土耳其境内的叙利亚难民与叙利亚境内的国内流离失所者的精神障碍决定因素。
Determinants of Mental Disorders in Syrian Refugees in Turkey Versus Internally Displaced Persons in Syria.
机构信息
Sidika Tekeli-Yesil is with the Swiss Tropical and Public Health Institute, Department of Medicine, Clinical Research Unit, Basel, Switzerland. Esra Isik is with Kocaeli University, Institute of Health Sciences, Department of Disaster and Trauma Mental Health, Kocaeli, Turkey. Yesim Unal and Ahmet Tamer Aker are with Istanbul Bilgi University, Institute of Health Sciences, Department of Disaster and Trauma Mental Health, Istanbul, Turkey. Fuad Aljomaa Almossa is with Gaziantep University, Institute of Health Sciences, Gaziantep, Turkey. Hande Konsuk Unlu is with Hacettepe University, Institute of Public Health, Ankara, Turkey.
出版信息
Am J Public Health. 2018 Jul;108(7):938-945. doi: 10.2105/AJPH.2018.304405. Epub 2018 May 17.
OBJECTIVES
To compare frequencies of some mental health disorders between Syrian refugees living in Turkey and internally displaced persons in Syria, and to identify factors associated with posttraumatic stress disorder and major depressive disorder.
METHODS
We carried out a field survey in May 2017 among 540 internally displaced persons in Syria and refugees in Turkey.
RESULTS
The study revealed that mental disorders were highly prevalent in both populations. Major depressive disorder was more frequent among refugees in Turkey than among internally displaced persons in Syria; other mental disorders, including posttraumatic stress disorder, were more prevalent in the latter than in the former. Posttraumatic stress disorder was also associated with postmigration factors. Major depressive disorder was more likely among refugees in Turkey. In addition, the likelihood of major depressive disorder was predicted by stopping somewhere else before resettlement in the current location.
CONCLUSIONS
The resettlement locus and the context and type of displacement seem to be important determinants of mental health disorders, with postmigration factors being stronger predictors of conflict-related mental health. Internally displaced persons may benefit more from trauma-focused approaches, whereas refugees may derive greater benefit from psychosocial approaches.
目的
比较生活在土耳其的叙利亚难民和叙利亚境内国内流离失所者中某些心理健康障碍的发生频率，并确定与创伤后应激障碍和重度抑郁症相关的因素。
方法
我们于 2017 年 5 月在叙利亚境内国内流离失所者和土耳其的难民中开展了一项实地调查。
结果
研究表明，这两个人群的精神障碍都高度流行。与叙利亚境内国内流离失所者相比，土耳其的难民中重度抑郁症更为常见；后者的其他精神障碍，包括创伤后应激障碍，比前者更为常见。创伤后应激障碍也与移民后因素有关。土耳其的难民中更有可能发生重度抑郁症。此外，在目前居住地重新定居前在其他地方停留的可能性与重度抑郁症的发生相关。
结论
重新定居地点以及流离失所的背景和类型似乎是心理健康障碍的重要决定因素，移民后因素是与冲突相关的心理健康的更强预测因素。境内国内流离失所者可能更受益于以创伤为重点的方法，而难民可能更受益于心理社会方法。
Zotero 插件