Perceived needs, self-reported health and disability among displaced persons during an armed conflict in Nepal.
Perceived needs, self-reported health and disability among displaced persons during an armed conflict in Nepal.
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DOI：
10.1007/s00127-011-0359-7
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发表时间：
2012-04
影响因子：
4.4
通讯作者：
Hauff, Edvard
中科院分区：
文献类型：
--
作者：
Thapa, Suraj Bahadur;Hauff, Edvard
大多数国内流离失所者生活在低收入国家并经历过战争。很少有研究评估他们的社会心理需求和残疾。我们对尼泊尔境内流离失所者的感知需求、自我报告的健康状况和残疾状况进行了全面评估，并检查了与残疾相关的因素。2003年6月至7月期间对尼泊尔290名国内流离失所者进行了横断面调查。我们使用世界卫生组织的残疾评估表-II （WHO-DAS II）和附加的当地项目来评估残疾症状，并使用单独的清单来确定他们的感知需求。采用霍普金斯症状检查表（HSCL-25）测量抑郁和焦虑症状，采用创伤后应激障碍平民版检查表（PCL-C）评估创伤后应激障碍（PTSD）症状。国内流离失所者表达了不同的感知需求，如经济帮助（70%）、住房（40%）、食物和子女教育（20%）。自我报告的健康状况与痛苦和残疾得分密切相关。与残疾独立相关的因素有较高的年龄、自我报告的健康状况、抑郁、焦虑，但与创伤后应激障碍无关。WHO-DAS II与当地鉴定的残疾测量项目有良好的相关性。在研究低收入国家流离失所和可能受到创伤的人口的心理健康方面，仅报告有关精神症状的调查结果是不够的。对感知需求和与残疾相关因素的评估可以更全面地了解危机人群的潜在需求，这可以为干预计划提供信息。抑郁和焦虑应该得到有效的治疗，以避免残疾。
Most internally displaced persons (IDPs) live in low-income countries and have experienced war. Few studies have assessed their psychosocial needs and disability. We carried out a comprehensive assessment of perceived needs, self-reported health, and disability among IDPs in Nepal and examined factors associated with disability. A cross-sectional survey among 290 IDPs in Nepal was conducted between June and July 2003. We used the World Health Organization’s Disability Assessment Schedule-II (WHO-DAS II) with additional local items to assess disability symptoms and a separate checklist to identify their perceived needs. Depression and anxiety symptoms were measured using the Hopkins Symptom Check List (HSCL-25), while the Posttraumatic Stress Disorder Checklist Civilian Version (PCL-C) was used to assess Posttraumatic Stress Disorder (PTSD) symptoms. Different perceived needs such as financial help (70%), housing (40%), food and education for their children (20%) were expressed by the IDPs. Self-reported health status was strongly associated with distress and disability scores. Factors independently associated with disability were higher age, self-reported health, depression, anxiety but not PTSD. There was good correlation between WHO-DAS II and the locally identified items of disability measurement. The reporting of findings only about psychiatric symptoms is insufficient in studying the mental health of displaced and potentially traumatized populations living in low-income countries. Assessments of perceived needs and factors associated with disability give a more comprehensive understanding of the underlying needs among crisis populations, and this can inform intervention programs. Depression and anxiety should be treated effectively to avoid disability.
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影响因子：
2.8
作者：
Murthy, R. Srinivasa
通讯作者：
Murthy, R. Srinivasa
影响因子：
2.8
作者：
Math, SB;Girimaji, SC;Nagaraja, D
通讯作者：
Nagaraja, D
影响因子：
--
作者：
Van Ommeren, M;de Jong, JTVM;Cardeña, E
通讯作者：
Cardeña, E
影响因子：
6.7
作者：
Gelkopf, M.;Solomon, Z.;Bleich, A.
通讯作者：
Bleich, A.
DOI：
10.1080/13623690701248088
发表时间：
2007-04-01
期刊：
Medicine, conflict, and survival
影响因子：
--
作者：
Singh, Sonal;Sharma, Sharan Prakash;Jimba, Masamine
通讯作者：
Jimba, Masamine