Centre for Child and Adolescent Mental Health, University of Bergen, and Department of Child and Adolescent Psychiatry, Stavanger University Hospital, Stavanger, Norway.
Br J Psychiatry. 2010 Feb;196(2):122-5. doi: 10.1192/bjp.bp.108.059139.
There is no long-term prospective study (>20 years) of the mental health of any refugee group.
To investigate the long-term course and predictors of psychological distress among Vietnamese refugees in Norway.
Eighty Vietnamese refugees, 57% of the original cohort previously interviewed in 1982 (T(1)) and 1985 (T(2)), completed a self-report questionnaire prior to a semi-structured interview. Mental health was measured using the Symptom Checklist-90-Revised (SCL-90-R).
The SCL-90-R mean Global Severity Index (GSI) decreased significantly from T(1) to T(3) (2005-6), but there was no significant change in the percentage reaching threshold scores (GSI =1.00). Trauma-related mental disorder on arrival and the trajectory of symptoms over the first 3 years of resettlement predicted mental health after 23 years.
Although the self-reported psychological distress decreased significantly over time, a substantial higher proportion of the refugee group still remained reaching threshold scores after 23 years of resettlement compared with the Norwegian population. The data suggest that refugees reaching threshold scores on measures such as the SCL-90-R soon after arrival warrant comprehensive clinical assessment.
目前尚无针对任何难民群体的心理健康的长期前瞻性研究（超过 20 年）。
调查挪威越南难民的心理困扰的长期病程和预测因素。
80 名越南难民，是先前在 1982 年（T1）和 1985 年（T2）接受访谈的原始队列中的 57%，在接受半结构化访谈之前完成了一份自我报告问卷。使用症状清单-90 修订版（SCL-90-R）来衡量心理健康。
SCL-90-R 的全球严重指数（GSI）平均值从 T1 到 T3（2005-6 年）显著下降，但达到阈值分数的百分比没有显著变化（GSI=1.00）。到达时与创伤相关的精神障碍和前 3 年重新安置期间的症状轨迹预测了 23 年后的心理健康。
尽管自我报告的心理困扰随时间显著下降，但与挪威人口相比，在重新安置 23 年后，仍有相当大比例的难民群体达到阈值分数。数据表明，在到达后不久就达到 SCL-90-R 等测量标准的阈值分数的难民需要进行全面的临床评估。
