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战区波斯尼亚流离失所妇女的创伤性事件及创伤后症状的预测因素

Traumatic events and predictive factors for posttraumatic symptoms in displaced Bosnian women in a war zone.

作者信息

Dahl S, Mutapcic A, Schei B

机构信息

Department of Psychiatry, Faculty of Medicine, University of Oslo, Norway.

出版信息

J Trauma Stress. 1998 Jan;11(1):137-45. doi: 10.1023/A:1024417401973.

DOI:10.1023/A:1024417401973
PMID:9479682
Abstract

A study was conducted among 209 displaced women attending a Women's Center in a war zone in Bosnia-Herzegovina in 1994. Information on war-related traumatic events, sociodemographic factors and posttraumatic symptomatology was collected by means of a questionnaire. Post-traumatic symptoms were registered by using a 10-item Posttraumatic Symptom Scale (PTSS-10). Women with six or more symptoms were classified as a "posttraumatic symptom case" (PTS-case). Among women who had survived the most severe traumas (concentration camps or other kinds of detention) the proportion of PTS-cases was highest: 71% compared to 47% of the women without this kind of traumatic background. High numbers of traumas, having children, being over 25 years of age, and the reporting of an absent husband, were characteristics associated with being a PTS-case. In the multivariate analysis, severe trauma and reporting of an absent husband remained significantly associated with PTS-cases. Clinical implications were discussed.

摘要

1994年,在波斯尼亚和黑塞哥维那一个战区的妇女中心,对209名流离失所妇女进行了一项研究。通过问卷调查收集了与战争相关的创伤事件、社会人口学因素和创伤后症状学方面的信息。使用10项创伤后症状量表(PTSS - 10)记录创伤后症状。有六种或更多症状的妇女被归类为“创伤后症状病例”(PTS病例)。在经历过最严重创伤(集中营或其他形式拘留)的妇女中,PTS病例的比例最高:71%,而没有这种创伤背景的妇女这一比例为47%。创伤数量多、育有子女、年龄超过25岁以及报告丈夫不在身边,是与成为PTS病例相关的特征。在多变量分析中,严重创伤和报告丈夫不在身边仍然与PTS病例显著相关。文中讨论了临床意义。

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