苏丹受战争影响社区中与流离失所相关的应激源；确定战争暴露和持续应激源对创伤症状严重程度的影响：一项全国多中心横断面研究。

Displacement-related stressors in a Sudanese war-affected community; identifying the impact of war exposure and ongoing stressors on trauma symptom severity: a national multi-center cross-sectional study.

作者信息

Hemmeda Lina, Ahmed Alaa S, Fadlalmoula Gasm Alseed Abdelmonim Gasm Alseed, Hassan Doaa Rabeie, Awad Mohammed Haydar, Salim Gotof, Elabid Abeer Osman Mukhtar, Ali Alaa Azhary Mohammed, Algasim Asmaa O, Hamad Ethar, Afif Fatima, Mustafa Fatima, Rhamttallah Maha, Alsedig Mai Fathi Awadalla, Taha Miada Ali Mohammed, Khaleel Muram Ahmed Sayed, Nourin Nazik Abdalla, Mohieldin Roaa Salah Eltaheir, Ali Sara, Suliman Shimaa, Ahmed Khabab Abbasher Hussien Mohamed

机构信息

Faculty of Medicine, University of Khartoum, El Qasr Avenue, Khartoum, Khartoum State, 11111, Sudan.

Faculty of Medicine, University of Shendi, Shendi, 11111, Sudan.

出版信息

BMC Public Health. 2025 Apr 9;25(1):1325. doi: 10.1186/s12889-025-22411-1.

DOI:10.1186/s12889-025-22411-1

PMID:40205535

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11980144/

Abstract

INTRODUCTION

The ongoing armed conflict in Sudan that started April 2023 resulted in over 8 millions internally displaced persons (IDPs), in addition to the already previously displaced 3.8 millions. Post-traumatic stress disorder (PTSD) is one of the most documented mental health problems among IDPs. Additionally, factors such as personal safety concerns and financial losses have been identified as potential stressors contributing to the development of PTSD. Our study aimed to understand the relationship between displacement-related stressors and trauma symptom severity.

METHODS

This was an observational, multi-center cross-sectional study conducted across seven conflict-free states in Sudan. A pre-tested questionnaire assessing the displacement stressors and the Harvard trauma questionnaire (HTQ) were used to collect the data through face-to-face interviews. The data analysis was conducted using R software. A structural equation model was generated to visualize the comprehensive relationship between the study variables.

RESULTS

Most of the participants (N = 1470) were females (81.4%), married (63.9%), employed (42.5%), Muslims (93.0%) and previously displaced (54.1%), with a mean age of (35.25 ± 13.92) years old. The prevalence of PTSD was (34.5%) and it was significantly associated with gender (P = 0.003), religion (P < 0.001), level of education (P = 0.031), and number of displacements (P = 0.005). Personal safety concerns, financial loss and hardship, and personal hardships were positively correlated with PTSD symptoms severity. War exposure losses were negatively correlated with the severity of PTSD symptoms.

CONCLUSION

The strong association between PTSD symptoms and personal safety concerns, financial loss and hardship, and personal hardships emphasizes the urgent need for targeted mental health interventions that could mitigate the impact of PTSD in Sudanese communities.

摘要

引言

2023年4月爆发的苏丹持续武装冲突导致800多万境内流离失所者，此外还有此前已流离失所的380万人。创伤后应激障碍（PTSD）是境内流离失所者中记录最多的心理健康问题之一。此外，个人安全担忧和经济损失等因素已被确定为导致创伤后应激障碍的潜在压力源。我们的研究旨在了解与流离失所相关的压力源与创伤症状严重程度之间的关系。

方法

这是一项在苏丹七个无冲突州进行的观察性多中心横断面研究。通过面对面访谈，使用一份预先测试的评估流离失所压力源的问卷和哈佛创伤问卷（HTQ）收集数据。使用R软件进行数据分析。生成了一个结构方程模型，以可视化研究变量之间的综合关系。

结果

大多数参与者（N = 1470）为女性（81.4%）、已婚（63.9%）、就业（42.5%）、穆斯林（93.0%）且此前已流离失所（54.1%），平均年龄为（35.25 ± 13.92）岁。创伤后应激障碍的患病率为（34.5%），且与性别（P = 0.003）、宗教（P < 0.001）、教育程度（P = 0.031）和流离失所次数（P = 0.005）显著相关。个人安全担忧、经济损失和困难以及个人困苦与创伤后应激障碍症状严重程度呈正相关。战争暴露损失与创伤后应激障碍症状严重程度呈负相关。