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ボスニア難民の精神症状,障害,死亡率,移住に関する長期的研究
R F Mollica1, N Sarajlic, M Chernoff
1Harvard Program in Refugee Trauma, 8 Story St, Third Floor, Cambridge, MA 02138, USA. rmollica@hprt.harvard.edu
JAMA
|August 14, 2001
まとめ
精神疾患や障害は,ボスニア人難民の3年間にわたって持続した. 男性の性別,孤立,高齢化により死亡リスクが高まり,より高い教育を受けた難民は移住する可能性が高くなった.
科学分野:
- 精神科医は精神病を患っている.
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
背景:
- 大規模な暴力は精神衛生に重大な影響を及ぼします.
- 以前の研究では,ボスニア難民のうつ病,PTSD,障害との関連が示された.
研究 の 目的:
- 精神疾患や障害の長期的な持続性を評価する.
- ボスニア難民のコホートにおける死亡率と移住との関連を調査する.
主な方法:
- クロアチアのボスニア人難民534人を対象とした3年間の追跡調査.
- うつ病とPTSD (DSM-IV),障害,および死亡原因の診断が評価されました.
- 統計分析では,死亡率と移住に関連する要因を調査した.
主要な成果:
- 参加者の45%が精神病診断を保持し,16%が新たな障害を発症した.
- 障害は,罹患者の46%で持続した.
- 男性の性別,社会的孤立,高齢化は死亡率の増加と相関しており,高等教育とトラウマ事件の減少は移住に関連していた.
結論:
- 精神疾患や障害は,ボスニア人難民にとって重要な問題であり続けています.
- 死亡率は,社会的孤立,男性性,および高齢と関連しています.
- 移住パターンは,健康状態や教育レベルによって影響を受けます.
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