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[哥伦比亚马格达莱纳州武装冲突与情绪困扰导致的多重受害情况]

[Multiple-Victimisation due to Armed Conflict and Emotional Distress in the State of Magdalena, Colombia].

作者信息

Campo-Arias Adalberto, Sanabria Adriana R, Ospino Anyelly, Guerra Valeria M, Caamaño Beatriz H

机构信息

Grupo de Investigación Corazón y Diabetes, Facultad de Ciencias de la Salud, Universidad del Magdalena, Santa Marta, Colombia.

Universidad del Magdalena, Santa Marta, Colombia.

出版信息

Rev Colomb Psiquiatr. 2017 Jul-Sep;46(3):147-153. doi: 10.1016/j.rcp.2016.06.005. Epub 2016 Jul 25.

DOI:10.1016/j.rcp.2016.06.005
PMID:28728798
Abstract

BACKGROUND

Emotional distress is common in Colombian armed conflict victims. Multiple-victimisation is associated with an increase in emotional distress than victimisation due a single event. However, the association between poly-victimisation and emotional distress among victims of the armed conflict in Colombia has not been documented.

OBJECTIVE

To study the association between multiple-victimisation and emotional distress in victims of armed conflict in the State of Magdalena, Colombia.

METHODS

A cross-sectional study was designed, with a secondary analysis of registration of the Psychosocial Care Program and Victim Integral Health (PAPSIVI) in the State of Magdalena, from 2013 to 2014. The profile formula grouped demographic variables, victimising events, and a set of symptoms of emotional distress (perceived discrimination, depressive and anxiety-stress). Odds ratio (OR, 95%CI) were established as measures of association.

RESULTS

A total of 943 people were included, with 67.4% women, and ages between18 and 94 years (mean 47.9±14.2). A total of 109 (11.7%) suffered from multiple victimisation. Multiple victimisation events were associated with more emotional distress, depressive symptoms (OR=1.5; 95%CI, 1.3-1.8), perceived stigma (OR=1.3; 95%CI, 1.1-1.5), and anxiety-stress (OR=1.2; 95%CI 1.0-1.4) than a single event.

CONCLUSIONS

There is more emotional distress in multiple victimisations than in a single victimisation event during armed conflict in this region of Colombia. Further studies are required on this topic.

摘要

背景

情绪困扰在哥伦比亚武装冲突受害者中很常见。多重受害比单一事件导致的受害更易引发情绪困扰加剧。然而,哥伦比亚武装冲突受害者中多重受害与情绪困扰之间的关联尚无文献记载。

目的

研究哥伦比亚马格达莱纳州武装冲突受害者中多重受害与情绪困扰之间的关联。

方法

设计了一项横断面研究,对2013年至2014年马格达莱纳州社会心理护理项目和受害者综合健康登记册(PAPSIVI)进行二次分析。概况公式将人口统计学变量、受害事件和一系列情绪困扰症状(感知到的歧视、抑郁和焦虑-压力)进行分组。将优势比(OR,95%可信区间)确定为关联度量。

结果

共纳入943人,其中67.4%为女性,年龄在18至94岁之间(平均47.9±14.2)。共有109人(11.7%)遭受多重受害。与单一事件相比,多重受害事件与更多的情绪困扰、抑郁症状(OR=1.5;95%可信区间,1.3 - 1.8)、感知到的耻辱感(OR=1.3;95%可信区间,1.1 - 1.5)和焦虑-压力(OR=1.2;95%可信区间1.0 - 1.4)相关。

结论

在哥伦比亚这个地区的武装冲突期间,多重受害比单一受害事件引发的情绪困扰更多。关于这个主题需要进一步研究。

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