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一个国家遭受多重创伤的后果:剖析黎巴嫩独特的心理健康困境。

The aftermath of multiple trauma on a nation: unraveling Lebanon's unique mental health struggle.

作者信息

Karam Elie G, El-Jamal Mariam, Osman Rayane, Toukan Sana, Mouawad Ghiwa Ishac, Al Barathie Josleen

机构信息

Institute for Development, Research, Advocacy, and Applied Care (IDRAAC), Beirut, Lebanon.

Department of Psychiatry and Clinical Psychology, Saint George University of Beirut, Beirut, Lebanon.

出版信息

Front Psychiatry. 2025 Jan 14;15:1444245. doi: 10.3389/fpsyt.2024.1444245. eCollection 2024.

Abstract

OBJECTIVE

This study examines the national prevalence of mental health disorders and their associated factors in Lebanon, specifically in the aftermath of the 2020 events, including the catastrophic events of Beirut blast and the concurrent financial meltdown amid the global pandemic.

METHODS

Conducted between July and September 2022, the study interviewed a nationally representative sample of 1,000 Lebanese via telephone, using the Computer Assisted Telephone Interview (CATI) system. Gender-specific bivariate and multivariate models were generated for probable posttraumatic stress disorder (PTSD), depression, and anxiety.

RESULTS

High rates of mental health disorders emerged - 47.8% screened positive for probable depression, 45.3% for probable anxiety, and 43.5% met the probable diagnosis for PTSD. Multivariate gender-specific analyses revealed no significant associations with governorate, employment status, or marital status, while the financial composite score consistently influenced all disorders.

CONCLUSION

Lebanon faces a severe mental health crisis, evidenced by elevated rates of probable depression, anxiety, and PTSD. The universal impact of multiple traumas transcends typical determinants, emphasizing the need for nuanced interventions and targeted policy considerations.

摘要

目的

本研究调查了黎巴嫩心理健康障碍的全国患病率及其相关因素,特别是在2020年事件之后,包括贝鲁特爆炸的灾难性事件以及全球大流行期间同时发生的金融崩溃。

方法

该研究于2022年7月至9月进行,通过电话采访了1000名具有全国代表性的黎巴嫩人样本,使用计算机辅助电话访谈(CATI)系统。针对可能的创伤后应激障碍(PTSD)、抑郁症和焦虑症生成了按性别分类的双变量和多变量模型。

结果

出现了高比例的心理健康障碍——47.8%的人筛查出可能患有抑郁症呈阳性,45.3%的人可能患有焦虑症呈阳性,43.5%的人符合PTSD的可能诊断标准。按性别分类的多变量分析显示,与省份、就业状况或婚姻状况没有显著关联,而金融综合评分一直影响着所有障碍。

结论

黎巴嫩面临着严重的心理健康危机,可能患有抑郁症、焦虑症和PTSD的比例升高就是证据。多重创伤的普遍影响超越了典型决定因素,强调了需要有细微差别的干预措施和有针对性的政策考量。

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本文引用的文献

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Mental health in Lebanon: Tomorrow's silent epidemic.黎巴嫩的心理健康:明日的无声流行病。
Ment Health Prev. 2021 Dec;24:200218. doi: 10.1016/j.mhp.2021.200218. Epub 2021 Sep 24.

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