The mental health and psychosocial effects of organized violence: A qualitative study in northern Haiti
The mental health and psychosocial effects of organized violence: A qualitative study in northern Haiti
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DOI：
10.1177/1363461511433945
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发表时间：
2012-07-01
影响因子：
2.5
通讯作者：
Desmousseaux, Marine
中科院分区：
文献类型：
--
作者：
Bolton, Paul;Surkan, Pamela J.;Desmousseaux, Marine
历史上，有组织的暴力一直是海地长期存在的普遍问题。我们着手征求海地人对危机影响的看法，以指导制定干预措施。2006年3月，我们研究了海地第二大城市海地角的贫民区以及附近的米洛和林贝镇的人口。一个方便的成年人样本被要求免费列出所有目前影响有组织暴力受害者的问题。出现了两大类问题：心理问题和经济问题。“感到震惊和失去自我控制”、“悲伤/悲痛”、“持续遭受重温/重新体验过去事件的痛苦”、“头部问题/精神问题”、“内心深处的痛苦”和“想太多”等心理问题成为关键受访者访谈的主题。这些可能对应于精神疾病分类学中的抑郁症、心境恶劣和焦虑症，包括创伤后应激障碍。因此，在制定有效的干预措施时，可以考虑那些在其他环境中对这些问题有效的干预措施。然而，在选择干预措施时，还必须考虑到当地的可接受性、所认识到的问题原因及其社会影响。
Historically, organized violence has been a chronic pervasive problem in Haiti. We set out to elicit Haitians' views on its effects to guide the development of interventions. In March 2006 we studied a population in the slum area of Cap-Haitien, Haiti's second largest city, and the nearby towns of Milot and Limbe. A convenience sample of adults was asked to free list all current problems affecting victims of organized violence. Two major categories emerged: psychological problems and financial problems. The psychological problems of "feeling startled and loss of self control," "sadness/grief," "continuing to suffer from reliving/reexperiencing past events," "problems in the head/mental problems," "deep suffering in the heart," and "thinking too much" emerged as themes from key-informant interviews. These may correspond to constructs of depression, dysthymia, and anxiety disorders including posttraumatic stress disorder in psychiatric nosology. The development of effective interventions can therefore consider those known to be effective for these problems in other settings. However in selecting interventions, considerations must also include local acceptability, perceived causes of problems, and their social effects.