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: 2883446
• 负责人: RICHARD MOLLICA
• 金额: $ 25.98万
• 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/2883446
• 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（改编自申请人摘要）：拟定研究 需要第一次大规模的，一般人群的研究的作用， 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 在遣返前后从事经济活动。 的模型 还将研究创伤对人口的长期影响。 的 拟议中的研究填补了理解创伤对人的影响方面的一个重大空白。 一个人行使职能和参与经济活动的能力， 分析量效关系的持续时间和特征。 该研究设计为两个时间段的前瞻性队列研究。 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， 建立创伤、症状、功能状态的基线估计， 参与创收活动的能力。 队列成员将 在遣返后重新面谈，以便对 创伤的精神和功能结果。 标准化的个人 访谈将使用先前验证的哈佛创伤 问卷和霍普金斯症状自评量表-25，以获得回顾性 报告的创伤，同时报告的创伤经历期间， 遣返，并复制抑郁症，创伤后应激障碍和功能的措施， 结果。 个人特征和环境特征的同时测量 沿着创收活动的措施。 这些测量值将用于评估剂量效应的变化 创伤与精神和身体健康结果的关系，并测试 假设来自一个概念模型的相互作用， 创伤及其随时间的精神和功能结果。 定量 分析将采用图形方法，描述性统计， 结构方程模型。