失去父母和心理健康在后红色高棉柬埔寨
Patrick Heuveline1, Angela K Clague2
1California Center for Population Research (CCPR) at the University of California, Los Angeles (UCLA), Los Angeles, USA.
Population research and policy review
|October 25, 2024
概括
在红色高棉政权期间,柬埔寨的父母丧生等不良童年事件与心理健康问题有关. 失去一个父母会增加创伤后应激障碍的症状,但失去两个父母却没有,可能是由于家庭选择效应.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 儿童不良事件 (ACE) 可能对心理健康产生终身影响.
- 柬埔寨在红色高棉政权 (1975-1979) 期间经历了大量人口流失,导致广泛的父母流失.
- 心理健康障碍是ACE的潜在长期后果.
研究的目的:
- 调查在柬埔寨失去父母的成年人中焦虑,抑郁和创伤后应激障碍 (PTSD) 的患病率.
- 分析20岁前失去父母与经历创伤事件和精神健康障碍的可能性之间的联系.
主要方法:
- 采用DSM标准,从4405名20岁以上的成年人中收集了有关焦虑,抑郁和PTSD症状的调查数据.
- 逻辑模型用于评估父母丧失对心理健康结果的影响.
- 将DSM标准与PTSD评估的其他值进行比较.
主要成果:
- 在成年人中发现焦虑 (56.0%),抑郁 (42.8%) 和PTSD (2.3%) 的高患病率.
- 在20岁之前失去父母增加了全面PTSD症状的可能性.
- 失去父母并没有显示类似的增加PTSD的可能性,可能是由于社会经济因素或幸存者的悲伤.
结论:
- 童年期间失去父母,特别是在像柬埔寨这样的大规模创伤的背景下,与心理健康障碍,特别是创伤后应激障碍的风险增加有关.
- 失去父母中的一个与父母双方的差异性影响需要进一步研究社会经济和心理机制.
- 标准的DSM标准对于评估父母丧生对该人口心理健康结果的影响是有效的.
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