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国内流离失所者的心理健康:苏丹中部两个定居点成年人的流行病学研究。

The mental health of internally displaced persons: an epidemiological study of adults in two settlements in Central Sudan.

机构信息

1Institute of Clinical Medicine, Division of Mental Health and Addiction, University of Oslo, Norway.

出版信息

Int J Soc Psychiatry. 2013 Dec;59(8):782-8. doi: 10.1177/0020764012456810. Epub 2012 Sep 13.

Abstract

AIMS

There is a scarcity of data on mental health problems among Sudanese internally displaced persons (IDPs). This study aims to assess the prevalence of mental disorders of IDPs in Sudan, and to determine and compare the association between mental disorders and socio-demographic variables between the rural and urban long-term IDP populations.

METHODS

This cross-sectional study was implemented in two IDP areas in Central Sudan. Data were collected during face-to-face interviews using structured questionnaires to assess socio-demographic factors and the Mini International Neuropsychiatric Interview (MINI) to determine psychiatric diagnoses. A total of 1,876 adults were enrolled from both study areas.

RESULTS

The overall prevalence of having any mental health disorder in the IDP population was 52.9%. The most common disorders were major depressive disorder (24.3%), generalized anxiety disorder (23.6%), social phobia (14.2%) and post-traumatic stress disorder (12.3%). Years of displacement and education were associated with different mental disorders between the two areas, and there were no gender differences in prevalence of mental disorders in either area.

CONCLUSION

This study shows high prevalence rates of mental disorders in both urban and rural IDP populations in Sudan, indicating a need to explore the circumstances for these high rates and to develop appropriate responses.

摘要

目的

苏丹国内流离失所者(IDP)的心理健康问题数据稀缺。本研究旨在评估苏丹 IDP 的精神障碍患病率,并确定和比较城乡长期 IDP 人群中精神障碍与社会人口统计学变量之间的关联。

方法

本横断面研究在苏丹中部的两个 IDP 地区实施。数据通过面对面访谈收集,使用结构化问卷评估社会人口统计学因素,使用迷你国际神经精神访谈(MINI)确定精神诊断。总共从两个研究地区招募了 1876 名成年人。

结果

IDP 人群中存在任何心理健康障碍的总患病率为 52.9%。最常见的障碍是重度抑郁症(24.3%)、广泛性焦虑症(23.6%)、社交恐惧症(14.2%)和创伤后应激障碍(12.3%)。流离失所年限和教育程度与两个地区的不同精神障碍有关,两个地区的精神障碍患病率在性别方面没有差异。

结论

本研究表明,苏丹城乡 IDP 人群的精神障碍患病率较高,表明需要探讨这些高患病率的情况,并制定相应的应对措施。

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