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奥地利境内非洲未成年孤身难民的精神病理学。

Psychopathology in African unaccompanied refugee minors in Austria.

机构信息

Department of Child and Adolescent Psychiatry, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

出版信息

Child Psychiatry Hum Dev. 2011 Jun;42(3):307-19. doi: 10.1007/s10578-011-0219-4.

Abstract

We assessed the prevalence of a range of psychopathology among African unaccompanied refugee minors (URMs) in Austria. Additionally, the predictive value of war exposure on PTSD symptoms was examined. Forty-one URMs were assessed with the Mini-International Neuropsychiatric Interview for children and adolescents, the Youth Self-Report, the UCLA PTSD Reaction Index and Facts About You. As expected, 56% of youth had at least one diagnosis by structured clinical interview. The most common diagnoses were adjustment disorder, PTSD and dysthymia. War affliction marginally predicted (p = 0.065) PTSD controlling for age and gender. URMs had high levels of psychopathology compared to norms. Their PTSD rates were somewhat lower than found in previous studies. We discuss methodological and substantive reasons for this finding. Future studies need to examine URMs across the entire diagnostic spectrum and employ multi-method designs to yield valid results. The psychopathology in URMs has clinical and forensic implications.

摘要

我们评估了奥地利境内的非洲未成年孤身难民(URM)群体所表现出的一系列精神病理学问题的流行情况。此外,我们还研究了战争经历对创伤后应激障碍(PTSD)症状的预测价值。我们对 41 名 URM 进行了测试,采用的工具有儿童和青少年的迷你国际神经精神访谈、青少年自我报告、UCLA PTSD 反应指数和 Facts About You。正如预期的那样,56%的青少年在经过结构化临床访谈后被诊断出至少有一种精神疾病。最常见的诊断是适应障碍、PTSD 和心境恶劣。战争经历对 PTSD 具有边缘预测作用(p=0.065),但在控制年龄和性别因素后这种预测作用不显著。与常模相比,URM 表现出较高水平的精神病理学问题。他们的 PTSD 发生率略低于之前的研究。我们讨论了造成这种发现的方法学和实质性原因。未来的研究需要在整个诊断范围内对 URM 进行研究,并采用多方法设计以得出有效的结果。URM 群体中的精神病理学问题具有临床和法医方面的影响。

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