Psychological sequelae of torture and organised violence suffered by refugees from Iraq
Psychological sequelae of torture and organised violence suffered by refugees from Iraq
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伊拉克难民遭受酷刑和有组织暴力的心理后遗症
DOI：
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发表时间：
1998
影响因子：
10.5
通讯作者：
Evan M. Goldenberg
中科院分区：
文献类型：
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作者：
C. Gorst;Evan M. Goldenberg
背景 遭受创伤事件的难民给卫生专业人员带来了复杂的治疗挑战。对于流亡后可能会发生变化从而降低发病率的因素的研究很少。我们研究了流亡中的社会因素和创伤因素在产生严重创伤心理后遗症的不同因素中的重要性。方法 采访了 84 名男性伊拉克难民。测量不良事件和社会支持水平。应用了各种心理发病率的测量方法，所有这些测量方法都已在之前的创伤研究中使用过。结果流亡中的社会因素，特别是“情感”社会支持的水平，对于确定创伤后应激障碍和抑郁反应的严重程度很重要，特别是当与严重程度的创伤/酷刑相结合时。与创伤因素相比，不良的社会支持是抑郁症发病率更强的预测因素。结论 通过有计划的、综合的康复计划以及对社会支持和家庭团聚的关注，可以减轻造成难民心理疾病的一些最重要因素。
Background Refugees who have suffered traumatic events present complex therapeutic challenges to health professionals. There is little research into post-exile factors that may be amenable to change, and therefore reduce morbidity. We examined the importance of social factors in exile and of trauma factors in producing the different elements of psychological sequelae of severe trauma. Method Eighty-four male Iraqi refugees were interviewed. Adverse events and level of social support were measured. Various measures of psychological morbidity were applied, all of which have been used in previous trauma research. Results Social factors in exile, particularly the level of ‘affective’ social support, proved important in determining the severity of both post-traumatic stress disorder and depressive reactions, particularly when combined with a severe level of trauma/torture. Poor social support is a stronger predictor of depressive morbidity than trauma factors. Conclusions Some of the most important factors in producing psychological morbidity in refugees may be alleviated by planned, integrated rehabilitation programmes and attention to social support and family reunion.