TORTURE OF A NORWEGIAN SHIPS CREW - THE TORTURE, STRESS REACTIONS AND PSYCHIATRIC AFTER-EFFECTS

TORTURE OF A NORWEGIAN SHIPS CREW - THE TORTURE, STRESS REACTIONS AND PSYCHIATRIC AFTER-EFFECTS
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DOI:
10.1111/j.1600-0447.1989.tb05255.x
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发表时间:
1989-01-01
影响因子:
6.7
通讯作者:
WEISAETH, L
WEISAETH, L
中科院分区:
医学1区
文献类型:
--
作者:
WEISAETH, L

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1984年夏天,一艘挪威船只上的14名海员,即全体船员,在抵达利比亚时被扣押。他们被逮捕了67天,并受到心理和身体折磨,因为他们被怀疑是利比亚国家的敌人。在被监禁的头几天里,一名海员被谋杀,另一名被绑架,据信已经死亡,第三名海员受到严重的身体虐待。对极端压力的直接反应是恐惧、抑郁和愤怒。没有一个水手屈服于酷刑。获释后不久,所有海员都接受了彻底的体检。其中六人患有明显的创伤后应激障碍(PTSD),两个月后又有一名海员患上了这种疾病。尽管得到了全面的治疗,这7名船员(占船员总数的54%)在获释6个月后仍患有创伤后应激障碍。结合临床访谈,一般精神状态评定量表(GHQ 20,STAI,状态焦虑量表)和特定的创伤后评定量表(大赦评分,IES侵入子量表,PTSS-10)在区分病例和非病例方面具有较高的敏感性和特异性。
During the summer of 1984, 14 seamen, the entire crew of a Norwegian ship, were seized upon arrival in Libya. They were kept under arrest for 67 days and subjected to psychological and physical torture because they were suspected of being enemies of the Libyan state. Within the first few days of imprisonment one seaman had been murdered, another had been abducted and was believed to be dead, and a third had been severely physically maltreated. The immediate reactions to the extreme stress were fear, depression and rage. Not a single seaman gave in to the torture. Shortly after their release, all the seaman underwent thorough medical examinations. Six of them suffered from clear-cut post-traumatic stress disorder (PTSD) and one more seaman developed the disorder two months later. In spite of comprehensive treatment, the same seven sailors, or 54% of the crew, still suffered from post-traumatic stress disorder six months after their release. Used in conjunction with clinical interview, general mental status rating scales (GHQ 20, STAI, State Anxiety Inventory), and specific post-traumatic rating scales (Amnesty Score, IES intrusion subscale, PTSS-10) had a high sensitivity and specificity in discriminating between cases and non-cases.