Björn A, Eriksson T
Allmänkirurgi och neurokirurgi, Universitetssjukhuset, Linköping.
Lakartidningen. 1993 Jun 16;90(24):2305-8.
Psychiatric reactions after traumatic experiences have been acknowledged during the last decades. 149 male survivors from "ethnic cleansing" camps in Bosnia during 1992 have been examined within two weeks from arriving to Sweden as refugees. They have an extremely traumatic background. 76 per cent have a history of physical abuse, 17 per cent systematical physical torture and 89 per cent psychic torture. We found few serious somatic problems. 36 per cent was recommended physical follow up by a general practitioner. 32 per cent was recommended a psychiatric contact in the community where they will stay permanently, because of high probability of developing symptoms of PTSD, post-traumatic stress disorders. The most important factor for their present well-being is if the family and other relatives are reunited and if they know what has happened to other members of their family. By early identification of high risk for developing PTSD and by focusing the general risk that everyone in this group faces to develop this symptomatology a relevant contact can be established before severe symptoms develop.
在过去几十年里，创伤经历后的精神反应已得到认可。1992年来自波斯尼亚“种族清洗”营地的149名男性幸存者，在作为难民抵达瑞典后的两周内接受了检查。他们有着极其惨痛的背景。76%的人有身体虐待史，17%的人遭受过系统性身体折磨，89%的人遭受过精神折磨。我们发现严重的躯体问题较少。36%的人被建议由全科医生进行身体随访。32%的人被建议在他们将永久居住的社区寻求精神科方面的帮助，因为他们患创伤后应激障碍（PTSD）的可能性很高。对他们当前幸福最重要的因素是家人和其他亲属是否团聚，以及他们是否知道家人其他成员的遭遇。通过早期识别患创伤后应激障碍的高风险，并关注该群体中每个人出现这种症状的普遍风险，可以在严重症状出现之前建立相关联系。
