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约旦的叙利亚难民危机:一项由药剂师主导的横断面研究,评估创伤后应激障碍。

The Syrian refugee crisis in Jordan: a cross sectional pharmacist-led study assessing post-traumatic stress disorder.

作者信息

Basheti Iman A, Ayasrah Shahnaz M, Basheti Mariam M, Mahfuz Judeh, Chaar Betty

机构信息

Professor in Clinical Pharmacy. Department of Clinical Pharmacy, Faculty of Pharmacy, Applied Science Private University. Amman (Jordan).

Department of Applied Science/Nursing, Al-Balqa Applied University a. Al-Salt (Jordan).

出版信息

Pharm Pract (Granada). 2019 Jul-Sep;17(3):1475. doi: 10.18549/PharmPract.2019.3.1475. Epub 2019 Aug 20.

DOI:10.18549/PharmPract.2019.3.1475
PMID:31592018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6763294/
Abstract

BACKGROUND

The United Nations has declared the Syrian crisis as the worst humanitarian crisis of the twenty-first century. Pharmacists play a vital role in humanitarian aid and in delivering health advices for refugees. Many Syrian refugees are in need of psychosocial assessments.

OBJECTIVE

Objective of this study was to investigate the prevalence of post-traumatic stress disorder (PTSD), assessed by pharmacists among Syrian civilian refugees residing in Amman, Jordan.

METHODS

A cross-sectional study involving Syrian civilian refugees living in Amman, Jordan, was conducted using the published and validated Arabic version of the Harvard Trauma Questionnaire (HTQ). Pharmacists recruited civilian Syrian refugees and completed the HTQ. The questionnaire included 45 questions, with the first 16 questions (HTQ-16) intended to assess the trauma symptoms felt by refugees. Assessments were done by the pharmacists and refugees were categorized to suffer PTSD if their mean item score for the HTQ-16 scale was > 2.5.

RESULTS

Study participants (n=186; mean age 31.5 years; 51.3% males) had a HTQ-16 mean score of 2.35 (SD=0.53), with a range of 1.19 - 3.63. Over a third of participants (38.7%) were categorized as having PTSD. Males reported significantly worse PTSD symptoms (mean=2.42, SD=0.50) compared to females (mean=2.26, SD=0.57). Correlation between the mean item score for the HTQ-16 and characteristics of the study participants showed higher mean item score correlated with being a male, older in age, a smoker, and if trauma was experienced.

CONCLUSIONS

Many Syrian civilian refugees living in Jordan suffer from PTSD. Male participants were found to be more affected by the severity of the disorder. Pharmacists are suitably situated to identify civilian Syrian refugees suffering from PTSD in dire need of help, paving the way for much needed healthcare resources to be delivered to this particular group of refugees.

摘要

背景

联合国已宣布叙利亚危机是21世纪最严重的人道主义危机。药剂师在人道主义援助以及为难民提供健康建议方面发挥着至关重要的作用。许多叙利亚难民需要进行心理社会评估。

目的

本研究的目的是调查药剂师对居住在约旦安曼的叙利亚平民难民中创伤后应激障碍(PTSD)患病率的评估情况。

方法

采用已发表并经验证的阿拉伯语版哈佛创伤问卷(HTQ),对居住在约旦安曼的叙利亚平民难民进行了一项横断面研究。药剂师招募平民叙利亚难民并完成HTQ。该问卷包含45个问题,前16个问题(HTQ - 16)旨在评估难民所感受到的创伤症状。评估由药剂师进行,如果难民在HTQ - 16量表上的平均项目得分>2.5,则被归类为患有PTSD。

结果

研究参与者(n = 186;平均年龄31.5岁;51.3%为男性)的HTQ - 16平均得分为2.35(标准差 = 0.53),范围为1.19 - 3.63。超过三分之一的参与者(38.7%)被归类为患有PTSD。与女性(平均 = 2.26,标准差 = 0.57)相比,男性报告的PTSD症状明显更严重(平均 = 2.42,标准差 = 0.50)。HTQ - 16的平均项目得分与研究参与者特征之间的相关性表明,较高的平均项目得分与男性、年龄较大、吸烟者以及经历过创伤有关。

结论

许多居住在约旦的叙利亚平民难民患有PTSD。发现男性参与者受该疾病严重程度的影响更大。药剂师处于合适的位置来识别急需帮助的患有PTSD的叙利亚平民难民,为向这一特定难民群体提供急需的医疗资源铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0b/6763294/e280b729644d/pharmpract-17-1475-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0b/6763294/91db7d521737/pharmpract-17-1475-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0b/6763294/e280b729644d/pharmpract-17-1475-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0b/6763294/91db7d521737/pharmpract-17-1475-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c0b/6763294/e280b729644d/pharmpract-17-1475-g002.jpg

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