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社会和创伤相关因素导致东帝汶人道主义紧急情况四年后出现心理困扰和功能受限。

Social and trauma-related pathways leading to psychological distress and functional limitations four years after the humanitarian emergency in Timor-Leste.

机构信息

Centre for Population Mental Health Research, Sydney South West Area Health Service and School of Psychiatry, University of New South Wales, New South Wales, Australia.

出版信息

J Trauma Stress. 2010 Feb;23(1):151-60. doi: 10.1002/jts.20499.

DOI:10.1002/jts.20499
PMID:20146257
Abstract

There is growing acknowledgment that research in the postconflict field needs to include a focus on social conditions. The authors applied structural equation modeling to epidemiologic data obtained from postconflict Timor-Leste, to examine for links involving potentially traumatic events and sociodemographic factors (age, gender, educational levels, and unemployment) with psychological symptoms and functioning. Exposure to trauma and lack of education emerged as most relevant with psychological distress impacting on education in the urban area. Age and gender exerted influences at different points in the model consistent with the known history of Timor. Although based on cross-sectional data, the model supports the relevance of past trauma, posttraumatic distress, and postconflict social conditions to functioning in societies such as Timor-Leste.

摘要

越来越多的人认识到,冲突后领域的研究需要关注社会状况。作者应用结构方程模型,对来自冲突后东帝汶的流行病学数据进行分析,以检验可能与创伤事件以及社会人口因素(年龄、性别、教育水平和失业)相关的心理症状和功能之间的联系。研究发现,创伤暴露和缺乏教育与心理困扰最相关,这对城市地区的教育产生了影响。年龄和性别在模型中的不同点产生了影响,与东帝汶的历史相符。尽管该模型基于横断面数据,但它支持过去的创伤、创伤后困扰以及冲突后社会状况与东帝汶等社会的功能之间的相关性。

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