Razjouyan Katayoon, Farokhi Hossein, Qaderi Farah, Qaderi Pashtoon, Masoumi Seyed Javad, Shah Asghar, Pourhoseingholi Mohamad Amin, Ahmadi Attaullah, Lucero-Prisno Don Eliseo Iii, Ozaki Akihiko, Kotera Yasuhiro, Shah Jaffer, Negin Fawzia, Qaderi Shohra
Department of Psychiatry, Imam Hossain Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Front Psychiatry. 2022 May 17;13:877934. doi: 10.3389/fpsyt.2022.877934. eCollection 2022.
The specific objectives of the study are to examine the mental health (depression and anxiety) of the first generation of post-Taliban government and compare these measures with its preceding generation, and to assess war experience of the first generation of post-Taliban government. We also wanted to assess the daily stressors and their contribution to the mental health, and to assess mental health as a result of war experiences and daily stressors with respect to demographic measures such as sex, marital status, age, mother's age, birth order, and ethnicities.
In a cross-sectional design, 621 high school students, were randomly selected to participate in the study to assess war experience, daily stressors, and mental health among the first generation of young adults under post-Taliban government.
The participants had 17.37 ± 0.9 mean years of ages, 94.8% of them were unmarried. Poor mental health was significantly associated with higher exposure to war, but not with the age of participants ( = 0.08). There was no association between war experiences and the age and ethnicity of our participants ( = 0.9, = 0.7). Age differences were negligible for daily stressors too ( = 0.07). Daily stressors scores were higher for female than male students ( = 0.02). The majority of young adults surveyed, declared themselves in agreement with statements such as the security situation in Afghanistan makes me frustrated (56%), air pollution as a concern (41%), and not having anyone to talk about what is in their heart (28.8%). Gender differences were highly significant for mental health, as appraised by both The Hopkins Symptoms Checklist (HSCL) -depression and HSCL-anxiety. Girls presented higher rates of depression, anxiety, and daily stressors than boys, and boys presented higher rates of war experiences than girls.
War experience, daily stressors, and mental health were irrelevant with age, ethnicity and marital status. Factor such as being the first-born child of the family, higher reported war experiences, and daily stressors all negatively impact mental health. Alongside war and its direct effects, the existing socio-cultural context must be considered as a potential factor mediating the mental health of girls in Afghanistan.
本研究的具体目标是考察塔利班后政府第一代人的心理健康状况（抑郁和焦虑），并将这些指标与其上一代人进行比较，同时评估塔利班后政府第一代人的战争经历。我们还想评估日常压力源及其对心理健康的影响，并根据性别、婚姻状况、年龄、母亲年龄、出生顺序和种族等人口统计学指标，评估战争经历和日常压力源对心理健康的影响。
采用横断面设计，随机选取621名高中生参与研究，以评估塔利班后政府第一代年轻人的战争经历、日常压力源和心理健康状况。
参与者的平均年龄为17.37±0.9岁，其中94.8%未婚。心理健康状况不佳与更高的战争暴露显著相关，但与参与者的年龄无关（P = 0.08）。战争经历与参与者的年龄和种族之间没有关联（P = 0.9，P = 0.7）。日常压力源的年龄差异也可以忽略不计（P = 0.07）。女生的日常压力源得分高于男生（P = 0.02）。大多数接受调查的年轻人表示同意诸如“阿富汗的安全局势让我感到沮丧”（56%）、“空气污染令人担忧”（41%）以及“没有人可以倾诉内心想法”（28.8%）等说法。根据霍普金斯症状清单（HSCL）-抑郁和HSCL-焦虑评估，心理健康方面的性别差异非常显著。女孩的抑郁、焦虑和日常压力源发生率高于男孩，而男孩的战争经历发生率高于女孩。
战争经历、日常压力源和心理健康与年龄、种族和婚姻状况无关。诸如家庭中第一个出生的孩子、报告的战争经历较多以及日常压力源等因素都会对心理健康产生负面影响。除了战争及其直接影响外，现有的社会文化背景必须被视为影响阿富汗女孩心理健康的一个潜在因素。
