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西班牙受房屋被驱逐影响人群的创伤后应激障碍症状学

Post-Traumatic Stress Disorder Symptomatology in People affected by Home Eviction in Spain.

作者信息

Robles-Ortega Humbelina, Guerra Pedro, González-Usera Isis, Mata-Martín José Luis, Fernández-Santaella M Carmen, Vila Jaime, Bolívar-Muñoz Julia, Bernal-Solano Mariola, Mateo-Rodríguez Inmaculada, Daponte-Codina Antonio

机构信息

Universidad de Granada (Spain).

Escuela Andaluza de Salud Pública (EASP)(Spain).

出版信息

Span J Psychol. 2017 Oct 27;20:E57. doi: 10.1017/sjp.2017.56.

DOI:10.1017/sjp.2017.56
PMID:29076802
Abstract

Despite the higher proportion of foreclosures and home evictions executed in Spain, compared to other countries, and the known link between social exclusion and mental health problems, studies exploring this association in Spain remain scarce. This study investigated the link between the process of home eviction and the appearance of symptomatology of post-traumatic stress disorder (PTSD), anxiety, depression, and perceived stress. Two hundred and five people affected by the process of home eviction were assessed using a structured interview that included three validated assessment instruments for PTSD, perceived stress, anxiety and depression. Analysis involved comparison with the normative groups that formed the validation studies together with regression analysis to determine the major psychological and socio-demographic predictors of perceived stress. Of the participants, 95.1% reported that they were experiencing the process of home eviction with fear, helplessness, or horror. In PTSD symptomatology, they scored higher than the normative PTSD group in symptoms of avoidance (t = 5.01; p < .05), activation (t = 5.48; p < .01), and total score (t = 4.15; p < .05). Of this subgroup, 72.5% fulfilled the DSM-IV symptom criteria for PTSD. The major predictor of perceived stress was PTSD symptomatology (B = .09; p < .001). The process of home eviction in Spain is having an alarming impact on mental health of affected people calling for effective measures to provide psychological and social support.

摘要

尽管与其他国家相比,西班牙执行的止赎和房屋驱逐比例更高,而且社会排斥与心理健康问题之间的已知联系也已明确,但在西班牙探索这种关联的研究仍然很少。本研究调查了房屋驱逐过程与创伤后应激障碍(PTSD)、焦虑、抑郁和感知压力症状出现之间的联系。使用结构化访谈对205名受房屋驱逐过程影响的人进行了评估,该访谈包括三种经过验证的PTSD、感知压力、焦虑和抑郁评估工具。分析包括与构成验证研究的正常对照组进行比较,并进行回归分析以确定感知压力的主要心理和社会人口学预测因素。在参与者中,95.1%报告称他们在经历房屋驱逐过程时感到恐惧、无助或恐惧。在PTSD症状方面,他们在回避症状(t = 5.01;p < .05)、激活症状(t = 5.48;p < .01)和总分(t = 4.15;p < .05)上的得分高于PTSD正常对照组。在这个亚组中,72.5%符合DSM-IV PTSD症状标准。感知压力的主要预测因素是PTSD症状(B = .09;p < .001)。西班牙的房屋驱逐过程正在对受影响人群的心理健康产生惊人影响,需要采取有效措施提供心理和社会支持。

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