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Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder

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Trastornos mentales comunes en entornos de posconflicto.

Joop T V M de Jong¹, Ivan H Komproe, Mark Van Ommeren

¹Transcultural Psychosocial Organisation (TPO), WHO Collaborating Centre for Refugees and Ethnic Minorities, Keizersgracht 329, 1016 EE, Amsterdam, Netherlands.

Lancet (London, England)

|June 27, 2003

Resumen

Los trastornos psiquiátricos posconflicto son comunes, siendo la ansiedad y el trastorno de estrés postraumático (TEPT) los más frecuentes. Los programas de salud mental deben abordar una gama más amplia de condiciones más allá del TEPT.

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Área de la Ciencia:

Salud Mental Global La Salud Mental en el Mundo.
La psiquiatría es la psiquiatría.
Epidemiología La epidemiología.

Sus antecedentes:

La investigación psiquiátrica posterior al conflicto en países de bajos ingresos a menudo se centra en los síntomas, no en evaluaciones diagnósticas completas.
Comprender la prevalencia de varios trastornos psiquiátricos es crucial para las intervenciones efectivas.

Objetivo del estudio:

Establecer la prevalencia de trastornos del estado de ánimo, trastornos somatoformes, trastorno de estrés postraumático (TEPT) y otros trastornos de ansiedad en las comunidades postconflicto.
Investigar la asociación entre la exposición a la violencia y los trastornos psiquiátricos.

Principales métodos:

Un estudio transversal de 3048 encuestados de comunidades de posconflicto en Argelia, Camboya, Etiopía y Palestina.
Utilizó evaluaciones diagnósticas psiquiátricas completas para identificar trastornos del estado de ánimo, trastornos somatoformes, trastorno de estrés postraumático y otros trastornos de ansiedad.

Principales resultados:

El trastorno de estrés postraumático (TEPT) y otros trastornos de ansiedad fueron los problemas psiquiátricos más frecuentes.
La exposición a la violencia fue un factor de riesgo significativo para varios trastornos, con ratios de riesgo que van desde 2,10 para la ansiedad a 10,03 para el TEPT.
El trastorno de ansiedad fue más frecuente en individuos no expuestos a la violencia en tres de los países.

Conclusiones:

Los programas de salud mental postconflicto requieren un alcance más amplio, abordando trastornos comunes más allá del TEPT.
Los trastornos de ansiedad y el trastorno de estrés postraumático son secuelas significativas del conflicto armado, que requieren un apoyo integral de salud mental.