Department of Clinical Psychology, University of Amsterdam, Amsterdam, the Netherlands.
Clin Psychol Psychother. 2010 Mar-Apr;17(2):79-86. doi: 10.1002/cpp.673.
The goal of the current study was to examine types of exposure to traumatic events and affective and anxiety disorders of 81 civilian war survivors seeking treatment for war-related stress almost one decade following the war in the area of former conflict. Furthermore, the study investigated changes in symptoms of mental health and in well-being amongst these individuals during a treatment period of 6 months. The results indicated that civilian war survivors seeking treatment reported multiple war-related traumatic events and high levels of psychiatric morbidity. Individuals assessed at follow-up (n = 67) reported no change in post-traumatic stress symptoms or psychological well-being, but improvement in symptoms of depression, overall psychiatric distress and quality of life. The only significant difference between participants classified as achieving clinically significant improvement as compared with those who did not achieve such change was in less symptom severity of depression, post-traumatic stress, general distress and higher psychological well-being at the time of first assessment. Neither the assessment of initial diagnoses nor war or post-war trauma types emerged as significantly different amongst the two groups.
本研究的目的在于，调查 81 位平民战争幸存者在该地区冲突结束近十年后，因战争相关压力而寻求治疗时，他们所经历的创伤事件类型以及情感和焦虑障碍。此外，本研究还调查了这些人在 6 个月的治疗期间，心理健康和幸福感方面的症状变化。研究结果表明，寻求治疗的平民战争幸存者报告了多种与战争相关的创伤事件，且有很高的精神发病率。接受随访评估的（n = 67）个体报告称，创伤后应激症状或心理健康状况没有变化，但抑郁、整体精神困扰和生活质量方面的症状有所改善。与未达到显著改善的参与者相比，被归类为临床显著改善的参与者在首次评估时的抑郁、创伤后应激、总体困扰和更高的心理健康症状严重程度方面存在差异。在两组参与者中，最初诊断的评估或战争或战后创伤类型均无明显差异。
