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
Department of Psychiatry, Universidad CES , Medellín, Colombia.
Universidad Peruana Cayetano Heredia, Lima, Peru; Mayo Clinic, Rochester, MN, USA.
Disaster Health. 2016 Nov 22;3(4):139-150. doi: 10.1080/21665044.2016.1263086. eCollection 2016.
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.
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。