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人权创伤与在澳西巴布亚难民的心理健康。

Human rights trauma and the mental health of West Papuan refugees resettled in Australia.

机构信息

Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.

出版信息

Med J Aust. 2013 Aug 19;199(4):280-3. doi: 10.5694/mja12.11651.

DOI:10.5694/mja12.11651
PMID:23984787
Abstract

OBJECTIVES

To document the extent and nature of human rights violations and other traumatic events reported by West Papuan refugees resettled in Australia and to assess trauma-related psychological disorders, distress and disability.

DESIGN AND SETTING

Australian-based sample, mixed-methods design with 44 participants, conducted in Australia between October 2007 and November 2010 in communities in North Queensland and Melbourne.

PARTICIPANTS

West Papuan refugees aged 18 years and over (88% response rate).

MAIN OUTCOME MEASURES

Post-traumatic stress disorder (PTSD) symptoms (Harvard Trauma Questionnaire) and premigration potentially traumatic events (PTEs), psychological distress (Kessler Psychological Distress Scale [K10]), post-migration living difficulties, days out of role.

RESULTS

Of the 44 West Papuan refugees, 40 reported one or more PTE, including inability to access medical care for family (40), lack of food and water (39) and lack of access to medical treatment (38). The most frequent postmigration stressors were separation from and worries about family members remaining in West Papua (43) and being unable to return home in an emergency because of ongoing conflict (41). Twenty-six participants reached a lower threshold for PTSD symptoms of 2.0, and 13 reached the clinical threshold of 2.5. Fourteen reported severe psychological distress.

CONCLUSIONS

West Papuan refugees resettled in Australia report a wide range of premigration PTEs including human rights violations, as well as symptoms of PTSD and distress. The data add to concerns about the state of human rights and mental health among West Papuans.

摘要

目的

记录在澳大利亚重新安置的西巴布亚难民所报告的侵犯人权和其他创伤事件的程度和性质,并评估与创伤相关的心理障碍、痛苦和残疾。

设计和环境

澳大利亚为基础的样本,采用混合方法设计,共有 44 名参与者,于 2007 年 10 月至 2010 年 11 月在北昆士兰州和墨尔本的社区进行。

参与者

18 岁及以上的西巴布亚难民(88%的回应率)。

主要结果测量

创伤后应激障碍(PTSD)症状(哈佛创伤问卷)和前迁移潜在创伤事件(PTE)、心理困扰(Kessler 心理困扰量表[K10])、后迁移生活困难、角色缺失。

结果

在 44 名西巴布亚难民中,40 名报告了一个或多个 PTE,包括无法为家人获得医疗保健(40)、缺乏食物和水(39)以及无法获得医疗(38)。最常见的后迁移压力源是与留在西巴布亚的家庭成员分离和担心(43)以及由于持续冲突而无法在紧急情况下返回家园(41)。26 名参与者达到了 PTSD 症状 2.0 的较低阈值,13 名参与者达到了 2.5 的临床阈值。14 人报告了严重的心理困扰。

结论

在澳大利亚重新安置的西巴布亚难民报告了广泛的前迁移 PTE,包括侵犯人权以及 PTSD 和痛苦的症状。这些数据增加了对西巴布亚人人权和心理健康状况的担忧。

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