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种族灭绝中的心理健康:在创伤后困扰和流离失所的雅兹迪母亲的成长之间取得平衡。

Mental health in genocide: Balancing between posttraumatic distress and growth among displaced Yazidi mothers.

机构信息

Pain and Rehabilitation Centre, and Department of Health, Medicine and Caring Sciences, Linköping University, Sweden.

Joit Help Kurdista, Kurdish Region of North Iraq.

出版信息

J Ment Health. 2024 Aug;33(4):490-499. doi: 10.1080/09638237.2024.2332799. Epub 2024 Apr 3.

DOI:10.1080/09638237.2024.2332799
PMID:38568012
Abstract

BACKGROUND

The Islamic State of Iraq and Syria (ISIS) committed genocide of the Yazidis in Sinjar 2014, resulting in dispersion and enslavement. Research shows severe mental health problems, such as posttraumatic stress disorder (PTSD) among survivors, but less is known about their resources and strengths, conceptualized as posttraumatic growth (PTG).

AIMS

are to examine the balance between symptoms and strengths among Yazidi women caring for their infants by identifying groups differing in PTSD and PTG, and analyze how demographic, obstetric, and infant-related factors associate with the groups.

METHOD

Participants were 283 Yazidi mothers with their 1-18-month-old infants displaced in Kurdish Region of North Iraq. PTSD symptoms were measured by Harvard Trauma Questionnaire and PTG by the Posttraumatic Growth Inventory.

RESULTS

identified four groups: "" (39%), "" (38%), "" (13%), and "" (10%). Low education, economic difficulties and obstetric problems related to the "" group, whereas newborn and infant health problems did not have an impact.

CONCLUSION

Effective help for genocide survivors should both alleviate suffering and encourage resources through tools of recreating a sense of cultural security and pride.

摘要

背景

2014 年,伊拉克和大叙利亚伊斯兰国(ISIS)在辛贾尔对雅兹迪人实施了种族灭绝,导致他们流离失所和被奴役。研究表明,幸存者存在严重的心理健康问题,如创伤后应激障碍(PTSD),但对他们的资源和优势知之甚少,这些被概念化为创伤后成长(PTG)。

目的

本研究旨在通过识别 PTSD 和 PTG 不同的人群,来探讨照顾婴儿的雅兹迪妇女的症状和优势之间的平衡,并分析人口统计学、产科和婴儿相关因素与这些人群的关系。

方法

参与者是 283 名在伊拉克北部库尔德地区流离失所的、有 1-18 个月大婴儿的雅兹迪母亲。PTSD 症状采用哈佛创伤问卷测量,PTG 采用创伤后成长量表测量。

结果

确定了四个组:“高 PTSD 和高 PTG”(39%)、“高 PTSD 和低 PTG”(38%)、“低 PTSD 和高 PTG”(13%)和“低 PTSD 和低 PTG”(10%)。低教育、经济困难和与“低 PTSD 和低 PTG”组相关的产科问题,而新生儿和婴儿的健康问题没有影响。

结论

针对种族灭绝幸存者的有效帮助应该通过重新建立文化安全和自豪感的工具来减轻痛苦并鼓励资源。

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