卢旺达的创伤和PTSD症状:对正义和和解的态度的影响
Phuong N Pham1, Harvey M Weinstein, Timothy Longman
1Payson Center for International Development and Technology Transfer, Tulane University, New Orleans, La 70118, USA. ppham1@tulane.edu
JAMA
|August 5, 2004
概括
卢旺达的高创伤暴露率和PTSD症状与对正义和和解的态度有关. 了解这些影响对于有效的冲突后重建和社会治愈至关重要.
科学领域:
- 全球健康 全球健康
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 1994年的卢旺达种族灭绝导致了广泛的死亡,基础设施的破坏和流离失所.
- 了解创伤对和解的影响对于社会重建至关重要.
研究的目的:
- 评估卢旺达人的创伤暴露和PTSD患病率.
- 确定PTSD的预测因素.
- 检查创伤,PTSD和对正义和和解的态度之间的关联.
主要方法:
- 一个多阶段的,分层的集群随机调查卢旺达2091名成年人 (2002年2月).
- 使用PTSD清单-民用版本评估创伤暴露和PTSD症状.
- 对司法回应 (国家,加卡卡,国际刑事法庭) 和和解的态度.
主要成果:
- 75.4%的人经历了强迫流离失所,73.0%的人失去了家人,70.9%的人失去了财产.
- 24.8%的人符合PTSD症状标准;每次额外的创伤增加了43%的PTSD概率.
- 创伤后应激障碍症状与对国家试验和和解因素的支持减少相关;多重创伤增加了对ICTR的支持,但对国家/地方试验的支持减少了.
结论:
- 创伤暴露和PTSD症状显著影响人们对正义和和解的态度.
- 社会干预必须解决创伤的影响,才能成功地实现大规模暴力后的和解.
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