Gunaratnam Hentry Roche, Gunaratnam Sinothaya, Somasundaram Daya
Faculty of Medicine, University of Jaffna, Sri Lanka.
Med Confl Surviv. 2003 Jul-Sep;19(3):223-34. doi: 10.1080/13623690308409693.
The victims of landmines in Jaffna were studied from a psychosocial perspective in order to identity major problem areas and give priorities for rehabilitation. Sixty-seven victims of landmines from April 1996 to March 1998 in the Valikamam area of Jaffna were studied. There were three times as many males as females. About 48 per cent were aged 20-39 years. About one-fifth of the victims were children. Of the females, 60 per cent were unmarried. The majority belonged to the lower socioeconomic strata. Half lost their earning capacity after the injury. Post-traumatic stress disorder (72 per cent), acute stress reaction (73 per cent), anxiety disorder (80 per cent) and depression (73 per cent) were found to be very significantly higher in this group than in the general population. There were also remarkable changes in the areas of functional ability, religious practice, use of alcohol and social relationships. The 'phantom limb' phenomenon was a striking feature among amputees. The psychosocial impact of landmine injuries has to be considered seriously in rehabilitation work.
为了确定主要问题领域并为康复工作确定优先事项，从社会心理角度对贾夫纳地雷受害者进行了研究。对1996年4月至1998年3月期间贾夫纳瓦利卡马姆地区的67名地雷受害者进行了研究。男性受害者数量是女性的三倍。约48%的受害者年龄在20至39岁之间。约五分之一的受害者是儿童。女性受害者中，60%未婚。大多数受害者属于社会经济底层。半数受害者受伤后丧失了挣钱能力。研究发现，该群体中创伤后应激障碍（72%）、急性应激反应（73%）、焦虑症（80%）和抑郁症（73%）的发生率显著高于普通人群。在功能能力、宗教活动、饮酒和社会关系等方面也有显著变化。“幻肢”现象是截肢者的一个显著特征。在地雷伤害的康复工作中，必须认真考虑其社会心理影响。
