School of Health Policy and Management, York University, 4700 Keele Street, HNES Building, Rm 414, Toronto, ON, M3J 1P3, Canada.
School of Health Policy and Management, York University, Toronto, Canada.
Community Ment Health J. 2020 May;56(4):597-605. doi: 10.1007/s10597-019-00518-1. Epub 2019 Dec 12.
Posttraumatic-stress-disorder (PTSD) is one of the common mental health conditions among Afghan refugees resettled in developed countries. The current study explores how social support, coping and other factors correlate with PTSD in this population. A survey was conducted with 49 adult Afghan refugees (males 41%, female 59%) who completed Harvard Trauma Questionnaire during their visit to a Community Health Centre in Toronto. Bivariate analysis and structural-equation-modeling (SEM) were used to examine associations and pathways between PTSD and other variables. Mean PTSD score was 2.53 (SD 0.92) with 53% showing symptoms of PTSD which was significantly associated with age, unemployment, social support and self-rated health. SEM showed that higher social support scores were significantly associated with lower PTSD scores, and the effect of coping and English language were mediated through social support. The high prevalence of PTSD, its association with social support and self-rated health are important issues to be considered for refugee resettlement programs.
创伤后应激障碍（PTSD）是在发达国家重新安置的阿富汗难民中常见的心理健康问题之一。本研究探讨了社会支持、应对方式和其他因素与该人群 PTSD 的相关性。对在多伦多社区健康中心就诊的 49 名成年阿富汗难民（男性占 41%，女性占 59%）进行了一项调查，他们完成了哈佛创伤问卷。采用双变量分析和结构方程模型（SEM）来检验 PTSD 与其他变量之间的关联和途径。 PTSD 平均得分为 2.53（SD 0.92），53%的人出现 PTSD 症状，这与年龄、失业、社会支持和自我评估健康状况显著相关。SEM 显示，较高的社会支持评分与较低的 PTSD 评分显著相关，应对和英语水平的影响通过社会支持来介导。PTSD 的高患病率及其与社会支持和自我评估健康的关联是重新安置难民计划需要考虑的重要问题。
