アフガニスタンの戦後における精神的健康,社会的機能,障害
Barbara Lopes Cardozo1, Oleg O Bilukha, Carol A Gotway Crawford
1International Emergency and Refugee Health Branch, Division of Emergency and Environmental Health Services, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Ga 30333, USA. bhc8@cdc.gov
JAMA
|August 5, 2004
まとめ
アフガニスタン アフガニスタン アフガニスタン アフガニスタン アフガニスタン アフガニスタン
科学分野:
- メンタルヘルス研究 メンタルヘルス研究
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
背景:
- アフガニスタンの数十年にわたる紛争は,深刻な人間の苦しみと移住を招いた.
- 2002年にCDCとパートナーが全国的なメンタルヘルス調査を実施しました.
- この調査は,アフガン国民の精神的健康状態を評価することを目的とした.
研究 の 目的:
- 15歳以上の障害者と無障害のアフガニスタン人の全国的な精神衛生状態を推定する.
- 戦争で荒廃した人口の中で精神的健康状態の有病率を特定する.
- メンタルヘルス資源の割り当てと計画に関する情報を提供するため.
主な方法:
- 799人の成人 (100人の障害者,699人の無障害者) を対象とした全国的な多段階,クラスター,人口ベースの調査です.
- 人口統計,社会的機能,うつ症状,トラウマ,PTSDに関するデータを収集した.
- ホプキンス症状チェックリスト-25とハーバード・トラウマ・アンケートを使用した.
主要な成果:
- うつ病 (67.7%-71.7%),不安症 (72.2%-84.6%) およびPTSD (42.1%-42.2%) の高い罹患率を示しています.
- 障害のある個人や女性は,精神的健康と社会的機能が低下したと報告しています.
- 常見のトラウマには,食料,水,住居の不足,高いレベルの憎悪が報告されています.
結論:
- アフガニスタンは,うつ,不安,PTSDの症状の高い流行に直面しています.
- 精神保健医療の資源,施設,専門家を増やす緊急の必要性があります.
- データは,紛争の影響を受けた人口のメンタルヘルスサービスにおける重大なギャップを浮き彫りにしています.
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