[哥伦比亚非法武装组织前战斗人员的精神、认知和情感状况]
[Psychiatric, Cognitive and Emotional Profile in Ex-combatants of Illegal Armed Groups in Colombia].
作者信息
Tobón Carlos, Aguirre-Acevedo Daniel Camilo, Velilla Lina, Duque Jon, Ramos Claudia Patricia, Pineda David
机构信息
Grupo de Neurociencias de Antioquia, Facultad de Medicina, Universidad de Antioquia UDEA, Medellín, Colombia; Grupo de Neuropsicología y Conducta, Facultad de Medicina, Universidad de Antioquia UDEA, Medellín, Colombia.
Grupo de Neurociencias de Antioquia, Facultad de Medicina, Universidad de Antioquia UDEA, Medellín, Colombia.
出版信息
Rev Colomb Psiquiatr. 2016 Jan-Mar;45(1):28-36. doi: 10.1016/j.rcp.2015.07.004. Epub 2015 Sep 9.
INTRODUCTION
Exposure to armed conflict produces biological adaptations oriented to handle the highly stressful conditions in war environments. The special features of The Colombian armed create a special scenario to evaluate the human behavior.
OBJECTIVE
In this study, psychiatric, cognitive and emotional processing characteristics of a group of Colombian armed illegal forces of ex-combatants are described.
METHODS
Sixty-three ex combatants and 22 controls were assessed with WAIS (IQ), INECO frontal screening (executive functions), Interpersonal Reactivity Index (empathy), emotional features recognition and MINI (psychiatric profile).
RESULTS
When compared to the control group, ex-combatants showed higher frequency of antisocial personality disorder (P=.031) and behavioral dissocial disorder (P=.017). In cognitive profile, the ex-combatants showed a lower score in the executive function test (Me=18.50; RQ=4.00), control (Me=23.00; RQ=5.25), with a poor personal distress in emphatic profile (Me=10.00; RQ=5.00) compared to control group (Me=37.00; RQ=7.25).
CONCLUSIONS
We found differences in cognitive and psychiatric profile in ex-combatants in comparison with controls.
引言
接触武装冲突会产生生物适应性变化，以应对战争环境中的高度压力状况。哥伦比亚武装冲突的特点为评估人类行为创造了特殊情境。
目的
本研究描述了一组哥伦比亚非法武装部队前战斗人员的精神、认知和情绪处理特征。
方法
对63名前战斗人员和22名对照组人员进行了韦氏成人智力量表（智商）、INECO额叶筛查（执行功能）、人际反应指数（同理心）、情绪特征识别和简明国际神经精神访谈（精神疾病概况）评估。
结果
与对照组相比，前战斗人员反社会人格障碍（P = 0.031）和行为紊乱障碍（P = 0.017）的发生率更高。在认知方面，前战斗人员在执行功能测试中的得分较低（中位数=18.50；四分位距=4.00），对照组得分（中位数=23.00；四分位距=5.25）；在前战斗人员的同理心概况中，个人痛苦程度较低（中位数=10.00；四分位距=5.00），而对照组为（中位数=37.00；四分位距=7.25）。
结论
我们发现前战斗人员与对照组相比，在认知和精神疾病概况方面存在差异。
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