in adolescents displaced by the armed conflict: findings from the Colombian national mental health survey
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DOI：
10.1186/s13034-020-00327-5
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发表时间：
2020-05-19
影响因子：
5.6
通讯作者：
Gomez-Restrepo, Carlos
中科院分区：
文献类型：
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作者：
Marroquin Rivera, Arturo;Rincon Rodriguez, Carlos Javier;Gomez-Restrepo, Carlos
背景 哥伦比亚是因武装冲突而境内流离失所者人数最多的国家之一。然而，没有数据证明其对健康的影响，特别是对青少年的影响。目的 描述哥伦比亚因暴力而流离失所的青少年中精神疾病的患病率及其关联。方法 我们对 2015 年全国心理健康调查 (NMHS) 进行了二次分析，该调查提供了心理健康问题 (SRQ)、心理健康障碍 (CIDI-CAPI) 和社会人口特征的数据。结果 在接受采访的 1754 名青少年中，5.3%（95% CI 4.1 至 6.9）提到因暴力而改变住所。其中 38.5% 的人生活在贫困之中，而未因冲突而流离失所的人的这一比例为 23.6%。流离失所青少年中有自杀念头和自杀企图的比例分别为 19.8% 和 9.1%，而非流离失所青少年的这一比例为 5.8% 和 2.1%。流离失所者中创伤后应激障碍 (PTSD) 和任何精神健康障碍（用 CIDI-CAPI 测量）的患病率分别较高，分别为 12.3% 和 11%，而非流离失所者中这一比例为 2.1% 和 7%。最后，焦虑和抑郁症在流离失所的青少年中更为常见。结论 在流离失所的青少年中，心理健康状况和障碍的患病率较高。
Background Colombia has one of the largest populations of internally displaced individuals by an armed conflict. However, there is no data demonstrating its effect on health, particularly in adolescents. Purpose To describe the prevalence and associations of mental illness in the adolescent population displaced by violence in Colombia. Methods We conducted a secondary analysis of the 2015 National Mental Health Survey (NMHS), which provides data of mental health issues (SRQ), mental health disorders (CIDI-CAPI) and sociodemographic characteristics. Results Of the 1754 adolescents interviewed 5.3% (95% CI 4.1 to 6.9) mentioned a change in residence due to violence. Among them 38.5% lived in poverty compared to 23.6% of those non-displaced by the conflict. Suicidal thoughts and suicide attempt were present in 19.8% and 9.1% of displaced adolescents respectively, compared to 5.8% and 2.1% of non-displaced adolescents. The prevalence of post-traumatic stress disorder (PTSD) and any mental health disorder (measured with the CIDI-CAPI) was higher in the displaced population 12.3%, 11% respectively, in contrast to 2.1% and 7% of those non-displaced. Finally, anxiety and depressive disorders were more common among displaced adolescents. Conclusion A higher prevalence of mental health conditions and disorders is observed among displaced adolescents.