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巴勒斯坦人家园被拆毁后的创伤后应激障碍及共病心理障碍:一项比较研究。

Post traumatic stress disorder and co-morbid psychological disorders after Palestinians' home demolition: a comparative study.

作者信息

Sarhan Adnan Lutfi, Jarrar Kamal, Atout Sameeha, Masri Walaa

机构信息

Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.

Department of Data Science and Applied Statistics, Birzeit University, Birzeit, West Bank, Palestine.

出版信息

Front Psychiatry. 2024 Sep 27;15:1443374. doi: 10.3389/fpsyt.2024.1443374. eCollection 2024.

Abstract

BACKGROUND

Home demolition is one of the issues that the Palestinian community faces as a result of Israeli procedures that can impact Palestinian mental health. This study aimed to measure the prevalence of Post-Traumatic Stress Disorder (PTSD), depression, anxiety, and stress among Palestinian citizens whose homes were demolished.

MATERIALS AND METHODS

A comparative cross-sectional design was adopted using a purposive sample of home demolished versus not home demolished Palestinian people. The Impact of Event Scale-Revised (IES-R) and the Depression and Anxiety Stress Scales (DASS) were used to assess the participants' levels of PTSD, depression, anxiety, and stress. The Statistical Package for the Social Sciences, Version 25, was applied to the statistical analysis.

RESULTS

This study showed that PTSD levels among people whose homes were demolished are significantly high, with a mean of 3.2, which could be indicative of a clinical concern. However, the PTSD level in the comparison group had no significance, with a mean of 1.48. Stress, depression, and anxiety levels were represented as 32.71, in their means, 32.61, and 32.08, respectively, among home-demolished people, compared to stress 18.46, depression 15.87, and anxiety 13.06 among the non home demolished group.

CONCLUSIONS

This study is one of the few that sheds light on one of the disadvantaged groups who suffer from home demolition and the severe mental problems that affect them, including PTSD, stress, depression, and anxiety). Furthermore, many related risk factors were studied in this research. As a future recommendation, further research is needed in this field, especially among disadvantaged groups. Stakeholders need to take action to improve the health system in Palestine.

摘要

背景

房屋被拆除是巴勒斯坦社区因以色列相关程序而面临的问题之一,这些程序可能会影响巴勒斯坦人的心理健康。本研究旨在测量房屋被拆除的巴勒斯坦公民中创伤后应激障碍(PTSD)、抑郁、焦虑和压力的患病率。

材料与方法

采用比较横断面设计,选取房屋被拆除和未被拆除的巴勒斯坦人作为有目的的样本。使用事件影响量表修订版(IES-R)和抑郁焦虑压力量表(DASS)来评估参与者的PTSD、抑郁、焦虑和压力水平。使用社会科学统计软件包第25版进行统计分析。

结果

本研究表明,房屋被拆除者的PTSD水平显著较高,平均分为3.2,这可能表明存在临床问题。然而,对照组的PTSD水平无显著意义,平均分为1.48。房屋被拆除者的压力、抑郁和焦虑水平平均分别为32.71、32.61和32.08,而未被拆除房屋组的压力、抑郁和焦虑水平分别为18.46、15.87和13.06。

结论

本研究是为数不多的关注房屋被拆除这一弱势群体及其所遭受的严重心理问题(包括PTSD、压力、抑郁和焦虑)的研究之一。此外,本研究还探讨了许多相关风险因素。作为未来的建议,该领域需要进一步研究,尤其是针对弱势群体。利益相关者需要采取行动改善巴勒斯坦的卫生系统。

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