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哥伦比亚麦德林创伤后应激障碍的社会人口学模式及终生创伤暴露情况

Socio-demographic patterns of posttraumatic stress disorder in Medellin, Colombia and the context of lifetime trauma exposure.

作者信息

Gaviria Silvia Lucia, Alarcón Renato D, Espinola Maria, Restrepo Diana, Lotero Juliana, Berbesi Dedsy Y, Sierra Gloria Maria, Chaskel Roberto, Espinel Zelde, Shultz James M

机构信息

Department of Psychiatry, Universidad CES , Medellín, Colombia.

Universidad Peruana Cayetano Heredia, Lima, Peru; Mayo Clinic, Rochester, MN, USA.

出版信息

Disaster Health. 2016 Nov 22;3(4):139-150. doi: 10.1080/21665044.2016.1263086. eCollection 2016.

Abstract

Colombia, South America is currently transitioning to post-conflict status following 6 decades of armed conflict. The population has experienced extensive exposures to potentially traumatic events throughout the lifespan. Sources of trauma exposure include the prolonged armed insurgency, narco-trafficking violence, urban gang violence, violent actions of criminal bands, intra-familial violence, gender-based violence, and sex trafficking. Exposure to potentially traumatic events is related to a variety of psychiatric outcomes, in particular, posttraumatic stress disorder. Given this context of lifetime trauma exposure, socio-demographic patterns of posttraumatic stress disorder were explored in a sample of residents of Medellin, Colombia, the nation's second largest city and a nexus for multiple types of trauma exposure.

摘要

南美洲的哥伦比亚在经历了60年的武装冲突后,目前正过渡到冲突后状态。该国人口在其一生中广泛经历了潜在的创伤性事件。创伤暴露源包括长期的武装叛乱、毒品走私暴力、城市帮派暴力、犯罪团伙的暴力行为、家庭内暴力、基于性别的暴力以及性交易。暴露于潜在的创伤性事件与多种精神疾病后果相关,尤其是创伤后应激障碍。鉴于这种终生创伤暴露的背景,研究人员在哥伦比亚第二大城市麦德林的居民样本中,探讨了创伤后应激障碍的社会人口学模式。麦德林是多种创伤暴露的一个枢纽。

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