童年不良经历与因飞行前战争经历和人权侵犯而受创伤的成年难民开始治疗时的心理健康及生活质量的关系。
Relationships of Childhood Adverse Experiences With Mental Health and Quality of Life at Treatment Start for Adult Refugees Traumatized by Pre-Flight Experiences of War and Human Rights Violations.
作者信息
Opaas Marianne, Varvin Sverre
机构信息
*Norwegian Centre for Violence and Traumatic Stress Studies; and †Oslo and Akershus University College of Applied Sciences (OAUC), Oslo, Norway.
出版信息
J Nerv Ment Dis. 2015 Sep;203(9):684-95. doi: 10.1097/NMD.0000000000000330.
Abstract
Adverse and potentially traumatic experiences (PTEs) in childhood were examined among 54 adult refugee patients with pre-flight PTEs of war and human rights violations (HRVs) and related to mental health and quality of life at treatment start. Extent of childhood PTEs was more strongly related to mental health and quality of life than the extent of war and HRV experiences. Childhood PTEs were significantly related to arousal and avoidance symptoms of posttraumatic stress disorder (PTSD) and to quality of life, whereas pre-flight war and HRV experiences were significantly related to reexperiencing symptoms of PTSD only. Within childhood adversities, experiences of family violence and external violence, but not of loss and illness, were significantly related to increased mental health symptoms and reduced quality of life. These results point to the importance of taking childhood adverse experiences into account in research and treatment planning for adult refugees with war and HRVs trauma.
摘要
对54名成年难民患者童年时期的不良及潜在创伤经历（PTEs）进行了调查，这些患者在飞行前有战争和侵犯人权行为（HRVs）的PTEs，并与治疗开始时的心理健康和生活质量相关。童年PTEs的程度比战争和HRV经历的程度与心理健康和生活质量的关系更为密切。童年PTEs与创伤后应激障碍（PTSD）的唤醒和回避症状以及生活质量显著相关，而飞行前的战争和HRV经历仅与PTSD的重现症状显著相关。在童年逆境中，家庭暴力和外部暴力经历，而非丧失和疾病经历，与心理健康症状增加和生活质量下降显著相关。这些结果表明，在对有战争和HRVs创伤的成年难民进行研究和治疗规划时，考虑童年不良经历非常重要。
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