Impact of the tsunami on psychosocial health and well-being

Impact of the tsunami on psychosocial health and well-being
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DOI:
10.1080/09540260600655870
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发表时间:
2006-06-01
影响因子:
2.8
通讯作者:
Horbaty, G
Horbaty, G
中科院分区:
医学4区
文献类型:
--
作者:
Carballo, M;Heal, B;Horbaty, G

文献摘要

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自然和人为灾害影响到沿途的每一个人,但有些人比其他人更脆弱,遭受的痛苦方式不同,程度也不同。海啸突出了一些使一些人特别脆弱的原有因素,也揭示了其他人因灾害而变得脆弱的方式。发生了重大的社会和人口变化,社区的社会结构受到严重侵蚀。性别、年龄、个人损失的程度、个人在直接或间接接触方面的经历,以及失去住所、临时和永久住房问题、创收能力差以及对是否以及何时能够返回原籍地和社区的不确定性,都是关键因素。收容社区也受到影响,尽管是间接的。由于缺乏实时监测,而且有些国家对心理社会问题和发病率的性质和分类意见不一,人们如何以及在多大程度上在海啸中受到心理“损害”的问题仍然没有得到明确的界定。
Natural and man-made disasters affect everyone in their path. Some people are nevertheless more vulnerable than others and suffer in different ways and to different extents. The tsunami highlighted a number of pre-existing factors that made some people especially vulnerable and it also brought out the ways in which other people became vulnerable as a result of disaster. Major social and demographic shifts occurred, and the social fabric of communities was severely eroded. Gender, age, extent of personal loss, personal experience in terms of how direct or indirect exposure emerged as key factors together with loss of place, problems of temporary and permanent housing, poor income generation and uncertainty about if and when it would be possible to return to original home sites and communities. Host communities were also affected, albeit indirectly. How and to what extent people were psychologically 'damaged' in, and by, the tsunami nevertheless remains poorly defined because of the paucity of real-time monitoring and the fact that in some countries there was little agreement on the nature and classification of psychosocial problems and morbidity.