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加沙的隐性危机:成年人、儿童以及未来数代人心理创伤的到来。

Gaza's hidden crisis: adults, children, and generations of psychological torment to come.

机构信息

Stress, Trauma, and Anxiety Research Clinic (STARC), Wayne State University School of Medicine, Detroit, MI, USA.

出版信息

Eur J Psychotraumatol. 2024;15(1):2416824. doi: 10.1080/20008066.2024.2416824. Epub 2024 Oct 23.

DOI:10.1080/20008066.2024.2416824
PMID:39441219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11500549/
Abstract

For more than a year, the world has been exposed to the ongoing conflict in Gaza, and the destruction, medical devastation, and the death toll of this crisis. What has been largely missing from the picture, has been an attention to the long-term mental health impact of the ongoing trauma among the Palestinian civilians and the Israeli hostages in Gaza. This article anticipates the enduring generational impact of war trauma on mental health of the civilians in Gaza, drawing from the author's clinical and research experiences of Iraqi, Syrian, Afghan, African, and Ukrainian war-exposed civilians, refugees, and survivors of torture. Across most different studies, war exposure leads to PTSD in nearly 30-50% of adult civilians, and similar rates of depression and anxiety. Civilians in Gaza, facing daily horrors and a profound sense of helplessness, are likely experiencing even greater psychological distress. Children, significantly affected during critical developmental stages, are at risk of long-term mental and physical health issues. The psychological, cultural, and epigenetic aspects of the intergenerational transmission of trauma can lead to psychological torment across generations. Addressing the mental health needs of these populations is crucial to mitigating the profound and lasting impact of war.

摘要

一年多来,世界一直关注着加沙持续不断的冲突,以及这场危机造成的破坏、医疗灾难和死亡人数。然而,人们在很大程度上忽视了这场冲突给巴勒斯坦平民和加沙以色列人质带来的长期心理创伤。本文通过作者对伊拉克、叙利亚、阿富汗、非洲和乌克兰饱受战争创伤的平民、难民和酷刑幸存者的临床和研究经验,预测了战争创伤对加沙平民心理健康的持久代际影响。在大多数不同的研究中,战争暴露导致近 30-50%的成年平民出现创伤后应激障碍,以及类似比例的抑郁和焦虑。加沙平民每天都面临着可怕的情景,感到无助,他们可能经历着更大的心理困扰。在关键的发育阶段受到严重影响的儿童,面临着长期的心理和身体健康问题的风险。创伤的代际传递的心理、文化和表观遗传方面,可能会在几代人中造成心理折磨。解决这些人群的心理健康需求,对于减轻战争的深远和持久影响至关重要。

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本文引用的文献

1
Alone on the frontline: The first report of PTSD prevalence and risk in de-occupied Ukrainian villages.独自在前线:被占领乌克兰村庄 PTSD 患病率和风险的首份报告。
Int J Soc Psychiatry. 2024 Aug;70(5):915-925. doi: 10.1177/00207640241242030. Epub 2024 Apr 11.
2
What happened matters: Trauma type and cumulative trauma exposure in refugee youth psychopathology.所经历的事情至关重要:难民青少年精神病理学中的创伤类型和累积创伤暴露
Psychol Trauma. 2025 May;17(4):705-712. doi: 10.1037/tra0001618. Epub 2023 Nov 30.
3
Addressing war trauma in Ukrainian refugees before it is too late.尽早解决乌克兰难民的战争创伤问题。
Eur J Psychotraumatol. 2022 Aug 5;13(2):2104009. doi: 10.1080/20008066.2022.2104009. eCollection 2022.
4
Long-term Cognitive, Psychological, and Health Outcomes Associated With Child Abuse and Neglect.长期的认知、心理和健康结果与儿童虐待和忽视有关。
Pediatrics. 2020 Oct;146(4). doi: 10.1542/peds.2020-0438. Epub 2020 Sep 17.
5
Intergenerational consequences of the Holocaust on offspring mental health: a systematic review of associated factors and mechanisms.大屠杀对后代心理健康的代际影响:相关因素与机制的系统综述
Eur J Psychotraumatol. 2019 Aug 30;10(1):1654065. doi: 10.1080/20008198.2019.1654065. eCollection 2019.
6
Prevalence of Possible Mental Disorders in Syrian Refugees Resettling in the United States Screened at Primary Care.在美国初级保健机构接受筛查的叙利亚难民中,可能存在精神障碍的流行情况。
J Immigr Minor Health. 2019 Jun;21(3):664-667. doi: 10.1007/s10903-018-0797-3.