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武装冲突导致的流离失所儿童的心理健康——2015年哥伦比亚全国心理健康调查

Mental health in displaced children by armed conflict - National Mental Health Survey Colombia 2015.

作者信息

Gómez-Restrepo Carlos, Cruz-Ramírez Viviana, Medina-Rico Mauricio, Rincón Carlos J

机构信息

MD. Psychiatrist, Link Psychiatry, and Psychoanalyst MSc Clinical Epidemiology. Full Professor Director Department Clinical Epidemiology and Biostatistics, Department of Psychiatry and Mental Health, Faculty of Medicine. Pontificia Universidad Javeriana. Hospital Universitario San Ignacio. Bogotá Colombia.

MD. Pontificia Universidad Javeriana. Hospital Universitario San Ignacio. Bogotá, Colombia.

出版信息

Actas Esp Psiquiatr. 2018 Mar;46(2):51-7. Epub 2018 Mar 1.

PMID:29616713
Abstract

INTRODUCTION

The armed conflict in Colombia is considered one of the most violent in Latin America. Children as a vulnerable population are most affected, increasing their risk of developing mental problems such as anxiety disorder and post-traumatic stress disorder.

OBJECTIVES

To determine the prevalence of the most frequent mental problems in the Colombian children affected by armed conflict.

METHODOLOGY

A cross-sectional study, using data from the National Mental Health Survey 2015. With children aged 7 to 11 years, in whom the RQC, PCL and DISC-IV-P (3.0.1) were applied.

RESULTS

We described information on 100 displaced children between 7 and 11 years old due to armed conflict, being a representative sample at national level. It was found that 98.7% of this population is at school, as well as 17.8% in poverty. Mental illnesses were asked according to their appearance in the last 12 months, these were: anxiety disorder 6.5% (CI 95% 2.7-14.7) in displaced population, compared to 1.8% (CI 95% 1.1-3.1) in non-displaced; High score for post-traumatic stress was 13.2% (CI 95% 3.9-36.4) in displaced persons and 6.6% (CI 95% 4.0-10.7) in nondisplaced persons.

CONCLUSIONS

Children affected by armed conflict have greater risk of presenting some mental illnesses such as anxiety disorder and post-traumatic stress, evidencing the situation of vulnerability in which they are.

摘要

引言

哥伦比亚的武装冲突被认为是拉丁美洲最暴力的冲突之一。儿童作为弱势群体受影响最大,这增加了他们患精神问题的风险,如焦虑症和创伤后应激障碍。

目的

确定受武装冲突影响的哥伦比亚儿童中最常见精神问题的患病率。

方法

一项横断面研究,使用2015年全国心理健康调查的数据。研究对象为7至11岁的儿童,对其应用了RQC、PCL和DISC-IV-P(3.0.1)。

结果

我们描述了100名因武装冲突而流离失所的7至11岁儿童的信息,这是一个具有全国代表性的样本。结果发现,该人群中有98.7%的儿童在上学,17.8%处于贫困状态。根据过去12个月内精神疾病的出现情况进行询问,结果如下:流离失所人群中焦虑症的患病率为6.5%(95%置信区间2.7-14.7),而非流离失所人群中为1.8%(95%置信区间1.1-3.1);流离失所者中创伤后应激高分的患病率为13.2%(95%置信区间3.9-36.4),非流离失所者中为6.6%(95%置信区间4.0-10.7)。

结论

受武装冲突影响的儿童患焦虑症和创伤后应激等精神疾病的风险更高,这证明了他们所处的脆弱状况。

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