寻求治疗的阿拉伯语男性的冲突相关性和性创伤:一个横截面研究
Max Vöhringer1, Freya Specht1, Christine Knaevelsrud2
1Department for Traumatic Stress and Transcultural Studies, Center ÜBERLEBEN Berlin, Berlin, Germany.
EClinicalMedicine
|February 19, 2025
概括
在中东和北非地区,性创伤的男性幸存者经历了严重的心理痛苦和独特的挑战. 调查结果强调需要文化敏感的方法来解决创伤,耻辱和披露障碍在这个人群中.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 创伤研究 创伤研究
- 公共卫生 公共卫生
背景情况:
- 冲突和流离失所中的性创伤是严重的人权侵犯,但研究,特别是阿拉伯语地区的男性幸存者,是有限的.
- 这项研究通过检查中东和北非 (MENA) 地区男性的性和冲突相关创伤来解决数据的稀缺问题.
- 这项研究调查了各种创伤类型的普遍性及其与互联网搜索男性个体的社会人口统计学和心理因素的关联.
研究的目的:
- 在寻求在线治疗的阿拉伯语男性中确定性创伤 (ST) 和冲突相关创伤 (CRT) 的患病率.
- 为了比较不同创伤组的心理症状,披露率和认知变化 (仅ST,仅CRT,两者,没有).
- 探索这一群体中创伤类型和社会人口统计学和心理特征之间的联系.
主要方法:
- 采用了横截面的探索性研究设计.
- 从2021年2月到2023年3月,在线收集了来自2138名阿拉伯语男性的数据,这些男性报告至少经历过一次创伤事件.
- 参与者根据创伤类型分为几组:仅性创伤 (STo),仅与冲突有关的创伤 (CRTo),两者 (ST + CRT) 和其他创伤类型 (非ST / CRT). 统计分析包括ANOVA和后期对比.
主要成果:
- 与所有其他组相比,ST+CRT组报告了较高的抑郁症和PTSD得分.
- 与CRTo和非ST/CRT组相比,STo组的披露率明显较低,与创伤相关的内感更高.
- 在STo和ST+CRT两组中,创伤评估和不适应信念的得分最高.
结论:
- 许多在中东和北非地区寻求治疗的阿拉伯语男性经历过性和冲突相关的创伤,与严重的心理痛苦有关.
- 研究结果强调需要对男性患者的性暴力进行文化敏感的评估,承认社会禁忌和耻辱.
- 在治疗男性创伤幸存者时,临床医生必须考虑认知变化和披露障碍.
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