难民和寻求庇护者的心理功能障碍
Josef S Baumgartner1, Antonia Renner1, Thomas Wochele-Thoma2
1Clinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria.
Frontiers in psychology
|January 23, 2024
概括
难民迁移影响日常生活,移动性和参与度受到影响最大. 当前的心理症状,如抑郁症和创伤后应激障碍,对寻求庇护者和难民的整体功能和特定领域造成显著损害.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 由于移民前,移民期间和移民后的压力因素,难民面临着严重的心理痛苦.
- 人们对移民经历如何影响难民的日常生活的理解有限.
研究的目的:
- 分析难民和寻求庇护者的不同心理功能如何受到移民的影响.
- 为了确定日常运作的特定领域,最受移民和相关心理因素的影响.
主要方法:
- 一项涉及欧洲和土耳其1,101名难民和寻求庇护者的横截面研究的二次分析.
- 评估人口统计,社会支持,心理症状 (抑郁症,PTSD),生活质量和终身创伤事件.
- 多重回归模型使用世界卫生组织残疾评估表2.0 (WHODAS 2.0) 来评估功能领域.
主要成果:
- 最多报告的障碍是"流动性"和"参与",其次是"生活活动"和"认知".
- 抑郁和创伤后症状独立地与整体心理功能和所有WHODAS 2.0子领域相关.
- 暴力/虐待史预测了更大的"参与"障碍,而临死经历与更少的"自我照顾"问题相关.
结论:
- 难民和寻求庇护者的心理功能障碍与当前的心理症状密切相关.
- 流动性和参与方面的困难可能会阻碍重新安置,整合和社区参与到新的环境中.
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