TORTURE AND MENTAL HEALTH IN SOUTH AFRICA

描述(改编自申请者摘要)：本提案寻求五个 多年来对患病率和精神疾病流行病学调查的支持 南非酷刑的健康后果(SA)。这项研究有七项 具体目标：1)确定暴露的流行率和分布 种族隔离期间的精神创伤；2)评估 通过研究观察到的与适当使用的关联来研究创伤暴露 有针对性的比较和统计控制；3)研究 一系列假设的应力-素质变量在修正 应激暴露与心理健康之间的关系；4)研究 一些原本具有保护作用的应对资源在多大程度上 种族隔离时期的心理健康目前与 心理健康不良和应激反应增强；5)调查 真相与和解委员会(TRC)对心理健康的影响 6)估计目前的流行率和 SA中常见精神障碍的社会人口学相关性， 与这些障碍相关的角色损害，以及 目前的治疗方案；以及7)研究专业人员的预测因素 在目前患有精神障碍的南非人中寻求帮助。不是 南澳存在关于这些问题的具有全国代表性的数据。建议数 研究提供了一个前所未有的机会来增进对 暴露在种族政治暴力中的心理健康后果 原籍国在过渡到多数统治后的短时间内。这个 该项目汇集了一支经验丰富的多学科团队， 调查人员包括南非国立教育学院院长 MEDUNSA的公共卫生，第一次全国调查的主任 美国的心理健康，SA TRC的委员，和调查 密歇根大学的研究专家。

DESCRIPTION (Adapted from Applicant's Abstract): This proposal seeks five years of support for an epidemiologic survey of the prevalence and mental health consequences of torture in South Africa (SA). The study has seven specific aims: 1) To identify the prevalence and distribution of exposure to trauma during apartheid; 2) To estimate the mental health consequences of trauma exposure by studying the observed associations with appropriate use of targeted comparisons and statistical controls; 3) To study the effects of a series of hypothesized stress-diathesis variables in modifying the associations between stress exposure and mental health; 4) To examine the extent to which some coping resources that were originally protective of mental health during the years of apartheid are currently associated with poor mental health and heightened stress reactivity; 5) To investigate the impact of the Truth and Reconciliation Commission (TRC) on the mental health of South Africans; 6) To estimate the current prevalence and sociodemographic correlates of commonly occurring mental disorders in SA, the role impairments associated with these disorders, and adequacy of current treatment options; and 7) To study predictors of professional help-seeking among South Africans who currently have mental disorders. No nationally representative data exists on these issues in SA. The proposed study provides an unprecedented opportunity to enhance understanding of the mental health consequences of exposure to racial-political violence in the country of origin a short time after transition to majority rule. The project brings together an experienced multidisciplinary team with senior investigators that include the Dean of South Africa's National School of Public Health at MEDUNSA, the director of the first national survey of mental health in the United States, commissioners of the SA TRC, and survey research experts from the University of Michigan.