Hauff E, Vaglum P
Psychosocial Centre for Refugees, University of Oslo, Norway.
J Nerv Ment Dis. 1994 Feb;182(2):85-90. doi: 10.1097/00005053-199402000-00004.
A community cohort of 145 Vietnamese boat refugees in Norway was prospectively studied for presence of chronic posttraumatic stress disorder (PTSD) after resettlement. Ten percent had PTSD on arrival and/or after 3 years. This group had been exposed to significantly more traumatic stress before their escape (e.g., reeducation camps, combat, and other war incidents) and had more psychopathology (SCL-90-R Global Assessment Scale) after resettlement. A logistic regression analysis indicated that different types of traumatic stress had an independent relationship with chronic PTSD. Nine SCL-90-R items discriminated between the PTSD group and the rest both on arrival and follow-up. These were not anxiety items, but related to interpersonal sensitivity, somatization, and aggression. The inclusion of additional diagnostic features in the criteria for chronic PTSD is indicated.
对挪威的145名越南船民难民组成的社区队列进行了前瞻性研究，以了解重新安置后慢性创伤后应激障碍（PTSD）的情况。10%的人在抵达时和/或3年后患有PTSD。该组在逃离前遭受了明显更多的创伤性应激（如再教育营、战斗和其他战争事件），重新安置后有更多的精神病理学症状（SCL-90-R全球评估量表）。逻辑回归分析表明，不同类型的创伤性应激与慢性PTSD存在独立关系。9个SCL-90-R项目在抵达时和随访时都能区分PTSD组和其他组。这些项目不是焦虑项目，而是与人际敏感性、躯体化和攻击性有关。表明在慢性PTSD的标准中应纳入额外的诊断特征。
