Emmelkamp J, Komproe I H, Van Ommeren M, Schagen S
Department of Clinical Psychology, University of Amsterdam and Transcultural Psychosocial Organization, Amsterdam, The Netherlands.
Psychol Med. 2002 Nov;32(8):1465-70. doi: 10.1017/s0033291702006499.
Little is known about the relation between coping, social support, and psychological and somatic symptoms among survivors of torture living outside the West.
In a population-based dataset of 315 tortured Bhutanese refugees, univariate and multivariate relationships between coping and social support and symptoms were estimated. These relationships were verified in a second sample of 57 help-seeking Nepalese torture survivors.
A relationship was observed between the total number of coping strategies used and anxiety and depression. Negative coping, in contrast to positive coping, was related to all symptom outcome measures. Received social support was stronger related to symptoms than perceived social support. The findings from the first sample were replicated in the second sample.
We found hypothesized relationships between coping, social support, and psychological and somatic symptoms among survivors of torture living in Nepal. The findings from this study confirm the importance of understanding specific types of coping and social support to develop intervention programmes for torture survivors in Non-western settings.
对于生活在西方以外地区的酷刑幸存者而言，应对方式、社会支持与心理和躯体症状之间的关系鲜为人知。
在一个基于人群的包含315名受折磨的不丹难民的数据集中，对应对方式、社会支持与症状之间的单变量和多变量关系进行了估计。这些关系在第二个包含57名寻求帮助的尼泊尔酷刑幸存者的样本中得到了验证。
观察到所使用的应对策略总数与焦虑和抑郁之间存在关联。与积极应对相比，消极应对与所有症状结果指标相关。获得的社会支持比感知到的社会支持与症状的关联更强。第一个样本的研究结果在第二个样本中得到了重复验证。
我们发现了生活在尼泊尔的酷刑幸存者在应对方式、社会支持与心理和躯体症状之间存在假设的关系。本研究结果证实了理解特定类型的应对方式和社会支持对于为非西方环境中的酷刑幸存者制定干预计划的重要性。
