PSYCHOSOCIAL IMPACT OF TRAUMA ON BOSNIAN REFUGEES

创伤对波斯尼亚难民的社会心理影响

• 批准号: 2449646
• 负责人: RICHARD MOLLICA
• 金额: $ 27.51万
• 依托单位: HARVARD MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-05-01 至 2001-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2449646
• 关键词: Bosnia-Hercegovina; behavioral /social science research tag; clinical research; disease /disorder proneness /risk; functional ability; human migration; human subject; immigrant; longitudinal human study; major depression; posttraumatic stress disorder; psychosocial rehabilitation; questionnaires; socioeconomics; trauma; war /peace

DESCRIPTION (Adapted from applicant's abstract): The proposed research entails the first large scale, general population study of the role of personal, environmental, and other risk factors in modifying the relationship between trauma, psychiatric symptoms, and functional status. The study will produce the first follow-up psychiatric data on a refugee population allowing examination of dose--effect relationships between trauma, psychiatric symptoms, and functional status, and the ability to engage in economic activity before and after repatriation. A model of the impact of trauma on populations over time will also be developed. The proposed research fills a major gap in understanding the impact of trauma on a person s ability to function and to participate in economic activity, by analyzing the duration and character of the dose-effect relationship. The design is a prospective cohort study in two time periods. Data on a Bosnian refugee cohort (n=536), collected in 1996, will be analyzed to establish baseline estimates of trauma, symptoms, functional status, and ability to participate in income-generating activities. Cohort members will be re-interviewed post repatriation, allowing prospective assessment of the psychiatric and functional outcomes of trauma. A standardized personal interview will be administered using the previously validated Harvard Trauma Questionnaire and the Hopkins Symptom Checklist-25 to obtain retrospective reports of trauma, contemporaneous reports of trauma experienced during repatriation, and replicate measures of depression, PTSD, and functional outcomes. Concurrent measures of personal and environmental characteristics will also be obtained, along with measures of income-generating activity. These measurements will be used to assess change in the dose-effect relationship of trauma to mental and physical health outcomes, and to test hypotheses deriving from a conceptual model of the interaction between trauma and its psychiatric and functional outcomes over time. Quantitative analyses will employ graphical methods, descriptive statistics, and structural equation models.

描述(改编自申请人的摘要)：建议的研究 需要进行第一次大规模的、一般人口研究的作用 个人、环境和其他风险因素在修改 创伤、精神症状和功能状态之间的关系。 这项研究将产生第一个关于难民的后续精神病学数据 允许检查剂量-效应关系的人群 创伤、精神症状和功能状态，以及 在遣返前和遣返后从事经济活动。一个模范的 随着时间的推移，创伤对人口的影响也将得到发展。这个 拟议中的研究填补了理解创伤对 S一人有能力行使职能并参与经济活动，由 分析量效关系的持续时间和特点。 这项设计是一项分两个时间段进行的前瞻性队列研究。上的数据 将对1996年收集的波斯尼亚难民队列(n=536)进行分析以 建立创伤、症状、功能状态和 能够参与创收活动。队列成员将 在遣返后重新面谈，以便对 创伤的精神和功能后果。标准化的个人 面试将使用之前经过验证的哈佛创伤 问卷和霍普金斯症状自评量表-25获得回顾 关于创伤的报告，同时期的创伤报告 遣返，并重复抑郁症、创伤后应激障碍和功能性疾病的测量 结果。同时衡量个人和环境特征 还将获得创收活动的衡量标准。 这些测量将用于评估剂量效应的变化。 创伤与心理和身体健康结果的关系，以及测试 从相互作用的概念模型中得出的假设 随着时间的推移，创伤及其精神和功能后果。量化 分析将使用图形方法、描述性统计和 结构方程模型。