a Department of Public Health , University of Helsinki , Helsinki , Finland.
b Department of Public Health Solutions , National Institute for Health and Welfare (THL) , Helsinki , Finland.
Psychol Health Med. 2018 Feb;23(2):141-153. doi: 10.1080/13548506.2017.1338735. Epub 2017 Jun 19.
Thousands of Nepalese women were widowed as a consequence of a decade (1996-2006) long civil war in Nepal. These women are at grave risk of mental health problems due to both traumatic experiences and violation of natural order of widowhood. The present study explores the depression and anxiety among war-widows. In 2012, a cross-sectional study was designed to interview 358 war-widows using validitated Beck Depression Inventory and Beck Anxiety Inventory in four districts of Nepal - Bardiya, Surkhet, Sindhupalchowk and Kavrepalanchowk with history of high conflict intensity. The prevalence of depression and anxiety was 53% and 63% respectively. Financial stress was significantly associated with depression (2.67, 95% CI: 1.40-5.07) and anxiety (2.37, 95% CI: 1.19-4.72). High autonomy of women as compared to low autonomy, high social support as compared to low social support and literacy as opposed to illiteracy was associated with less likelihood of depression and anxiety. Our results suggest high magnitude of depression and anxiety among war-widows in Nepal. Future policy efforts should be directed at providing mental health services to identify mental health issues among conflict affected individuals with focus on education, employment and activities to promote social support and autonomy at community.
由于尼泊尔长达十年（1996-2006 年）的内战，成千上万的尼泊尔妇女成为寡妇。这些妇女由于创伤经历和违背守寡自然秩序而面临严重的心理健康问题。本研究探讨了战争寡妇的抑郁和焦虑问题。2012 年，在尼泊尔四个有高冲突强度历史的地区（巴迪亚、苏尔凯特、辛杜帕尔乔克和卡瓦拉普拉萨德）进行了一项横断面研究，使用经过验证的贝克抑郁量表和贝克焦虑量表对 358 名战争寡妇进行了访谈。抑郁和焦虑的患病率分别为 53%和 63%。经济压力与抑郁（2.67，95%置信区间：1.40-5.07）和焦虑（2.37，95%置信区间：1.19-4.72）显著相关。与低自主权相比，妇女自主权较高、与低社会支持相比，社会支持较高、与文盲相比，文化程度较高与抑郁和焦虑的可能性较低相关。我们的结果表明，尼泊尔战争寡妇中抑郁和焦虑的程度很高。未来的政策努力应致力于为受冲突影响的个人提供心理健康服务，重点是教育、就业和促进社会支持和自主权的活动。
