Psychiatric disorders among tortured Bhutanese refugees in Nepal
Psychiatric disorders among tortured Bhutanese refugees in Nepal
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DOI：
10.1001/archpsyc.58.5.475
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发表时间：
2001-05-01
影响因子：
--
通讯作者：
Cardeña, E
中科院分区：
文献类型：
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作者：
Van Ommeren, M;de Jong, JTVM;Cardeña, E
背景资料：酷刑对难民中精神疾病的分布的影响是unknown.Methods：我们调查了一个基于人口的样本418酷刑和392非酷刑不丹难民生活在尼泊尔的难民营。经过培训的访谈评估国际疾病分类，第10次修订版（ICD-10）通过结构化的诊断精神病学interviews.Results的障碍：除男性性别，酷刑的历史是不相关的人口统计。与未遭受酷刑的难民相比，遭受酷刑的难民更有可能报告12个月的ICD-10创伤后应激障碍、持续性躯体形式疼痛障碍和分离性（遗忘症和转换）障碍。此外，遭受酷刑的难民更有可能报告终生创伤后应激障碍、持续性躯体形式疼痛障碍、情感障碍、广泛性焦虑障碍和分离性（健忘症和转换）障碍。受折磨的妇女，与受折磨的男子相比，更有可能报告终身广泛性焦虑症，持续性躯体形式疼痛障碍，情感障碍，分离（健忘症和转换）disorders.Conclusions：在不丹难民，幸存者有较高的寿命和12个月的ICD-10精神疾病的发病率。男性更有可能报告酷刑，但遭受酷刑的妇女更有可能报告某些疾病。结果表明，需要更加关注难民的心理健康，特别是报告酷刑的难民中的创伤后应激障碍、持续性躯体形式疼痛障碍和分离性（健忘症和转化）障碍。
Background: The impact of torture on the distribution of psychiatric disorders among refugees is unknown.Methods: We surveyed a population-based sample of 418 tortured and 392 nontortured Bhutanese refugees living in camps in Nepal. Trained interviewers assessed International Classification of Diseases, 10th Revision (ICD-10) disorders through structured diagnostic psychiatric interviews.Results: Except for male sex, history of torture was not associated with demographics. Tortured refugees, compared with nontortured refugees, were more likely to report 12-month ICD-10 posttraumatic stress disorder, persistent somatoform pain disorder, and dissociative (amnesia and conversion) disorders. In addition, tortured refugees were more likely to report lifetime posttraumatic stress disorder, persistent somatoform pain disorder, affective disorder, generalized anxiety disorder, and dissociative (amnesia and conversion) disorders. Tortured women, compared with tortured men, were more likely to report lifetime generalized anxiety disorder, persistent somatoform pain disorder, affective disorder, and dissociative (amnesia and conversion) disorders.Conclusions: Among Bhutanese refugees, the survivors had higher lifetime and 12-month rates of ICD-10 psychiatric disorder. Men were more likely to report torture, but tortured women were more likely to report certain disorders. The results indicate the increased need for attention to the mental health of refugees, specifically posttraumatic stress disorder, persistent somatoform pain disorder, and dissociative (amnesia and conversion) disorders among those reporting torture.