Keatley Eva, dʼAlfonso Alana, Abeare Christopher, Keller Allen, Bertelsen Nathan S
Clinical Neuropsychology, University of Windsor, Windsor, Ontario, Canada (Ms Keatley and Dr Abeare); and New York University School of Medicine, New York City (Ms d'Alfonso and Drs Keller and Bertelsen).
J Head Trauma Rehabil. 2015 Nov-Dec;30(6):E1-8. doi: 10.1097/HTR.0000000000000103.
To compare spontaneous reporting of health complaints in a sample of refugee survivors of torture with a history of moderate/severe traumatic brain injury (TBI) with survivors of torture without TBI and analyze the contribution of posttraumatic stress disorder symptoms to health outcomes.
Treatment-seeking refugee survivors of torture with a moderate/severe TBI (n = 85) and a control group (n = 72) of survivors who suffered a physical injury during their persecution but had no history of a head injury.
Health outcomes included a self-report of general physical health (scale 1-5), number of medical visits, and a scaled score of the number of health complaints. The Harvard Trauma Questionnaire (HTQ) was used to measure posttraumatic stress disorder.
Moderate/severe TBI was associated with more health complaints but not higher HTQ scores. TBI and HTQ scores are independently associated with a greater number of health complaints, and an interaction between TBI and HTQ scores suggests that the relationship between moderate/severe TBI and the number of health complaints strengthened with increased posttraumatic stress disorder symptom severity.
Health complaints may be a common expression of psychological trauma, and service providers should be certain to explore both medical and psychological contributors when assessing refugee survivors of torture.
比较有中度/重度创伤性脑损伤（TBI）病史的受酷刑难民幸存者样本与无TBI的受酷刑幸存者之间健康投诉的自发报告情况，并分析创伤后应激障碍症状对健康结果的影响。
寻求治疗的有中度/重度TBI的受酷刑难民幸存者（n = 85）以及一个对照组（n = 72），对照组为在迫害期间遭受身体伤害但无头部受伤史的幸存者。
健康结果包括一般身体健康的自我报告（1 - 5分制）、就诊次数以及健康投诉数量的量表评分。使用哈佛创伤问卷（HTQ）来测量创伤后应激障碍。
中度/重度TBI与更多的健康投诉相关，但与更高的HTQ评分无关。TBI和HTQ评分分别与更多的健康投诉独立相关，并且TBI和HTQ评分之间的相互作用表明，随着创伤后应激障碍症状严重程度的增加，中度/重度TBI与健康投诉数量之间的关系增强。
健康投诉可能是心理创伤的常见表现，服务提供者在评估受酷刑难民幸存者时应务必探究医疗和心理方面的影响因素。
