Anger, PTSD, and the nuclear family: a study of Cambodian refugees.
Anger, PTSD, and the nuclear family: a study of Cambodian refugees.
复制标题
DOI：
10.1016/j.socscimed.2009.08.018
复制
发表时间：
2009-11
影响因子：
5.4
通讯作者：
Good, Mary-Jo
中科院分区：
文献类型：
--
作者：
Hinton, Devon E.;Rasmussen, Andrew;Nou, Leakhena;Pollack, Mark H.;Good, Mary-Jo
本研究描述了受创伤的柬埔寨难民的家庭愤怒，他们都是波尔布特种族灭绝（1975-1979）的幸存者，他们是美国马萨诸塞州洛厄尔一家精神病诊所的病人。我们专注于核心家庭（NF）单位，NF单位定义为患者的“重要的其他”（即配偶或男朋友/女朋友）和孩子。从2006年10月至2007年8月的143名柬埔寨难民患者的方便样本中收集调查数据。该研究显示，48%（68/143）的患者在上个月对NF成员感到愤怒，其中对儿童的愤怒尤其常见（143名患者中的64名，或49% [64/131]有儿童的患者）。NF型愤怒是严重的，例如，几乎总是导致身体唤醒（例如，在91% [62/68]的愤怒发作中引起心悸），并且经常出现创伤回忆和对身体功能障碍的恐惧。对开放式问题的回答揭示了对重要他人和儿童愤怒的原因，愤怒相关创伤回忆的内容，以及患者如何从愤怒中获得缓解。一种文化差距，即语言差距（即，父母缺乏英语语言技能和孩子缺乏高棉语技能）似乎在产生冲突和愤怒方面发挥了作用。NF型愤怒与PTSD的存在有关。愤怒对创伤后应激障碍严重程度的影响部分来自愤怒相关的创伤回忆和对身体功能障碍的恐惧，其中54%的创伤后应激障碍严重程度的方差可以通过回归模型解释。这项研究：1）表明在受创伤的难民中，与家庭有关的愤怒是一个主要的临床问题; 2）说明如何在创伤暴露人群中分析和调查与家庭有关的愤怒; 3）深入了解与家庭有关的愤怒是如何在这些人群中产生的。
This study profiles the family-directed anger of traumatized Cambodian refugees, all survivors of the Pol Pot genocide (1975-1979), who were patients at a psychiatric clinic in Lowell, MA, USA. We focus on the nuclear family (NF) unit, the NF unit defined as the patient's “significant other” (i.e. spouse or boyfriend/girlfriend) and children. Survey data were collected from a convenience sample of 143 Cambodian refugee patients from October 2006 to August 2007. The study revealed that 48% (68/143) of the patients had anger directed toward a NF member in the last month, with anger directed toward children being particularly common (64 of the 143 patients, or 49% [64/131] of the patients with children). NF-type anger was severe, for example, almost always resulting in somatic arousal (e.g., causing palpitations in 91% [62/68] of the anger episodes) and often in trauma recall and fears of bodily dysfunction. Responses to open-ended questions revealed the causes of anger toward a significant other and children, the content of anger-associated trauma recall, and what patients did to gain relief from anger. A type of cultural gap, namely, a linguistic gap (i.e., the parent's lack of English language skills and the child's lack of Khmer language skills) seemingly played a role in generating conflict and anger. NF-type anger was associated with PTSD presence. The effect of anger on PTSD severity resulted in part from anger-associated trauma recall and fears of bodily dysfunction, with 54% of the variance in PTSD severity explained by that regression model. The study: 1) suggests that among traumatized refugees, family-related anger is a major clinical concern; 2) illustrates how family-related anger may be profiled and investigated in trauma-exposed populations; and 3) gives insights into how family-related anger is generated in such populations.
登录
查看更多内容
影响因子：
10.3
作者：
Hinton, DE;Chhean, D;Pollack, MH
通讯作者：
Pollack, MH
影响因子：
7.4
作者：
Levitan, RD;Rector, NA;Goering, P
通讯作者：
Goering, P
影响因子：
3.3
作者：
Dekel, Rachel;Goldblatt, Hadass
通讯作者：
Goldblatt, Hadass
影响因子：
4.1
作者：
Clark, DM
通讯作者：
Clark, DM
影响因子：
5.9
作者：
Beckham, JC;Vrana, SR;Moore, SD
通讯作者：
Moore, SD