来自东部和南部非洲的种族不同参与者的心理痛苦
Kester B B Tindi1,2,3, Allan Kalungi3,4, Eugene Kinyanda4,5
1Department of Immunology and Molecular Biology, College of Health Sciences, Makerere University, Kampala, Uganda.
JAMA network open
|October 9, 2024
概括
非洲的心理痛苦与创伤,吸毒和身体疼痛有关. 这些发现凸显了非洲多样化人口中需要综合精神和身体健康保健方法的需要.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 由焦虑和抑郁症状所标志的心理困扰是严重的公共卫生问题.
- 以前对低收入和中等收入国家,特别是非洲的心理痛苦的研究,由于人口和方法的多样性,其概括性有限.
研究的目的:
- 确定非洲参与者中心理痛苦的患病率和相关特征.
- 调查社会人口统计学,心理社会和临床因素,这些因素与该人口的心理痛苦有关.
主要方法:
- 一个病例控制研究,利用非洲人口精神病 (NeuroGAP-精神病) 中神经精神病遗传学研究的数据.
- 分析了来自东部和南部非洲的一般门诊诊所的21,308名参与者.
- 凯斯勒心理困扰量表 (K10) 用于测量困扰,并采用后勤回归来确定相关因素.
主要成果:
- 轻度,中度和严重心理困扰的患病率分别为4.2%,1.5%和0.8%.
- 心理困扰的独立关联包括创伤性事件暴露,物质使用 (酒精,烟草,大麻) 以及关节炎和慢性疼痛等身体并发症.
- 大多数参与者是男性 (56.8%),已婚或同居 (48.2%),并有中学教育 (42.9%).
结论:
- 在不同非洲人群中,心理困扰与创伤性压力,物质使用和身体症状有关.
- 这些发现与现有的关于精神病理学风险因素和身体和精神健康状况的并发症的研究一致.
- 强调解决创伤,物质使用和身体健康在非洲管理心理困扰方面的重要性.
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