拘留中の亡命希望者の精神的健康について
Allen S Keller1, Barry Rosenfeld, Chau Trinh-Shevrin
1Bellevue/New York University Program for Survivors of Torture, Division of Primary Care Medicine, Department of Medicine, NYU School of Medicine, New York, NY 10016, USA. allen.keller@med.nyu
Lancet (London, England)
|December 4, 2003
まとめ
米国で亡命希望者の拘束は,不安,うつ,PTSDの症状を著しく悪化させる. 拘禁からの解放は,心理的幸福度の顕著な改善につながります.
科学分野:
- 公衆衛生は公衆衛生である.
- 精神科医は精神病を患っている.
- 社会学 社会学 社会学とは
背景:
- 亡命申請者は,申請の審査期間中に米国で長期にわたる拘留に直面しています.
- この研究では,難民申請者に対する移民拘留の心理的影響を調査した.
研究 の 目的:
- 長期拘留が亡命希望者に与える心理的影響を評価する.
- 拘留期間と精神疾患の症状の関係を調べる.
主な方法:
- ニューヨーク,ニュージャージー,ペンシルベニアで拘束された70人の亡命希望者をインタビューした.
- 自己報告のアンケートを使用して,不安,うつ,トラウマ後ストレス障害 (PTSD) の症状を測定しました.
- 心理的症状をベースラインとフォローアップで評価した.
主要な成果:
- ベースラインでは,臨床的に有意な症状の高い割合が観察されました:77%の不安,86%のうつ,50%のPTSD.
- すべての心理的症状は,拘留期間と有意な相関関係を示した.
- 釈放された参加者は,症状の顕著な減少を示したが,拘束された参加者は,苦痛の増大を示した.
結論:
- 亡命希望者の拘束は,心理的な症状の悪化と関連しています.
- この調査結果は,長期にわたる移民拘留が精神健康に及ぼす有害な影響を強調しています.
- 庇護希望者の拘禁と精神保健支援に関する政策の検討は正当である.
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