Section of Psychiatry, Department of Medical Science and Public Health, University of Cagliari & Psychiatric Unit, University Hospital, 09127 Cagliari, Italy.
Int J Environ Res Public Health. 2023 Feb 6;20(4):2840. doi: 10.3390/ijerph20042840.
Armed conflicts produce a wide series of distressing consequences, including death, all of which impact negatively on the lives of survivors. This paper focuses specifically on the mental health consequences of war on adults and child/adolescent refugees or those living in war zones through a review of all systematic reviews and/or meta-analyses published from 2005 up until the current time.
Fifteen systematic reviews and/or meta-analyses conducted in adult populations, and seven relating to children and adolescents, were selected for the purpose of this review. Prevalence rates of anxiety, depression and post-traumatic stress disorder (PTSD) were two- to three-fold higher amongst people exposed to armed conflict compared to those who had not been exposed, with women and children being the most vulnerable to the outcome of armed conflicts. A series of war-related, migratory and post-migratory stressors contribute to short- and long-term mental health issues in the internally displaced, asylum seekers and refugees.
It should be a required social responsibility for all psychiatrists and psychiatric associations to commit to raising awareness amongst political decision-makers as to the mental health consequences caused by armed conflicts, as part of their duty of care for people experiencing the consequences of war.
武装冲突产生了一系列令人痛苦的后果，包括死亡，所有这些都对幸存者的生活产生了负面影响。本文通过对 2005 年至今发表的所有系统评价和/或荟萃分析进行综述，专门关注战争对成年人和儿童/青少年难民或生活在战区的人的心理健康后果。
选择了 15 项针对成年人的系统评价和/或荟萃分析，以及 7 项针对儿童和青少年的系统评价和/或荟萃分析。与未接触过武装冲突的人相比，暴露于武装冲突中的人焦虑、抑郁和创伤后应激障碍（PTSD）的患病率高出两到三倍，而妇女和儿童最容易受到武装冲突的影响。一系列与战争有关的、迁徙中和迁徙后的应激源导致国内流离失所者、寻求庇护者和难民出现短期和长期的心理健康问题。
所有精神病学家和精神病学协会都有责任向政治决策者宣传武装冲突造成的心理健康后果，这是他们关心战争后果人群的责任的一部分。
