Nygård M, Malterud K
Psykososialt senter for flyktninger, Universitetet i Oslo.
Tidsskr Nor Laegeforen. 1995 Jun 20;115(16):1971-4.
150 Bosnian war refugees (100 men and 50 women) were followed for 12 months by means of a brief screening procedure to determine prevalence and course of symptoms of post-traumatic stress disorder. 88 men and 18 women had spent some time in Serbian concentration camps before arriving in Norway. A short check list for interview and a simple self-assessment questionnaire based on stressor and symptom criteria for post-traumatic stress disorders according to DSM-III-R were used three times. The number of persons with a diagnosis of post-traumatic stress disorder remained high throughout the period of observation. The presented diagnostic approach was compared with a comprehensive, standardized diagnostic test battery applied in a similar population of refugees by comparing the outcomes. For the majority of outcomes, no significant difference in prevalence was found. The experiences and results indicate that our approach is practicable, and can deliver diagnostic outcomes with acceptable validity.
通过简短的筛查程序，对150名波斯尼亚战争难民（100名男性和50名女性）进行了为期12个月的跟踪，以确定创伤后应激障碍症状的患病率和病程。88名男性和18名女性在抵达挪威之前曾在塞尔维亚集中营待过一段时间。根据《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）中创伤后应激障碍的应激源和症状标准，使用了一份简短的访谈清单和一份简单的自我评估问卷，共进行了三次。在整个观察期内，被诊断为创伤后应激障碍的人数一直居高不下。通过比较结果，将所采用的诊断方法与应用于类似难民群体的全面、标准化诊断测试组进行了比较。对于大多数结果，未发现患病率有显著差异。这些经验和结果表明，我们的方法是可行的，并且能够提供具有可接受效度的诊断结果。
