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科索沃归国儿童所经历的脆弱性与心理社会健康状况。

Vulnerability and psychosocial health experienced by repatriated children in Kosovo.

作者信息

Kienzler Hanna, Wenzel Thomas, Shaini Mimoza

机构信息

King's College London.

Medical University of Vienna.

出版信息

Transcult Psychiatry. 2019 Feb;56(1):267-286. doi: 10.1177/1363461518802992. Epub 2018 Oct 22.

DOI:10.1177/1363461518802992
PMID:30346247
Abstract

Accounts are increasing of non-voluntary deportations of Kosovar adolescents from European countries to Kosovo, and human rights organizations have condemned deportation practices endorsed by European governments for being violent and detrimental to adolescents' physical and psychosocial health and well-being. However, research remains scarce on the connections among migration, repatriation and reintegration realities, and adolescents' experiences of psychosocial health and well-being. This article describes how adolescent returnees living in Kosovo express their emotional distress, their struggle with negative living conditions, and their exposure to violence. Semi-structured interviews were conducted with 14 adolescents with very high-level post-traumatic stress and depression symptomatology and a General Health Questionnaire score of 40 or higher. This empirical data provided in-depth information about the adolescents' narratives of symptoms and illness, explanations of symptom and illness causation, ongoing stressors and the impacts these factors have on their health and well-being. The study found that suffering and related health problems are associated with a sense of loss and ongoing social isolation, economic problems, precarious living conditions, and discrimination. The adolescents' lack of social and economic capital makes accessing appropriate resources and professional help for their health and social problems extremely difficult. In the discussion and conclusion section, recommendations are made for the development of appropriate and holistic psychosocial interventions focusing on well-being and human rights.

摘要

关于科索沃青少年被非自愿从欧洲国家驱逐回科索沃的报道日益增多,人权组织谴责欧洲各国政府支持的驱逐行为,称其具有暴力性,且对青少年的身心健康和福祉有害。然而,关于移民、遣返和重新融入现实与青少年身心健康和福祉经历之间的联系,研究仍然匮乏。本文描述了生活在科索沃的青少年归国者如何表达他们的情绪困扰、与恶劣生活条件的斗争以及他们遭受的暴力。对14名创伤后应激和抑郁症状非常严重、一般健康问卷得分达到或超过40分的青少年进行了半结构化访谈。这些实证数据提供了关于青少年症状和疾病叙述、症状和疾病成因解释、持续存在的压力源以及这些因素对其健康和福祉影响的深入信息。研究发现,痛苦及相关健康问题与失落感、持续的社会孤立、经济问题、不稳定的生活条件和歧视有关。青少年缺乏社会和经济资本,这使得他们在面对健康和社会问题时极难获得适当的资源和专业帮助。在讨论和结论部分,针对制定注重福祉和人权的适当、全面的心理社会干预措施提出了建议。

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