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对身处西方国家的伊拉克难民创伤后应激障碍和抑郁症的系统评价

A Systematic Review of Post-traumatic Stress Disorder and Depression Amongst Iraqi Refugees Located in Western Countries.

作者信息

Slewa-Younan Shameran, Uribe Guajardo Maria Gabriela, Heriseanu Andreea, Hasan Tasnim

机构信息

Mental Health, School of Medicine, University of Western Sydney, Locked Bag 1791, Penrith, NSW, 2751, Australia,

出版信息

J Immigr Minor Health. 2015 Aug;17(4):1231-9. doi: 10.1007/s10903-014-0046-3.

DOI:10.1007/s10903-014-0046-3
PMID:24899586
Abstract

A systematic review of literature reporting prevalence rates of posttraumatic stress disorder (PTSD) and depression amongst community samples of resettled Iraqi refugees was undertaken. A search of the electronic databases of Medline, PsychINFO, CINAHL, PILOTS, Scopus, and Cochrane, up to November 2013 was conducted. Following the application of the inclusion and exclusion criteria, eight empirical papers were included in the review and analysis. Specifically, six studies reported on PTSD prevalence (total n = 1,912), which ranged from 8 to 37.2 % and seven studies reported on rates of depression (total n = 1,647) noted to be 28.3 to 75 %. The overall interobserver agreement for the methodological quality assessment was good to excellent with a Kappa coefficient of 0.64. Iraqi refugees continue to represent one of the largest groups being resettled worldwide. This systematic review indicates that prevalence of PTSD and depression is high and should be taken into consideration when developing mental health early intervention and treatment services.

摘要

对已发表的关于伊拉克难民重新安置社区样本中创伤后应激障碍(PTSD)和抑郁症患病率的文献进行了系统综述。检索了截至2013年11月的Medline、PsychINFO、CINAHL、PILOTS、Scopus和Cochrane电子数据库。在应用纳入和排除标准后,八项实证研究论文被纳入综述和分析。具体而言,六项研究报告了PTSD患病率(样本总量n = 1912),范围在8%至37.2%之间,七项研究报告了抑郁症患病率(样本总量n = 1647),为28.3%至75%。方法学质量评估的总体观察者间一致性良好至优秀,Kappa系数为0.64。伊拉克难民仍然是全球范围内接受重新安置的最大群体之一。该系统综述表明,PTSD和抑郁症的患病率很高,在制定心理健康早期干预和治疗服务时应予以考虑。

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