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在美国的讲尼泊尔语不丹难民中,心理困扰、创伤后应激和自杀意念:发生率和预测因素。

Psychological Distress, Post-Traumatic Stress, and Suicidal Ideation Among Resettled Nepali-Speaking Bhutanese Refugees in the United States: Rates and Predictors.

机构信息

Malone University, Canton, OH, USA.

Kansas University Medical Center, Kansas City, USA.

出版信息

J Transcult Nurs. 2022 May;33(3):314-323. doi: 10.1177/10436596211070599. Epub 2022 Feb 1.

Abstract

INTRODUCTION

Bhutanese refugees may exhibit psychological distress (PD), post-traumatic stress (PTS), and suicidal ideation (SI), but little is known about predictors of these mental health problems.

PURPOSE

To examine rates and predictors of PD, PTS, and SI among Bhutanese refugees.

METHODS

Cross-sectional correlational study of 209 Bhutanese refugees in Midwestern United States. Data were collected using the Hopkins Symptom Checklist/Nepali version and Refugee Health Screener-15/PTS subscale and then analyzed using simultaneous multiple regression.

RESULTS

Rates of PD, PTS, and SI were 18.7%, 8.1%, and 7.7%, respectively. Significant predictors of PD were a history of mental health treatment (<.001) and fewer years of schooling ( = .032). Predictors of PTS were history of mental health treatment (<.001), female gender ( = .016), fewer years of schooling ( = .012), and being single/previously married ( = .004). PTS predicted SI (ρ<.001).

DISCUSSION

Health providers should routinely assess Bhutanese refugees' mental health status for timely further assessment and treatment.

摘要

简介

不丹难民可能表现出心理困扰(PD)、创伤后应激(PTS)和自杀意念(SI),但对于这些心理健康问题的预测因素知之甚少。

目的

研究美国中西部地区 209 名不丹难民的 PD、PTS 和 SI 的发生率和预测因素。

方法

采用横断面相关性研究方法,对 209 名不丹难民进行研究。使用霍普金斯症状清单/尼泊尔语版本和难民健康筛查器-15/PTS 子量表收集数据,然后使用同时进行的多元回归进行分析。

结果

PD、PTS 和 SI 的发生率分别为 18.7%、8.1%和 7.7%。PD 的显著预测因素为心理健康治疗史(<0.001)和受教育年限较少(=0.032)。PTS 的预测因素为心理健康治疗史(<0.001)、女性(=0.016)、受教育年限较少(=0.012)和单身/离异(=0.004)。PTS 预测 SI(ρ<0.001)。

讨论

医疗保健提供者应定期评估不丹难民的心理健康状况,以便及时进行进一步评估和治疗。

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