A Qualitative Study of Mental Health Problems among Children Displaced by War in Northern Uganda

A Qualitative Study of Mental Health Problems among Children Displaced by War in Northern Uganda
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DOI:
10.1177/1363461509105815
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发表时间:
2009-06-01
影响因子:
2.5
通讯作者:
Bolton, Paul
Bolton, Paul
中科院分区:
医学3区
文献类型:
--
作者:
Betancourt, Theresa Stichick;Speelman, Liesbeth;Bolton, Paul

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虽然多项研究发现,受战争影响的儿童患一系列心理健康问题的风险增加,但很少有研究调查当地人如何看待心理健康问题。在这项研究中,我们使用了先前开发的快速人种学评估方法来探讨因乌干达北部战乱而流离失所的阿乔利族儿童和成人对心理健康问题的当地看法。我们进行了 45 次自由名单访谈和 57 次关键知情人访谈。快速评估方法似乎对于采访看护者和 10 至 17 岁的儿童很有效。我们描述了几种当地定义的综合症:两种 tain/par/kumu(抑郁和心境恶劣综合症)、ma lwor(混合焦虑和抑郁综合症),以及一类被称为 kwo maraco/gin lugero 的行为问题。这些当地综合症的描述与西方情绪、焦虑和品行障碍相似,但包含文化特定的元素。
While multiple studies have found that children affected by war are at increased risk for a range of mental health problems, little research has investigated how mental health problems are perceived locally. In this study We used a previously developed rapid ethnographic assessment method to explore local perceptions of mental health problems among children and adults from the Acholi ethnic group displaced by the war ill northern Uganda. We conducted 45 free list interviews and 57 key informant interviews. The rapid assessment approach appears to have worked well for interviewing caretakers and children aged 10-17 years. We describe several locally defined syndromes: two tain/par/kumu (depression and dysthymia-like syndromes), ma lwor (a mixed anxiety and depression-like syndrome), and a category of conduct problems referred to as kwo maraco/gin lugero. The descriptions of these local syndromes were similar to western mood, anxiety and conduct disorders, but included culture-specific elements.