Apitzsch H, Eriksson N G, Jakobsson S W, Lindgren L, Lundin T, Movschenson P, Sandberg P, Sundqvist G
Centrum för tortyroch traumaskadade, Karolinska sjukhuset, Stockholm.
Lakartidningen. 1996 Nov 20;93(47):4285-8, 4291-4.
A special project designed to aid Bosnian refugees in Stockholm County was initiated and funded by the County Council in February 1994. The present study, a joint endeavour involving the Bosnian Project, the Centre for Trauma and Torture Diagnostics, and the Red Cross Centre for torture victims, was designed to fulfil the following aims: To characterise the patient population in terms of social situation, trauma history, symptoms and treatment; To review accumulated experience at the three centres; To outline and discuss the treatment; and To suggest new avenues for further research concerning refugees and trauma. To obtain comparable material for this retrospective review of case records at the three centres, a special case chart format was adopted, covering pre-war and pre-treatment information on general background, social situation, health status and medication, as well as trauma history, symptoms and treatment. Most patients reported good pre-war health, but at the time of the study exhibited manifest effects of trauma history; 95 per cent reported mental problems, and 39 per cent medical disease or physical disorders. These refugees were thus characterised by manifest post-traumatic stress symptoms and need of treatment. Despite their relatively short time in Sweden, almost all had permanent residence permits and fixed addresses. The absence of a comparable control group precluded comparison with other refugee or normal populations. The findings suggest the need of co-ordination and co-operation between the special facilities available to refugees, and of a standardised format for case records.
1994年2月，斯德哥尔摩县议会发起并资助了一个旨在援助波斯尼亚难民的特别项目。本研究是波斯尼亚项目、创伤与酷刑诊断中心以及红十字会酷刑受害者中心的一项联合工作，旨在实现以下目标：根据社会状况、创伤史、症状和治疗方法对患者群体进行特征描述；回顾三个中心积累的经验；概述和讨论治疗方法；并为有关难民和创伤的进一步研究提出新的途径。为了在对三个中心的病例记录进行回顾性研究时获得可比资料，采用了一种特殊的病例图表格式，涵盖战前和治疗前关于一般背景、社会状况、健康状况和用药情况的信息，以及创伤史、症状和治疗方法。大多数患者报告战前健康状况良好，但在研究时表现出创伤史的明显影响；95%的患者报告有精神问题，39%的患者报告有疾病或身体障碍。因此，这些难民的特点是有明显的创伤后应激症状且需要治疗。尽管他们在瑞典的时间相对较短，但几乎所有人都有永久居留许可和固定地址。由于缺乏可比的对照组，无法与其他难民群体或正常人群进行比较。研究结果表明，需要为难民提供的特殊设施之间进行协调与合作，并需要采用标准化的病例记录格式。
