Mental health services for war-affected children: report of a survey in Kosovo.
Mental health services for war-affected children: report of a survey in Kosovo.
复制标题
受战争影响儿童的心理健康服务：科索沃的一项调查报告。
DOI：
10.1192/02-633
复制
发表时间：
2003
期刊：
影响因子：
--
通讯作者：
A. Uka
中科院分区：
文献类型：
--
作者：
L. Jones;A. Rrustemi;M. Shahini;A. Uka
背景
在受战争影响的社会中，人们认为人口面临的主要心理健康问题是压力反应。
旨在
描述1999年军事冲突结束后科索沃儿童和青少年心理健康服务（CAMHS）的创建，并确定所出现的问题和诊断的范围。
方法
收集了559例患者2年以上的数据，包括他们的转诊问题和诊断。
结果
与压力有关的疾病仅占第一年病例量的五分之一。相当多的病人没有精神病，但参加是因为他们接触了创伤性事件，并认为这可能会使他们生病。非器质性遗尿症和学习障碍是第2年最常见的诊断。许多患者有复杂的社会和心理问题，不符合传统的诊断类别。
结论
仅针对创伤压力的心理健康服务可能无法满足受战争影响儿童的需要。需要一个全面的、文化上适当的CAMHS来解决包括学习障碍在内的广泛问题。它应通过当地行为者发展，并以现有的当地基础设施为基础。服务还可以在“去病态化”规范反应方面发挥教育作用。
BACKGROUND
In war-affected societies it is assumed that the major mental health problem facing the population will be stress reactions.
AIMS
To describe the creation of a child and adolescent mental health service (CAMHS) in Kosovo after the military conflict ended in 1999, and to establish the range of problems and diagnoses that presented.
METHOD
Data were collected on 559 patients over 2 years, including their referring problems and diagnoses.
RESULTS
Stress-related disorders constituted only a fifth of the case-load in year 1. A substantial number of patients were symptom-free but attended because they had been exposed to a traumatic event, and believed it might make them ill. Non-organic enuresis and learning disability were the most common diagnoses in year 2. Many patients had a complex mix of social and psychological difficulties that did not fit conventional diagnostic categories.
CONCLUSIONS
Mental health services that only address traumatic stress may fail to meet the needs of war-affected children. A comprehensive, culturally appropriate CAMHS is needed to address a wide range of problems including learning disability. It should be developed through local actors, and build on existing local infrastructure. Services can also have an educational role in 'depathologising' normative responses.