Gender, Traumatic Events, and Mental Health Disorders in a Rural Asian Setting
Gender, Traumatic Events, and Mental Health Disorders in a Rural Asian Setting
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DOI：
10.1177/0022146513501518
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发表时间：
2013-12-01
影响因子：
5
通讯作者：
Scott, Kate M.
中科院分区：
文献类型：
--
作者：
Axinn, William G.;Ghimire, Dirgha J.;Scott, Kate M.
研究表明，在西欧侨民中，创伤性生活经历与心理健康之间存在着强烈的联系，在这种关系中存在着重要的性别差异；但在其他情况下，人们对这些关系知之甚少。我们在一个最近经历了长达十年的武装冲突的贫穷的亚洲农村环境中调查了这些关系。我们使用了尼泊尔农村400名成年人的访谈数据。这些测量方法来自世界心理健康调查工具，用于测量本研究人群的抑郁症、创伤后应激障碍和间歇性爆发性障碍。我们的研究结果表明，在这种情况下，创伤性生活经历显著增加了心理健康障碍的可能性，并且这些创伤经历对女性心理健康的影响大于男性。这些发现为在许多环境中产生心理健康性别差异的潜在机制提供了重要线索。
Research shows a strong association between traumatic life experience and mental health and important gender differences in that relationship in the western European Diaspora; but much less is known about these relationships in other settings. We investigate these relationships in a poor rural Asian setting that recently experienced a decade-long armed conflict. We use data from 400 adult interviews in rural Nepal. The measures come from World Mental Health survey instruments clinically validated for this study population to measure depression, posttraumatic stress disorder, and intermittent explosive disorder. Our results demonstrate that traumatic life experience significantly increases the likelihood of mental health disorders in this setting, and that these traumatic experiences have a larger effect on the mental health of women than men. These findings offer important clues regarding the potential mechanisms producing gender differences in mental health in many settings.