Schellong J, Epple F, Weidner K
Klinik und Poliklinik für Psychotherapie und Psychosomatik, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
Internist (Berl). 2016 May;57(5):434-43. doi: 10.1007/s00108-016-0055-5.
Many refugees experience severely stressful events in their home countries, during migration and occasionally even after arrival in the country of destination. The individual reactions not only influence the mental health but also somatic well being. Traumatic events may have an essential impact on psychosocial functioning; moreover, the social circumstances during the integration process influence mental stability. Physicians play an important role in identifying possible traumatization and subsequently guiding towards adequate treatment; hence, the healthcare of refugees should regularly include psychosomatic and psychotraumatological aspects. Knowledge of screening instruments, trauma-informed care and interpreter-assisted communication are necessary to meet required standards.
许多难民在其祖国、迁移过程中，甚至偶尔在抵达目的地国之后，都会经历压力极大的事件。个体反应不仅会影响心理健康，还会影响躯体健康。创伤性事件可能对心理社会功能产生重大影响；此外，融入过程中的社会环境会影响心理稳定性。医生在识别可能的创伤并随后引导进行适当治疗方面发挥着重要作用；因此，难民的医疗保健应定期纳入身心和心理创伤学方面的内容。了解筛查工具、创伤知情护理和口译辅助沟通对于达到要求的标准是必要的。
