Petersen H D, Christensen M E, Kastrup M, Thomsen J L, Foldspang A
Amnesty International Medical Group, Copenhagen, Denmark.
Forensic Sci Int. 1994 Jun 28;67(1):9-16. doi: 10.1016/0379-0738(94)90406-5.
General health assessment of refugees claiming to have been previously exposed to torture takes place in a psychological atmosphere affected by the difficult situation of the refugee. Thirty-one refugees, mainly from the Middle East and Africa, were assessed as regards their physical and mental health. Assessment took place with the help of professional interpreters and was, during each interview, performed by two medical doctors using double-blind techniques. Based on a number of highly significant (P < 0.001) correlation coefficients and Kappa values, observers agreed frequently on gradients of symptom intensity and less frequently on absolute symptom levels. However, agreement was almost complete when assessing the presence of intense symptoms and the absolute absence of a symptom. Symptom patterns were demonstrated to be consistent, clinically interpretable and, furthermore, closely associated (P < 0.0001) with self-reported global (general) health. Reliability was moderate with respect to clinical observation during interview.
对自称曾遭受酷刑的难民进行的一般健康评估是在受难民艰难处境影响的心理氛围中进行的。对31名主要来自中东和非洲的难民进行了身心健康评估。评估借助专业口译员进行，每次访谈由两名医生采用双盲技术实施。基于若干高度显著（P < 0.001）的相关系数和卡帕值，观察者在症状强度梯度上的意见经常一致，而在绝对症状水平上的意见不太一致。然而，在评估强烈症状的存在和症状的绝对不存在时，意见几乎完全一致。症状模式被证明是一致的、临床上可解释的，而且与自我报告的整体（一般）健康密切相关（P < 0.0001）。访谈期间临床观察的可靠性为中等。
