Tempany Madeleine
School of Psychology, Psychiatry and Psychological Medicine, Monash University, Melbourne, VIC, Australia.
Transcult Psychiatry. 2009 Jun;46(2):300-15. doi: 10.1177/1363461509105820.
Sudan has long been one of the world's chief refugee-producing nations. Many researchers and practitioners have developed considerable interest in culturally-specific information on the mental health and wellbeing of Sudanese refugees. In this selective review of studies with Sudanese refugees, on mental health and psychosocial wellbeing, coping strategies and interventions, most quantitative studies found high rates of psychopathology, particularly PTSD and depression. However, some studies using mixed methods cautioned that while many Sudanese refugees have symptoms of traumatic stress, their functioning was not necessarily reduced, and they themselves often reported more concern with current stressors such as family problems than with past trauma. Some qualitative studies suggest that many Sudanese refugees use coping strategies such as silence, stoicism, and suppression. Few studies were available regarding appropriate interventions for Sudanese refugees and it remains unclear which aspects of standard treatments used by western-trained mental health practitioners may be beneficial for members of this population.
苏丹长期以来一直是世界上主要的难民输出国之一。许多研究人员和从业者对有关苏丹难民心理健康和幸福的特定文化信息产生了浓厚兴趣。在这次对有关苏丹难民心理健康和社会心理幸福、应对策略及干预措施的研究的选择性综述中,大多数定量研究发现精神病理学发生率很高,尤其是创伤后应激障碍(PTSD)和抑郁症。然而,一些采用混合方法的研究告诫说,虽然许多苏丹难民有创伤性应激症状,但他们的功能不一定受到损害,而且他们自己往往表示更关心当前的压力源,如家庭问题,而不是过去的创伤。一些定性研究表明,许多苏丹难民采用沉默、坚忍和压抑等应对策略。关于针对苏丹难民的适当干预措施的研究很少,目前尚不清楚西方培训的心理健康从业者使用的标准治疗方法的哪些方面可能对这一人群有益。