Multiple-victimisation due to armed conflict and emotional distress in the State of Magdalena, Colombia
Multiple-victimisation due to armed conflict and emotional distress in the State of Magdalena, Colombia
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DOI：
10.1016/j.rcp.2016.06.005
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发表时间：
2017-09-01
期刊：
影响因子：
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通讯作者：
Caamaño, Beatriz H.
中科院分区：
文献类型：
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作者：
Campo-Arias, Adalberto;Sanabria, Adriana R.;Caamaño, Beatriz H.
背景：情绪困扰在哥伦比亚武装冲突受害者中很常见。与单一事件引起的抑郁相比，多重抑郁与情绪困扰的增加有关。然而，在哥伦比亚的武装冲突的受害者之间的多功能和情绪困扰之间的关联还没有documented.Objective：研究在哥伦比亚马格达莱纳州的武装冲突的受害者之间的多功能和情绪困扰之间的关联。设计了一项横断面研究，对2013年至2014年马格达莱纳州心理社会护理方案和受害者综合健康登记情况进行了二次分析。个人资料公式分组的人口统计变量，emptummising事件，和一组情绪困扰的症状（感知歧视，抑郁和焦虑压力）。结果：共纳入943人，其中67.4%为女性，年龄在18岁至94岁之间（平均47.9±14.2）。共有109例（11.7%）患有多发性脑梗死。多个重复事件与更多的情绪困扰、抑郁症状相关（OR=1.5; 95%CI，1.3-1.8），感知耻辱（OR=1.3; 95%CI，1.1-1.5），焦虑-应激（OR=1.2; 95%CI 1.0-1.4）。结论：在哥伦比亚这一地区的武装冲突期间，多次失踪比一次失踪更容易造成精神痛苦。需要对这一专题进行进一步研究。
BACKGROUND: Emotional distress is common in Colombian armed conflict victims. Multiple-victimisation is associated with an increase in emotional distress than victimisation due a single event. However, the association between poly-victimisation and emotional distress among victims of the armed conflict in Colombia has not been documented.OBJECTIVE: To study the association between multiple-victimisation and emotional distress in victims of armed conflict in the State of Magdalena, Colombia.METHODS: A cross-sectional study was designed, with a secondary analysis of registration of the Psychosocial Care Program and Victim Integral Health (PAPSIVI) in the State of Magdalena, from 2013 to 2014. The profile formula grouped demographic variables, victimising events, and a set of symptoms of emotional distress (perceived discrimination, depressive and anxiety-stress). Odds ratio (OR, 95%CI) were established as measures of association.RESULTS: A total of 943 people were included, with 67.4% women, and ages between18 and 94 years (mean 47.9±14.2). A total of 109 (11.7%) suffered from multiple victimisation. Multiple victimisation events were associated with more emotional distress, depressive symptoms (OR=1.5; 95%CI, 1.3-1.8), perceived stigma (OR=1.3; 95%CI, 1.1-1.5), and anxiety-stress (OR=1.2; 95%CI 1.0-1.4) than a single event.CONCLUSIONS: There is more emotional distress in multiple victimisations than in a single victimisation event during armed conflict in this region of Colombia. Further studies are required on this topic.