Mghir R, Freed W, Raskin A, Katon W
Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
J Nerv Ment Dis. 1995 Jan;183(1):24-30. doi: 10.1097/00005053-199501000-00005.
This study was designed to determine the prevalence of posttraumatic stress disorder (PTSD) and other psychiatric disorders among a community sample of adolescent and young adult refugees from Afghanistan. The study also measured the correlation of their current psychiatric disorders with the number of traumatic events experienced, parental acculturation and distress, and other important demographic factors. Thirty-eight refugees between 12 and 24 years of age were interviewed with the Structured Clinical Interview for DSM-III-R. Five subjects met DSM-III-R criteria for PTSD, 11 subjects met the criteria for major depression, and 13 had either PTSD or major depression or both. Significant positive correlations were found between the subjects' psychiatric diagnosis and the total number of traumatic events experienced and the parental level of psychological distress (especially maternal distress). There were negative correlations between children's symptomatology and a measure of maternal acculturation. These results suggest that a significant proportion of adolescent and young adult Afghan refugees in the community suffer from severe but undiagnosed psychiatric disorders.
本研究旨在确定阿富汗青少年及青年难民社区样本中创伤后应激障碍（PTSD）及其他精神障碍的患病率。该研究还测量了他们当前的精神障碍与所经历的创伤事件数量、父母的文化适应及痛苦程度以及其他重要人口统计学因素之间的相关性。对38名年龄在12至24岁之间的难民进行了《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）的结构化临床访谈。5名受试者符合DSM-III-R的PTSD标准，11名受试者符合重度抑郁症标准，13名受试者患有PTSD或重度抑郁症或两者皆有。在受试者的精神诊断与所经历的创伤事件总数以及父母的心理痛苦程度（尤其是母亲的痛苦）之间发现了显著的正相关。儿童的症状与母亲文化适应程度的一项测量指标之间存在负相关。这些结果表明，社区中相当一部分阿富汗青少年及青年难民患有严重但未被诊断的精神障碍。
