Mass violence and mental health - Recent epidemiological findings
Mass violence and mental health - Recent epidemiological findings
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DOI：
10.1080/09540260701365460
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发表时间：
2007-06-01
影响因子：
2.8
通讯作者：
Murthy, R. Srinivasa
中科院分区：
文献类型：
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作者：
Murthy, R. Srinivasa
人们越来越意识到各种类型的大规模暴力对心理健康的影响。大部分人群在接触前没有精神健康问题，随后在相当大比例的人群中出现各种精神症状和障碍，这对精神科医生来说既是挑战，也是机遇。从各种大规模暴力/冲突局势中有充分的证据表明，很大一部分受影响的人口患上了不同的精神障碍。弱势群体包括妇女、儿童、寡妇、孤儿、老人、残疾人、遭受剧痛和失去肢体的人。还有一个一致的发现，剂量反应的创伤量和精神障碍的患病率。越来越多的人认识到，除了创伤后应激障碍（PTSD）外，还需要考虑各种综合征，如急性应激障碍（ASID），抑郁症，复杂的丧亲反应，物质使用障碍，身体健康状况不佳，恐惧，焦虑，生理唤醒，躯体化，愤怒控制，功能障碍和儿童发育进程的停滞或倒退。目前的挑战是要接触到所有病人并提供心理健康服务。该领域提供的机会是更好地了解心理保健公共卫生方法的弹性，恢复和有效性问题。
There is growing awareness of the mental health impact of all types of mass violence. The exposure of large population groups, mostly having no mental health problems prior to the exposure, and the subsequent development, in a significant proportion of the population, of a variety of psychiatric symptoms and disorders represent both a challenge and an opportunity for psychiatrists. There is sufficient evidence from the variety of mass violence/conflict situations, that a significant proportion of the exposed population develop different mental disorders. There are vulnerable groups like women, children, widows, orphans, elderly, disabled, those exposed to severe pain and loss of body parts. There is also a consistent finding of the dose-response to the amount of trauma and the prevalence of mental disorders. There is growing recognition that there is need to consider a variety of syndromes, in addition to post-traumatic stress disorder (PTSD) like acute stress disorder (ASID), depression, complicated bereavement reactions, substance use disorders, poor physical health, fear, anxiety, physiological arousal, somatisation, anger control, functional disability and arrest or regression of childhood developmental progression. The challenge is to reach all of the ill persons and provide mental health services. The opportunity provided by this field is to develop a better understanding of issues of resilience, recovery and effectiveness of public health approaches to mental health care.