Centre for Rural Health, University of Tasmania, Launceston, Australia.
School of Medicine, Western Sydney University, Campbelltown, Australia.
Transcult Psychiatry. 2021 Apr;58(2):215-225. doi: 10.1177/1363461520901635. Epub 2020 May 11.
The current study sought to examine resettled Iraqi refugees' recognition of trauma-related psychopathology and the association between recognition and help-seeking. Participants were 66 men and women aged 18 to 70 years with clinically significant symptoms of posttraumatic stress disorder (PTSD) recruited from a larger, community-based sample in Western Sydney, Australia. Participants were presented with a vignette of a fictional character who had been exposed to trauma prior to leaving Iraq and who was suffering from symptoms of PTSD. Participants were then asked if they believed that they might currently have a problem such as the one described in the vignette. Approximately half (50.8%) of participants believed that they might currently have a problem such as the one described in the vignette and one third (33.3%) of participants had ever sought help for such a problem. Participants who believed that they might currently have a problem like the one described were 13 times more likely to have sought help for such a problem, controlling for demographic characteristics, trauma-related symptomatology, and levels of general psychological distress. Poor self-recognition level of trauma-related psychopathology among resettled Iraqi refugees may be a barrier to help-seeking and may therefore be an important target for health promotion and early intervention initiatives.
本研究旨在探讨重新安置的伊拉克难民对创伤相关精神病理学的认识,以及这种认识与寻求帮助之间的关系。参与者是 66 名年龄在 18 至 70 岁之间的男性和女性,他们来自澳大利亚西悉尼的一个更大的社区样本,有明显的创伤后应激障碍(PTSD)临床症状。研究人员向参与者展示了一个虚构人物的小传,该人物在离开伊拉克之前曾遭受过创伤,并患有 PTSD 症状。然后,参与者被问到他们是否认为自己目前可能存在如小传中描述的那样的问题。大约一半(50.8%)的参与者认为他们目前可能存在如小传中描述的那样的问题,三分之一(33.3%)的参与者曾因这样的问题寻求过帮助。与没有寻求过帮助的参与者相比,认为自己目前可能存在如小传中描述的问题的参与者寻求此类问题帮助的可能性要高出 13 倍,这一结果在控制了人口统计学特征、创伤相关症状和一般心理困扰水平后仍然成立。重新安置的伊拉克难民对创伤相关精神病理学的自我识别水平较差,可能是寻求帮助的障碍,因此可能是健康促进和早期干预计划的重要目标。