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受创伤的青少年心怀报复情绪:调查乌干达刚果青少年难民中创伤后应激障碍症状、报复心理与宽恕意愿之间的关联。

Traumatised youth harbour feelings of revenge: investigating the association between PTSD symptomatology, vengeance, and willingness to forgive among the Congolese adolescent refugees in Uganda.

作者信息

Ainamani Herbert E, Rukundo Godfrey, Gumisiriza Nolbert, Tumwine Christopher, Hall Jonathan

机构信息

Department of Mental Health, Kabale University School of Medicine, Kabale, Uganda.

Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda.

出版信息

Eur J Psychotraumatol. 2024;15(1):2406169. doi: 10.1080/20008066.2024.2406169. Epub 2024 Oct 2.

Abstract

Prolonged conflicts in the Democratic Republic of Congo (DRC) have caused widespread psychological trauma among civilians leading to maladaptive coping strategies across generations. Despite this occurrence, empirical studies on the prevalence of trauma and its impact on attitudes towards revenge and forgiveness, particularly among the youth, are scarce. This study aims to clarify the relationship between Post Traumatic Stress Disorder (PTSD) symptom severity and the desires for forgiveness and revenge among Congolese adolescents residing in Uganda. We analysed data from 269 adolescent refugees from the DRC living in the Nakivale refugee settlement in Southwestern Uganda. The assessment included exposure to war-related traumatic events and the MINI-KID for DSM-V PTSD symptom severity. The Heartland Forgiveness and Vengeance Scales measured willingness to forgive and feelings of vengeance. Exposure to war-related traumatic events was notably high in our sample, with severe deprivation of food (260 [97%]), exposure to armed combat (249 [93%]), witnessing bombing, burning, or destruction of houses (245 [91%]), disappearance of family members (239 [89%]), and seeing dead bodies (236 [88%]). PTSD symptom severity was negatively associated with willingness to forgive ( = -0.48; 95% CI -0.71--0.25;  < .001) and positively associated with vengeance ( = 0.18; 95% CI 0.04-0.32;  = .011). PTSD symptom severity reduces the willingness to forgive and increases the desire for vengeance among adolescent refugees. Mental health clinicians and policymakers should consider addressing maladaptive coping behaviours related to feelings of revenge and unwillingness to forgive in their support strategies for refugees.

摘要

刚果民主共和国旷日持久的冲突给平民带来了广泛的心理创伤,导致几代人都采取了适应不良的应对策略。尽管出现了这种情况,但关于创伤发生率及其对报复和宽恕态度的影响的实证研究却很匮乏,尤其是在年轻人当中。本研究旨在阐明创伤后应激障碍(PTSD)症状严重程度与居住在乌干达的刚果青少年的宽恕和报复欲望之间的关系。我们分析了居住在乌干达西南部纳基瓦莱难民营的269名来自刚果民主共和国的青少年难民的数据。评估内容包括接触与战争相关的创伤性事件以及用于评估DSM-V创伤后应激障碍症状严重程度的MINI-KID量表。“中心地带宽恕与复仇量表”测量了宽恕意愿和复仇情绪。在我们的样本中,接触与战争相关的创伤性事件的比例显著较高,包括严重的食物匮乏(260人[97%])、经历武装战斗(249人[93%])、目睹房屋被炸、被烧或被毁(245人[91%])、家庭成员失踪(239人[89%])以及看到尸体(236人[88%])。创伤后应激障碍症状严重程度与宽恕意愿呈负相关(r = -0.48;95%置信区间 -0.71--0.25;p <.001),与复仇情绪呈正相关(r = 0.18;95%置信区间 0.04 - 0.32;p = 0.011)。创伤后应激障碍症状严重程度会降低青少年难民的宽恕意愿,并增加他们的复仇欲望。心理健康临床医生和政策制定者在为难民制定支持策略时,应考虑解决与复仇情绪和不愿宽恕相关的适应不良应对行为。

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