Posttraumatic Stress Disorder, Anxiety and Depression Symptoms, and Psychosocial Treatment Needs in Colombians Internally Displaced by Armed Conflict: A Mixed-Method Evaluation
Posttraumatic Stress Disorder, Anxiety and Depression Symptoms, and Psychosocial Treatment Needs in Colombians Internally Displaced by Armed Conflict: A Mixed-Method Evaluation
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DOI：
10.1037/a0022257
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发表时间：
2011-12-01
影响因子：
6.3
通讯作者：
Marmar, Charles
中科院分区：
文献类型：
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作者：
Richards, Anne;Ospina-Duque, Jorge;Marmar, Charles
哥伦比亚的武装冲突已造成约450万人流离失所，约占哥伦比亚人口的10%。每年有数十万哥伦比亚人遭受暴力和被迫流离失所。本研究使用调查方法对居住在哥伦比亚麦德林的109名国内流离失所的成年人进行了便利抽样，评估了创伤后应激障碍(PTSD)、抑郁和焦虑症状的水平。为了更好地了解心理健康治疗需求，采用了包括开放式调查和焦点小组在内的定性方法，调查对象为44名调查对象。很大比例的调查受访者超过了临床显著的创伤后应激障碍(88%)、焦虑(59%)和抑郁(41%)的得分。多元回归模型显示，女性是创伤后应激障碍症状水平较高的显著预测因素，女性、受教育程度较高和与已婚相反的分居预测抑郁症状水平较高。焦点小组的调查结果表明，参与者对专门的心理治疗以及更广泛的心理社会干预感兴趣，以治疗暴露在暴力和被迫流离失所中的后果。
Armed conflict in Colombia has resulted in the displacement of an estimated 4.5 million people, or about 10% of the Colombian population. Hundreds of thousands of Colombians are exposed to violence and forced displacement annually. The present study used survey methods to assess levels of posttraumatic stress disorder (PTSD), depression, and anxiety symptoms in a convenience sample of 109 internally displaced adults residing in Medellin, Colombia. A qualitative approach including an open-ended survey and focus groups with a subsample of 44 survey respondents was used to gain a better understanding of mental health treatment needs. A large proportion of survey respondents exceeded cut-scores for clinically significant PTSD (88%), anxiety (59%), and depression (41%). Multivariate regression models showed that female gender was a significant predictor of higher PTSD symptom levels and that female gender, higher education, and being separated as opposed to married predicted higher levels of depression symptoms. Focus group findings suggest that participants are interested in specialized psychological treatments as well as broader psychosocial interventions to treat the consequences of exposure to violence and forced displacement.