Somasundaram D J
Department of Psychiatry, Faculty of Medicine, University of Jaffna, Sri Lanka.
Soc Sci Med. 1996 Jun;42(11):1465-71. doi: 10.1016/0277-9536(95)00249-9.
A refugee population exposed to aerial bombing was assessed for psychosocial sequelae within two months. Forty-three members over 15 years were interviewed using a structured questionnaire. Seventy-four percent had experienced an immediate but transient stress reaction. Subsequently, PTSD, anxiety, depressive and somatic symptoms were common. Forty-four percent met the DSM III diagnostic criteria for PTSD. In addition, social withdrawal, irritability and hostility, interpersonal relationship problems and functional disability were found. Although a variety of psychosocial symptoms were seen, it is suggested that part of this response be considered as manifestation of a healthy, normal attempt to cope with a severely traumatizing experience. The effects of collective trauma and social methods of treatment are also described.
对一个遭受空袭的难民群体在两个月内进行了心理社会后遗症评估。使用结构化问卷对43名15岁以上的成员进行了访谈。74%的人经历过即时但短暂的应激反应。随后，创伤后应激障碍（PTSD）、焦虑、抑郁和躯体症状很常见。44%的人符合DSM III创伤后应激障碍的诊断标准。此外，还发现了社交退缩、易怒和敌意、人际关系问题以及功能残疾。尽管出现了各种心理社会症状，但有人认为这种反应的一部分应被视为应对严重创伤经历的健康、正常尝试的表现。还描述了集体创伤的影响和社会治疗方法。
