Call to action: Addressing sleep disturbances, a hallmark symptom of PTSD, for refugees, asylum seekers, and internally displaced persons.
Call to action: Addressing sleep disturbances, a hallmark symptom of PTSD, for refugees, asylum seekers, and internally displaced persons.
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DOI：
10.1016/j.sleh.2022.09.003
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发表时间：
2022-12
期刊：
影响因子：
4.1
通讯作者：
Pace-Schott, Edward F.
中科院分区：
文献类型：
--
作者：
Jou, Yuwen Cynthia;Pace-Schott, Edward F.
睡眠困难是创伤后应激障碍（PTSD）的一个公认的标志性症状，但往往仍然是一个持久的和被忽视的问题治疗后。4.4%至88.0%的难民、寻求庇护者和国内流离失所者报告了创伤后应激障碍，其中39%至99%报告了睡眠困难。这些百分比大大超过了一般人口的百分比。然而，在这一人群中，缺乏基于证据的独立和附加治疗PTSD和相关睡眠障碍的研究。这一人群遇到的治疗障碍往往因其法律的地位或所在地而异，但通常包括由于循证治疗不足或心理健康从业人员短缺而无法获得治疗、缺乏心理健康方面的心理教育、文化耻辱、语言障碍、情境不稳定和种族偏见。联合国估计，最近的乌克兰-俄罗斯冲突将导致乌克兰境内需要人道主义援助的人数增加1200万人，未来几个月将有690多万难民逃往邻国。鉴于难民、寻求庇护者和境内流离失所者在获得心理健康护理方面一再遇到与其困境相关的障碍，为改善他们的睡眠和心理健康状况而设计的干预措施势在必行。因此，我们呼吁对整合方案进行更多的研究，纳入循证治疗，允许可扩展性，适应性和快速传播，以最大限度地提高对这一人群的影响。此外，我们鼓励临床医生和研究人员进行培训，以增加与这一人群合作的知识和信心。
Sleep difficulty is a recognized hallmark symptom of post-traumatic stress disorder (PTSD) yet often remains an enduring and neglected problem post-treatment. 4.4% to 88.0% of refugees, asylum seekers, and internally displaced persons (IDPs) report PTSD, of which, 39% to 99% report sleep difficulties. These percentages substantially exceed those of the general population. Yet there has been a lack of research examining evidence-based stand-alone and add-on treatments for PTSD and related sleep disturbances among this population. Barriers to treatment encountered by this population often vary by their legal status or location, but generally include lack of access due to insufficient evidence-based treatments or mental health practitioner shortages, lack of psychoeducation on mental health, cultural stigma, language barriers, situational instability, and racial bias. The refugee population has been on the rise over the past 10 years, and the United Nations estimated the recent Ukraine-Russia conflict would lead to additional 12 million people needing humanitarian assistance inside Ukraine and more than 6.9 million refugees fleeing to neighboring countries in the coming months. Given that refugees, asylum seekers, and IDPs repeatedly encounter barriers to mental health care specific to their predicament, interventions designed to accommodate their situation are imperative for improving their sleep and mental health. We therefore call for there to be more research on integrative programs incorporating evidence-based treatments that allow for scalability, adaptability, and rapid dissemination to maximize impact in this population. Further, we encourage trainings among clinicians and researchers to increase knowledge and confidence in working with this population.
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DOI：
10.1176/appi.ajp.2012.12040432
发表时间：
2013-04
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Germain A
通讯作者：
Germain A
影响因子：
3.3
作者：
Cook, Joan M.;Harb, Gerlinde C.;Ross, Richard J.
通讯作者：
Ross, Richard J.
影响因子：
5.6
作者：
Edinger, JD;Sampson, WS
通讯作者：
Sampson, WS
影响因子：
3
作者：
Bogic, Marija;Njoku, Anthony;Priebe, Stefan
通讯作者：
Priebe, Stefan
影响因子：
3.1
作者：
Haynes, Patricia L.;Skobic, Iva;Wilcox, James
通讯作者：
Wilcox, James