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在波斯尼亚难民中对精神病症状,残疾,死亡率和移民的长度研究
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
概括
在波斯尼亚难民中,精神疾病和残疾持续了三年. 男性性别,孤立和年龄较大增加了死亡风险,而受过更好的教育的难民更有可能移民.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 大规模暴力显著影响精神健康.
- 以前的研究表明,在波斯尼亚难民中,抑郁症,创伤后应激障碍和残疾之间存在联系.
研究的目的:
- 评估精神疾病和残疾的长期持续性.
- 在波斯尼亚难民队伍中调查与死亡率和移民的关联.
主要方法:
- 这是一项为期三年的跟进研究,对克罗地亚的534名波斯尼亚难民进行了跟进研究.
- 评估了抑郁症和PTSD (DSM-IV),残疾和死亡原因的诊断.
- 统计分析探讨了与死亡率和移民相关的因素.
主要成果:
- 45%的参与者保留了精神病诊断;16%出现了新的疾病.
- 在46%的受影响个体中,残疾仍然存在.
- 男性性别,社会隔离和年龄较大与死亡率增加相关;高等教育和较少的创伤事件与移民有关.
结论:
- 随着时间的推移,精神疾病和残疾仍然是波斯尼亚难民的重要问题.
- 死亡率与社会孤立,男性性别和晚年有关.
- 移民模式受到健康状况和教育水平的影响.
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