de Jong Joop T V M, Komproe Ivan H, Van Ommeren Mark
Transcultural Psychosocial Organisation (TPO), WHO Collaborating Centre for Refugees and Ethnic Minorities, Keizersgracht 329, 1016 EE, Amsterdam, Netherlands.
Lancet. 2003 Jun 21;361(9375):2128-30. doi: 10.1016/S0140-6736(03)13692-6.
Research into postconflict psychiatric sequelae in low-income countries has been focused largely on symptoms rather than on full psychiatric diagnostic assessment. We assessed 3048 respondents from postconflict communities in Algeria, Cambodia, Ethiopia, and Palestine with the aim of establishing the prevalence of mood disorder, somatoform disorder, post-traumatic stress disorder (PTSD), and other anxiety disorders. PTSD and other anxiety disorders were the most frequent problems. In three countries, PTSD was the most likely disorder in individuals exposed to violence associated with armed conflict, but such violence was a common risk factor for various disorders and comorbidity combinations in different settings. In three countries, anxiety disorder was reported most in people who had not been exposed to such violence. Experience of violence associated with armed conflict was associated with higher rates of disorder that ranged from a risk ratio of 2.10 (95% CI 1.38-2.85) for anxiety in Algeria to 10.03 (5.26-16.65) for PTSD in Palestine. Postconflict mental health programmes should address a range of common disorders beyond PTSD.
低收入国家冲突后精神后遗症的研究主要集中在症状上，而非全面的精神疾病诊断评估。我们对来自阿尔及利亚、柬埔寨、埃塞俄比亚和巴勒斯坦冲突后社区的3048名受访者进行了评估，旨在确定心境障碍、躯体形式障碍、创伤后应激障碍（PTSD）及其他焦虑症的患病率。PTSD和其他焦虑症是最常见的问题。在三个国家，PTSD是遭受与武装冲突相关暴力的个体中最可能出现的疾病，但在不同情况下，此类暴力是各种疾病及共病组合的常见风险因素。在三个国家，未遭受此类暴力的人群中焦虑症报告最多。与武装冲突相关的暴力经历与更高的疾病发生率相关，范围从阿尔及利亚焦虑症的风险比2.10（95%CI 1.38 - 2.85）到巴勒斯坦PTSD的10.03（5.26 - 16.65）。冲突后心理健康项目应关注除PTSD之外的一系列常见疾病。
