Psychological sequelae of torture and organised violence suffered by refugees from Iraq - Trauma-related factors compared with social factors in exile
Psychological sequelae of torture and organised violence suffered by refugees from Iraq - Trauma-related factors compared with social factors in exile
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DOI：
10.1192/bjp.172.1.90
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发表时间：
1998-01-01
影响因子：
10.5
通讯作者：
Goldenberg, E
中科院分区：
文献类型：
--
作者：
Gorst-Unsworth, C;Goldenberg, E
背景遭受创伤性事件的难民给卫生专业人员带来了复杂的治疗挑战。很少有关于流亡后因素的研究，这些因素可能会发生变化，从而减少发病率。我们考察了流亡中的社会因素和创伤因素在产生严重创伤心理后遗症的不同因素中的重要性。方法对84名伊拉克男性难民进行访谈。测量不良事件和社会支持水平。结果流亡中的社会因素，特别是情感社会支持的水平，被证明在决定创伤后应激障碍和抑郁反应的严重程度方面很重要，特别是当与严重的创伤/酷刑相结合时。与创伤因素相比，较差的社会支持对抑郁发病率的预测作用更强。结论通过有计划的综合康复计划以及关注社会支持和家庭团聚，可以减轻难民心理发病率的一些最重要的因素。
Background Refugees who have suffered traumatic events present complex therapeutic challenges to health professionals. There is little research into post-exile factors that may be amenable to change, and therefore reduce morbidity. We examined the importance of social factors in exile and of trauma factors in producing the different elements of psychological sequelae of severe trauma.Method Eighty-four male Iraqi refugees were interviewed. Adverse events and level of social support were measured. Various measures of psychological morbidity were applied, all of which have been used in previous trauma research.Results Social factors in exile, particularly the level of 'affective' social support, proved important in determining the severity of both post-traumatic stress disorder and depressive reactions, particularly when combined with a severe level of trauma/torture. Poor social support is a stronger predictor of depressive morbidity than trauma factors.Conclusions Some of the most important factors in producing psychological morbidity in refugees may be alleviated by planned, integrated rehabilitation programmes and attention to social support and family reunion.