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越南难民中创伤后应激障碍的有效性。

The validity of posttraumatic stress disorder among Vietnamese refugees.

作者信息

Fawzi M C, Pham T, Lin L, Nguyen T V, Ngo D, Murphy E, Mollica R F

机构信息

Harvard Program in Refugee Trauma, Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115, USA.

出版信息

J Trauma Stress. 1997 Jan;10(1):101-8. doi: 10.1023/a:1024812514796.

Abstract

The aim of this study was to examine the validity of posttraumatic stress disorder (PTSD) among Vietnamese refugees. The study population included 74 Vietnamese refugees who had resettled in the metropolitan Boston area. The previously validated Harvard Trauma Questionnaire was used to assess traumatic events and trauma-related symptoms. The number of traumatic events experienced was positively correlated with the severity of PTSD-related symptoms in this population. Internal consistency estimates and principal components analysis provided results that generally supported DSM-IV symptom dimensions of arousal, avoidance, and reexperiencing. However, the emergence of two separate dimensions of avoidance reflected the important contribution of depression to the traumatic response.

摘要

本研究的目的是检验越南难民中创伤后应激障碍(PTSD)的有效性。研究对象包括74名在波士顿大都会地区重新定居的越南难民。先前经过验证的哈佛创伤问卷被用于评估创伤事件和与创伤相关的症状。在这一人群中,经历的创伤事件数量与PTSD相关症状的严重程度呈正相关。内部一致性估计和主成分分析的结果总体上支持了DSM-IV中关于觉醒、回避和重新体验的症状维度。然而,回避的两个独立维度的出现反映了抑郁对创伤反应的重要影响。

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