Zdjelarević Ana, Komar Zoran, Loncar Mladen, Plasć Ivana Dijanić, Hrabac Pero, Groznica Ivana, Marcinko Darko
University of Zagreb, Studium Croaticum, Zagreb, Croatia.
Coll Antropol. 2011 Jan;35 Suppl 1:281-6.
Exposure to war trauma with its consequences such as post traumatic stress disorder (PTSD) and disability due to combat injuries poses a significant problem for modern Croatian society. However, this is also a public health problem requiring continuous study of effective treatment strategies to achieve an increase in quality of life of most war-affected groups. Aim of this study was to examine the quality of life of population most affected by war - families of Croatian veterans. Present study included 126 female participants, who agreed to complete physical and psychiatric examination organized by the Ministry of Family, War Veterans and Intergenerational Solidarity. Included were participants with status of either wife of war veteran suffering from PTSD, wife who lost her husband in war circumstances or wife of war veteran with physical disabilities resulting from war activities. All three groups were asked to fill out the World Health Organization Quality of Life Questionnaire - short form (WHOQOL-BREF). Results indicate that assumed intensity of secondary trauma is not associated with quality of life. Namely, the highest level of satisfaction was found in wives of the most seriously affected invalids of war (M=3.77; sd=0.741), folowed by the wives of deceased soldiers (M=3.5; sd= 0.697), while the lowest quality of life results were found in wives of veterans suffering from PTSD (M=3.12; sd=0.608). Our results confirm that, nearly 15 years after the war, wives of disabled or killed Croatian soldiers have a (comparatively) satisfactory quality of their everyday lives, compared to the wives of veterans suffering from PTSD.
遭受战争创伤及其后果，如创伤后应激障碍（PTSD）和战斗受伤导致的残疾，对现代克罗地亚社会构成了重大问题。然而，这也是一个公共卫生问题，需要持续研究有效的治疗策略，以提高大多数受战争影响群体的生活质量。本研究的目的是调查受战争影响最大的人群——克罗地亚退伍军人家庭的生活质量。本研究纳入了126名女性参与者，她们同意接受由家庭、战争退伍军人和代际团结部组织的身体和精神检查。纳入的参与者包括患有创伤后应激障碍的退伍军人的妻子、在战争中失去丈夫的妻子或因战争活动导致身体残疾的退伍军人的妻子。所有三组人员都被要求填写世界卫生组织生活质量问卷简表（WHOQOL-BREF）。结果表明，假定的二次创伤强度与生活质量无关。也就是说，在受战争影响最严重的残疾军人的妻子中满意度最高（M=3.77；标准差=0.741），其次是阵亡士兵的妻子（M=3.5；标准差=0.697），而创伤后应激障碍退伍军人的妻子生活质量得分最低（M=3.12；标准差=0.608）。我们的结果证实，在战争结束近15年后，与患有创伤后应激障碍的退伍军人的妻子相比，克罗地亚残疾或阵亡士兵的妻子的日常生活质量（相对）令人满意。
