Department of Psychiatry, University Clinical Center Tuzla, Ul. Rate Dugonjića bb, 75000 Tuzla, Bosnia and Herzegovina,
Psychiatr Danub. 2020 Oct;32(Suppl 3):386-395.
The use of violence and aggression on civilians during the war has become one of the most prominent military events of the 20 and 21 centuries, resulting in an increasing number of refugees and displaced persons in the midst of regional and tribal conflicts. We are witnessing a daily increase in the number of migrants when people are fleeing from their homes because of human rights violations, persecution, poverty, and conflict. When found in "host" countries, they often encounter bad conditions, with uncertainty and instability. Many come to Europe in search of economic and personal opportunities for progress, where they face different types of process of acculturation. 'Place loss', acute and chronic trauma, family disorders, and family reunification issues became more and more important issues. Refugees, asylum seekers and irregular migrants have a higher risk for certain mental health disorders, including posttraumatic stress, depression and psychosis. In addition to being exposed to various risk factors for mental disorders, migrants often face barriers to access to adequate health care to address these issues. Some of the biggest challenges for migrant populations within "host" countries include: lack of knowledge of health care rights and health systems; poor knowledge of the language; different belief systems and cultural expectations of health care; and the general lack of trust in experts and in government. The rates of depressive and anxiety disorders usually increase over time, and poor mental health is associated with poor socioeconomic conditions - particularly with social isolation and unemployment. Acculturative stress often implies a high discrepancy in the acculturation between parents and their children. This dislocation of families in new conditions has been caused by the different degrees of acceptance of "new culture" by children and parents, which causes serious difficulties, especially in bilingual terms.
在战争中对平民使用暴力和侵略已成为 20 世纪和 21 世纪最突出的军事事件之一,导致在地区和部落冲突中越来越多的难民和流离失所者。由于侵犯人权、迫害、贫困和冲突,人们正在逃离家园,我们每天都看到移民人数的增加。当他们在“收容”国时,他们经常遇到恶劣的条件,充满不确定性和不稳定性。许多人来到欧洲是为了寻找经济和个人进步的机会,在那里他们面临着不同类型的文化适应过程。“场所丧失”、急性和慢性创伤、家庭紊乱和家庭团聚问题变得越来越重要。难民、寻求庇护者和非正常移民更容易出现某些心理健康障碍,包括创伤后应激障碍、抑郁症和精神病。除了面临各种心理健康障碍的风险因素外,移民往往难以获得足够的医疗保健来解决这些问题。移民在“收容”国所面临的一些最大挑战包括:缺乏对医疗保健权利和医疗保健系统的了解;语言知识水平低;对医疗保健的不同信仰体系和文化期望;以及对专家和政府的普遍不信任。抑郁和焦虑障碍的发病率通常会随着时间的推移而增加,而心理健康状况不佳与较差的社会经济条件有关——特别是与社会孤立和失业有关。文化适应压力通常意味着父母和子女之间的文化适应程度存在很大差异。这种家庭在新环境中的错位是由儿童和父母对“新文化”的不同程度的接受程度造成的,这会造成严重的困难,尤其是在双语方面。