Mollica R F, Wyshak G, Lavelle J
Harvard Medical School, Massachusetts General Hospital, Boston 02114.
Am J Psychiatry. 1987 Dec;144(12):1567-72. doi: 10.1176/ajp.144.12.1567.
More than 700,000 refugees from Southeast Asia have settled in the United States since 1975. Although many have suffered serious trauma, including torture, few clinical reports have described their trauma-related symptoms and psychosocial problems. The authors conducted a treatment study of 52 patients in a clinic for Indochinese. They found that these patients were a highly traumatized group; each had experienced a mean of 10 traumatic events and two torture experiences. Many of the patients had concurrent diagnoses of major affective disorder and posttraumatic stress disorder as well as medical and social disabilities associated with their history of trauma. The authors also found that Cambodian women without spouses demonstrated more serious psychiatric and social impairments than all other Indochinese patient groups.
自1975年以来，超过70万东南亚难民在美国定居。尽管许多人遭受了严重创伤，包括酷刑，但很少有临床报告描述他们与创伤相关的症状和心理社会问题。作者对一家印度支那诊所的52名患者进行了一项治疗研究。他们发现这些患者是一个受创伤严重的群体；每人平均经历了10次创伤事件和两次酷刑经历。许多患者同时被诊断患有重度情感障碍和创伤后应激障碍，以及与其创伤史相关的医疗和社会残疾。作者还发现，没有配偶的柬埔寨女性比所有其他印度支那患者群体表现出更严重的精神和社会障碍。
