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对丹麦两个庇护中心内被拒难民心理状况的评估。

An evaluation of the mental status of rejected asylum seekers in two Danish asylum centers.

作者信息

Schwarz-Nielsen Kathrine Hvid, Elklitt Ask

机构信息

University of Copenhagen, Panum Institute, Copenhagen, Denmark.

出版信息

Torture. 2009;19(1):51-9.

Abstract

INTRODUCTION

International studies have shown high incidences of symptoms regarding anxiety, depression, and post traumatic stress disorder (PTSD) among asylum seekers of different ethnicities. The aim of the present study was to investigate the presence of symptoms of anxiety, depression, and PTSD among rejected Iraqi asylum seekers in two Danish Red Cross asylum centers. Factors such as the length of stay in an asylum center and the number of traumatic events were considered as risk factors associated with the degree of psychological morbidity.

METHOD

In 2007, 53 rejected Iraqi asylum seekers from two Danish Red Cross centers completed a survey based on the Harvard Trauma Questionnaire-IV (HTQ) and the Hopkins Symptom Checklist 25 (HSCL-25). The response rate was 36%. The analyses focused on the impact of gender, age, marriage, religion, the length of stay at the asylum center, and the number of traumatic events on the severity of symptoms of anxiety, depression, and PTSD.

FINDINGS

Of all participants, 94% were found to have symptoms of anxiety, 100% had symptoms of depression, and 77% had symptoms of PTSD. The participants had experienced or witnessed an average of 8.5 traumatic events before their arrival in Denmark. There was no significant association between the number of traumatic events, and the symptoms of PTSD. In addition, there was no significant difference in the length of stay and symptoms of anxiety, depression, and PTSD despite the fact that 79% of the participants had stayed in an asylum center for 5-10 years or more.

CONCLUSION

Despite the limitations of the data, such as the small sample, this study showed that the prevalence rates of psychopathology in Iraqi asylum seekers in Denmark were alarmingly high. Therefore, it is recommended that systematic screening of all detained asylum seekers in Denmark is introduced. Given the degree of mental health problems it is also recommended that procedures be changed and that treatment should be offered to asylum seekers who are detained in Danish asylum centers.

摘要

引言

国际研究表明,不同种族的寻求庇护者中,焦虑、抑郁和创伤后应激障碍(PTSD)症状的发生率很高。本研究的目的是调查两个丹麦红十字会庇护中心中被拒的伊拉克寻求庇护者中焦虑、抑郁和PTSD症状的存在情况。诸如在庇护中心的停留时间和创伤事件的数量等因素被视为与心理发病率程度相关的风险因素。

方法

2007年,来自两个丹麦红十字会中心的53名被拒伊拉克寻求庇护者完成了一项基于哈佛创伤问卷-IV(HTQ)和霍普金斯症状清单25(HSCL-25)的调查。回复率为36%。分析重点关注性别、年龄、婚姻状况、宗教信仰、在庇护中心的停留时间以及创伤事件的数量对焦虑、抑郁和PTSD症状严重程度的影响。

结果

在所有参与者中,94%被发现有焦虑症状,100%有抑郁症状,77%有PTSD症状。参与者在抵达丹麦之前平均经历或目睹了8.5次创伤事件。创伤事件的数量与PTSD症状之间没有显著关联。此外,尽管79%的参与者在庇护中心停留了5至10年或更长时间,但停留时间与焦虑、抑郁和PTSD症状之间没有显著差异。

结论

尽管数据存在局限性,如样本量小,但本研究表明丹麦伊拉克寻求庇护者的精神病理学患病率高得惊人。因此,建议对丹麦所有被拘留的寻求庇护者进行系统筛查。鉴于心理健康问题的程度,还建议改变程序,并应为被拘留在丹麦庇护中心的寻求庇护者提供治疗。

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