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伊拉克难民的心理健康症状:创伤后应激障碍、焦虑和抑郁。

Mental health symptoms in Iraqi refugees: posttraumatic stress disorder, anxiety, and depression.

作者信息

Jamil Hikmet, Farrag Mohamed, Hakim-Larson Julie, Kafaji Talib, Abdulkhaleq Husam, Hammad Adnan

机构信息

Department of Family Medicine, Wayne State University, 15400 West McNichols, Second Floor, Detroit, Michigan, USA.

出版信息

J Cult Divers. 2007 Spring;14(1):19-25.

Abstract

Refugees suffer from a higher rate of mental health symptoms than the general population since they have experienced extreme suffering and the accumulated effects of trauma. Because of the diversity of regions from which refugees originate, there is a need to understand some of the unique experiences that are specific to each sub-groups of immigrants. The purpose of the present study was to explore mental health symptoms in Iraqi refugee clients who immigrated to the United States after the Gulf War of the early 1990's. As part of a larger study, 116 adult Iraqi immigrants to the United States (46 male, 70 females) who were seeking mental health services completed measures of anxiety, depression, and posttraumatic stress disorder. As expected, the majority of refugees reported intense anxiety and depression, and many met the DSM IV criteria for posttraumatic stress disorder. Like refugees from other countries-of-origin, Iraqi refugees are in need of culturally sensitive assessment and mental health treatment. The results are discussed in light of the treatment needs of Iraqi refugee clients, their resilience and motivation for a better life, and the ways that health professionals can assist in optimizing their adjustment.

摘要

难民经历了极端苦难和创伤的累积影响,因此他们出现心理健康症状的比率高于普通人群。由于难民来源地区的多样性,有必要了解每个移民子群体特有的一些独特经历。本研究的目的是探讨20世纪90年代初海湾战争后移民到美国的伊拉克难民客户的心理健康症状。作为一项更大规模研究的一部分,116名寻求心理健康服务的成年伊拉克移民美国者(46名男性,70名女性)完成了焦虑、抑郁和创伤后应激障碍的测量。正如预期的那样,大多数难民报告有强烈的焦虑和抑郁,许多人符合创伤后应激障碍的DSM-IV标准。与来自其他原籍国的难民一样,伊拉克难民需要符合文化背景的评估和心理健康治疗。根据伊拉克难民客户的治疗需求、他们的复原力和对美好生活的动力,以及健康专业人员可以协助优化他们适应过程的方式对结果进行了讨论。

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