Hauff E, Vaglum P
Psychosocial Center for Refugees, University of Oslo, Dikemark Hospital, Norway.
Acta Psychiatr Scand. 1993 Sep;88(3):162-8. doi: 10.1111/j.1600-0447.1993.tb03432.x.
A consecutive cohort of 145 adult Vietnamese refugees were personally interviewed and completed the Symptom Checklist 90 R self-rating scale on arrival in Norway. Sixty-two percent had witnessed bombing, fires and shooting, 48% had witnessed other people being wounded or killed and 36% had been involved in life-threatening situations or had been wounded in the war. Nearly all war trauma variables but none of the escape or refugee camp variables were significantly related to mental health 7 years after the end of the war. War trauma was significantly associated with mental health, also when age, gender and previous mental problems were controlled for. These results and our clinical experience indicate that clinicians treating refugees should address such traumatic experiences specifically.
对145名成年越南难民组成的连续队列进行了个人访谈，并在他们抵达挪威时完成了症状自评量表90修订版。62%的人目睹过爆炸、火灾和枪击，48%的人目睹过他人受伤或死亡，36%的人曾经历过危及生命的情况或在战争中受伤。战争结束7年后，几乎所有战争创伤变量与心理健康显著相关，但逃生或难民营变量与心理健康均无显著关联。即便对年龄、性别和既往心理问题进行控制，战争创伤仍与心理健康显著相关。这些结果以及我们的临床经验表明，治疗难民的临床医生应特别关注此类创伤经历。
