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土耳其境内身体受伤的叙利亚难民的精神疾病发病率

Psychiatric morbidity among physically injured Syrian refugees in Turkey.

作者信息

Al-Nuaimi Saleem, Aldandashi Samer, Easa Abdul Kadir Saed, Saqqur Maher

机构信息

Department of Psychiatry, University of Alberta, Walter Mackenzie Center, 8440 112th Street, Edmonton, AB T6G 2B7, Canada.

Department of Psychiatry, University of Alberta, Walter Mackenzie Center, 8440 112th Street, Edmonton, AB T6G 2B7, Canada.

出版信息

Compr Psychiatry. 2018 Jan;80:34-38. doi: 10.1016/j.comppsych.2017.08.002. Epub 2017 Aug 26.

DOI:10.1016/j.comppsych.2017.08.002
PMID:28972916
Abstract

OBJECTIVE

To the best of our knowledge, the mental health status of physically injured Syrian refugees has not yet been investigated. The aim of this study was to examine the prevalence of psychiatric morbidity among physically injured Syrian refugees in Turkey receiving treatment at the main rehabilitation centre near the Syrian border.

METHOD

This is a cross sectional study. Information was collected from consenting injured Syrian refugees at Dar-el-Shefa'a Hospital in Reyhanlı (Turkey) during a one week period in December 2012 and another one week period in August 2013. A clinical psychiatric interview was conducted to determine a diagnosis according to the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM) IV-TR.

RESULTS

A total of 40 refugees consented and completed a clinical psychiatric interview. All refugees in this study did not have a significant past psychiatric history. The most prevalent current diagnosis was major depressive disorder (22.5%), adjustment disorder (20%), and post-traumatic stress disorder (15%). Five (12.5%) patients had no evidence of a psychiatric disorder.

CONCLUSION

The prevalence of psychiatric morbidity among injured Syrian refugees in our study was extremely high. This may help guide the treatment and management of this select population.

LIMITATIONS

This study had a low number of participants. The method of assessment was not standardized with a validated tool.

CLINICAL IMPLICATIONS

This study may help guide the treatment and management of this select population, both in neighbouring countries and as resettled refugees in Western host countries.

摘要

目的

据我们所知,身体受伤的叙利亚难民的心理健康状况尚未得到调查。本研究的目的是调查在叙利亚边境附近主要康复中心接受治疗的身体受伤的叙利亚难民中精神疾病的患病率。

方法

这是一项横断面研究。2012年12月的一周以及2013年8月的另一周,从土耳其雷伊汉勒的达尔-谢法阿医院同意参与研究的受伤叙利亚难民那里收集信息。根据《精神疾病诊断与统计手册》(DSM)IV-TR的诊断标准进行临床精神科访谈以确定诊断。

结果

共有40名难民同意并完成了临床精神科访谈。本研究中的所有难民过去均无明显精神病史。当前最常见的诊断是重度抑郁症(22.5%)、适应障碍(20%)和创伤后应激障碍(15%)。五名(12.5%)患者没有精神疾病的证据。

结论

我们研究中受伤的叙利亚难民中精神疾病的患病率极高。这可能有助于指导对这一特定人群的治疗和管理。

局限性

本研究的参与者数量较少。评估方法未使用经过验证的工具进行标准化。

临床意义

本研究可能有助于指导对这一特定人群的治疗和管理,无论是在邻国还是作为重新安置在西方接收国的难民。

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