战后阿富汗的心理健康,社会功能和残疾
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
概括
阿富汗 阿富汗 阿富汗 阿富汗
科学领域:
- 心理健康研究 心理健康研究
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 几十年来,阿富汗的冲突造成了大量的人类痛苦和流离失所.
- 2002年,美国疾病预防控制中心 (CDC) 和合作伙伴进行了一项全国性心理健康调查.
- 该调查旨在评估阿富汗人口的心理健康状况.
研究的目的:
- 估计全国15岁以上残疾人和非残疾阿富汗人的心理健康状况.
- 为了确定战争的人口中精神健康状况的流行率.
- 为心理健康资源分配和规划提供信息.
主要方法:
- 一个全国性的多阶段,集群,基于人口的调查,对799名成年人 (100名残疾人,699名非残疾人).
- 收集了有关人口统计,社会功能,抑郁症状,创伤和PTSD的数据.
- 使用了霍普金斯症状检查清单-25和哈佛创伤问卷.
主要成果:
- 抑郁症 (67.7%-71.7%),焦虑症 (72.2%-84.6%) 和PTSD (42.1%-42.2%) 的高患病率.
- 残疾人和妇女报告说,他们的心理健康和社会功能较差.
- 常见的创伤包括缺乏食物,水和住所;报告的仇恨程度很高.
结论:
- 阿富汗面临着高度流行抑郁症,焦虑症和PTSD症状.
- 迫切需要增加心理健康护理资源,设施和专业人员.
- 数据强调了受冲突影响的人群在心理健康服务中的关键差距.
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