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伊拉克北部前伊斯兰国儿童兵的创伤后应激障碍。

Post-traumatic stress disorder among former Islamic State child soldiers in northern Iraq.

机构信息

Institute for Psychotherapy and Psychotraumatology,University of Duhok, Iraq and State University Baden-Württemberg,Germany.

Clinic for Psychiatry and Psychotherapy,Division of Psychosomatic Medicine and Psychotherapy,Universitaetskliniken des Saarlandes,Germany.

出版信息

Br J Psychiatry. 2018 Jul;213(1):425-429. doi: 10.1192/bjp.2018.88. Epub 2018 Jun 1.

Abstract

BACKGROUND

Former child soldiers are at high risk of developing mental disorders such as post-traumatic stress disorder (PTSD); however, their comprehensive mental health has yet to be examined.AimsThis study looks at the prevalence of PTSD, depression and associated risk factors such as disturbed self-esteem among former child soldiers of the so-called 'Islamic State'.

METHOD

The psychological effect of traumatic events was assessed in 81 Yazidi children who had been child soldiers for the Islamic State in northern Iraq between 2014 and 2017 for at least 6 months. The children were between 8 and 14 years of age. Thirty-two Yazidi boys and 31 Muslim boys who were not child soldiers in Iraq served as control groups. A structured psychological interview and established psychometric questionnaires were used to assess traumatisation and mental disorders.

RESULTS

The child soldiers showed a significantly higher prevalence of PTSD (48.3%), depressive disorders (45.6%), anxiety disorders (45.8%) and somatic disturbances (50.6%) than the boys who had not been child soldiers. Developmentally crucial self-esteem was significantly reduced in former child soldiers. No significant differences between the two control groups could be found.

CONCLUSIONS

PTSD and other mental disorders are highly present among former child soldiers in northern Iraq. The study highlights the huge and as yet unmet need for psychological services among former child soldiers.Declaration of interestNone.

摘要

背景

前儿童兵患有创伤后应激障碍(PTSD)等精神障碍的风险很高;然而,他们的整体心理健康状况尚未得到检查。

目的

本研究调查了所谓的“伊斯兰国”前儿童兵中 PTSD、抑郁和相关风险因素(如自尊受损)的患病率。

方法

对 81 名在 2014 年至 2017 年间在伊拉克北部为伊斯兰国当过至少 6 个月儿童兵的雅兹迪儿童的心理创伤影响进行了评估。这些儿童年龄在 8 至 14 岁之间。32 名雅兹迪男孩和 31 名未在伊拉克当兵的穆斯林男孩作为对照组。使用结构化心理访谈和既定心理计量问卷来评估创伤和精神障碍。

结果

与未当兵的男孩相比,前儿童兵表现出更高的 PTSD(48.3%)、抑郁障碍(45.6%)、焦虑障碍(45.8%)和躯体障碍(50.6%)患病率。前儿童兵的自尊心明显下降,这对其发展至关重要。两个对照组之间没有发现显著差异。

结论

在伊拉克北部的前儿童兵中,PTSD 和其他精神障碍的发病率很高。该研究强调了前儿童兵对心理服务的巨大且尚未得到满足的需求。

利益声明

无。

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