澳大利亚提格雷侨民中替代性创伤、抑郁、焦虑、压力、创伤后应激障碍及心理复原力的患病率：提格雷冲突后的一项横断面研究

Prevalence of vicarious trauma, depression, anxiety, stress, post-traumatic stress disorder, and resilience among the Tigrayan diaspora in Australia: A cross-sectional study following the Tigray conflict.

作者信息

Gesesew Hailay Abrha, Tesfamicael Kiflu Gebremicael, Mwanri Lillian, Atey Tesfay Mehari, Gebremedhin Amanuel, Gebremariam Kidane, Tesema Azeb Gebresilassie, Hailu Semira, Tesfay Fisaha Haile, Miruts Kalayu, Musker Michael, Tekle Dejen, Woldegiorgis Mulu, Ward Paul

机构信息

Research Centre for Public Health, Equity and Human Flourishing, Torrens University Australia, Adelaide, SA 5000, Australia; School of Public Health, College of Health Sciences, Mekelle University, Mekelle, Ethiopia; Tigray Health Research Institute (THRI), Mekelle, Tigray, Ethiopia.

Lifelong Health, South Australian Health and Medical Research Institute (SAHMRI), Adelaide, SA, Australia; School of Biological Sciences, University of Adelaide, Adelaide, SA, Australia.

出版信息

J Affect Disord. 2025 Feb 1;370:34-44. doi: 10.1016/j.jad.2024.10.075. Epub 2024 Oct 28.

DOI:10.1016/j.jad.2024.10.075

PMID:39477072

Abstract

UNLABELLED

Ethiopia's Tigray in 2020. This war has had a detrimental impact on the mental health and overall wellbeing of Tigrayans living in other countries and abroad. The present study investigated the state of mental health and wellbeing among Tigrayan diaspora living in Australia, many of whom are migrants, but most are refugees.

METHODS

We employed a cross-sectional survey gathered through Qualtrics-designed hybrid data collection techniques. We assessed vicarious trauma using the secondary traumatic stress scale (STSS), depression, anxiety, and stress using the Depression Anxiety and Stress Scale-21 (DASS-21), PTSD using PTSD Checklist- Civilian Version (PCLC), and resilience using the Connor-Davidson Resilience Scale (CD-RISC-10). We calculated the psychometric properties of these tools among the population. We employed binary logistic regression analysis to identify factors associated with the outcomes of interest.

FINDINGS

241 people participated in the survey. Intrusion symptoms of vicarious trauma were prevalent among 85.6 % (172/201) of participants, avoidance symptoms of vicarious trauma among 87.6 % (176/201) of participants, and arousal vicarious trauma among 83.6 % (168/201) of participants. Extremely severe depression was prevalent among 38.2 % (81/212) of participants, extremely severe anxiety among 47.6 % (101/212) of participants, and extremely severe stress among (26.9 % (57/212) of participants. PTSD symptoms were prevalent among 75 % (151/204) of participants. Resilience was reduced among 67.5 % (135/200) of participants.

INTERPRETATION

The study implies that conflict occurring in one's home country can have a profound impact on the mental wellbeing of individuals residing abroad.

摘要

未标注

2020年埃塞俄比亚的提格雷地区。这场战争对生活在其他国家和海外的提格雷人的心理健康和整体福祉产生了不利影响。本研究调查了居住在澳大利亚的提格雷侨民的心理健康和福祉状况，其中许多人是移民，但大多数是难民。

方法

我们采用了通过Qualtrics设计的混合数据收集技术进行的横断面调查。我们使用继发性创伤应激量表（STSS）评估替代性创伤，使用抑郁焦虑压力量表-21（DASS-21）评估抑郁、焦虑和压力，使用创伤后应激障碍检查表-平民版（PCLC）评估创伤后应激障碍，使用康纳-戴维森复原力量表（CD-RISC-10）评估复原力。我们计算了这些工具在人群中的心理测量特性。我们采用二元逻辑回归分析来确定与感兴趣的结果相关的因素。

结果

241人参与了调查。替代性创伤的侵入症状在85.6%（172/201）的参与者中普遍存在，替代性创伤的回避症状在87.6%（176/201）的参与者中普遍存在，替代性创伤的唤醒在83.6%（168/201）的参与者中普遍存在。极度严重的抑郁在38.2%（81/212）的参与者中普遍存在，极度严重的焦虑在47.6%（101/212）的参与者中普遍存在，极度严重的压力在26.9%（57/212）的参与者中普遍存在。创伤后应激障碍症状在75%（151/204）的参与者中普遍存在。67.5%（135/200）的参与者的复原力降低。