Entering exile: trauma, mental health, and coping among Tibetan refugees arriving in Dharamsala, India.
Entering exile: trauma, mental health, and coping among Tibetan refugees arriving in Dharamsala, India.
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流亡：到达印度达兰萨拉的西藏难民的创伤、心理健康和应对。
DOI：
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发表时间：
2008
影响因子：
3.3
通讯作者：
A. Keller
中科院分区：
文献类型：
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作者：
E. Sachs;B. Rosenfeld;D. Lhewa;A. Rasmussen;A. Keller
每年都有成千上万的藏人逃离中国控制的西藏。作者介绍了2003-2004年抵达印度达兰萨拉的769名西藏难民的经历、应对策略和心理困扰（抑郁、焦虑、躯体化和创伤后应激障碍）。随着创伤暴露的增加，痛苦显著增加。然而，尽管潜在的创伤事件发生率很高，但心理困扰的程度极低。应对活动（主要是宗教）和创伤严重程度的主观评价似乎调解创伤暴露的心理影响。其他变量的潜在影响，包括文化决定的创伤和评估的时间的态度，进行了讨论。
Each year thousands of Tibetans escape Chinese-controlled Tibet. The authors present findings on the experiences, coping strategies, and psychological distress (depression, anxiety, somatization, and posttraumatic stress disorder) of 769 Tibetan refugees arriving in Dharamsala, India (2003-2004). Distress increased significantly with greater trauma exposure. However, despite a high prevalence of potentially traumatizing events, levels of psychological distress were extremely low. Coping activity (primarily religious) and subjective appraisals of trauma severity appeared to mediate the psychological effects of trauma exposure. The potential impact of other variables, including culturally determined attitudes about trauma and timing of assessment, are discussed.