New York University School of Medicine, Department of Internal Medicine, New York University/Bellevue Program for Survivors of Torture (Ms Keatley); New York University Langone Medical Center, Rusk Institute of Rehabilitation Medicine (Dr Ashman); New York University School of Medicine, Department of Rehabilitation Medicine, Bellevue Hospital (Dr Im); and Department of Psychology, Fordham University (Dr Rasmussen), New York, NY.
J Head Trauma Rehabil. 2013 Nov-Dec;28(6):E8-E13. doi: 10.1097/HTR.0b013e3182776a70.
To examine the prevalence of self-reported head injury among treatment-seeking refugee survivors of torture, a population at high risk for such injuries.
A total of 488 survivors of torture accepted at a torture treatment clinic between January 1, 2008, and December 31, 2011.
Harvard Trauma Questionnaire, incidence of head injury and resulting loss of consciousness (LOC), chief physical complaints, general health scale, indicators of torture severity (length of detention, sexual assault, and number of different persecution types).
Of the 488 cases reviewed, 335 (69%) patients reported sustaining a blow to the head. Of the 335 with head injury, 185 (55%) reported LOC following the injury. Those who reported sustaining a head injury were significantly more likely to be men, to have a greater number of types of torture experiences, and report sleep disturbances and headaches as their primary medical complaints.
The high rates of head injury and head injury followed by LOC among treatment-seeking survivors of torture indicates the need for torture treatment centers to assess for possible brain injury. Our findings suggest that patients with possible traumatic brain injury (TBI) may be at a higher risk of negative physical outcomes than those without possible TBI.
调查寻求治疗的酷刑幸存者中自我报告的头部损伤的发生率，这是一个头部损伤风险较高的人群。
2008 年 1 月 1 日至 2011 年 12 月 31 日期间，共有 488 名在酷刑治疗诊所接受治疗的酷刑幸存者。
哈佛创伤问卷、头部损伤发生率和随之而来的意识丧失（LOC）、主要身体投诉、一般健康量表、酷刑严重程度指标（拘留时间、性侵犯和不同迫害类型的数量）。
在审查的 488 例病例中，335 例（69%）患者报告头部受到打击。在 335 例头部受伤中，185 例（55%）报告受伤后出现 LOC。报告头部受伤的人更有可能是男性，经历过更多类型的酷刑，并且报告睡眠障碍和头痛是他们的主要医疗投诉。
寻求治疗的酷刑幸存者中头部损伤和头部损伤后 LOC 的高发生率表明酷刑治疗中心需要评估是否存在可能的脑损伤。我们的研究结果表明，可能患有创伤性脑损伤（TBI）的患者比那些可能没有 TBI 的患者更有可能出现负面的身体结果。
