在恐怖条件下的损失和分离后的复杂悲伤和创伤后压力
Philipp Jann1, Sina Neldner1, Frank Neuner1
1Department of Clinical Psychology and Psychotherapy, Bielefeld University, Bielefeld, Germany.
Journal of traumatic stress
|November 27, 2023
概括
冲突地区的创伤事件可能导致创伤后应激障碍 (PTSD) 和复杂悲伤 (CG). 伊拉克流离失所者表现出不同的症状类别,突然死亡预示着PTSD和与共患病相关的分离.
科学领域:
- 心理学 心理学 心理学
- 创伤研究 创伤研究
- 心理健康 心理健康
背景情况:
- 冲突地区使个人面临创伤,损失和分离,增加创伤后应激障碍 (PTSD) 和复杂悲伤 (CG) 的风险.
- 了解不同的症状集群及其预测因素对于针对受影响人群的针对性心理健康干预至关重要.
研究的目的:
- 在伊拉克国内流离失所者 (IDP) 中确定PTSD和CG的独特症状集群类.
- 确定与这些病理类相关的事件相关和社会人口统计学预测因素.
主要方法:
- 隐性类分析 (LCA) 应用于199名伊拉克境内流离失所者的症状数据,使用DSM-5 (PCL-5) 的PTSD检查清单和复杂悲伤清单 (ICG).
- 多项逻辑回归确定了类成员资格的预测因素.
主要成果:
- 出现了四个不同的类别:低症状 (17.6%),CG (33.7%),PTSD (12.1%),以及并发性PTSD+CG (36.7%).
- 突然或暴力死亡预测了PTSD,而分离与伴随性PTSD和CG有关.
- 复杂的悲伤症状在超过一半的流离失所者中普遍存在,通常与PTSD同时发生.
结论:
- 在受冲突影响的国内流离失所者中,存在PTSD和CG的独特症状概况.
- 具体的损失特征 (突然/暴力死亡,分离) 是不同症状类别的关键预测因素.
- 援助机构应根据这些确定因素为有效的干预提供量身定制支持.
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