Weine S M, Vojvoda D, Becker D F, McGlashan T H, Hodzic E, Laub D, Hyman L, Sawyer M, Lazrove S
Department of Psychiatry, Yale University, New Haven, Conn., USA.
Am J Psychiatry. 1998 Apr;155(4):562-4. doi: 10.1176/ajp.155.4.562.
The authors' goal was to describe the characteristics of posttraumatic stress disorder (PTSD) symptoms on resettlement in the United States and at 1-year follow-up among Bosnian refugees as well as possible factors affecting the PTSD symptom profile among these refugees.
They used standardized instruments to assess 34 Bosnian refugees for PTSD at resettlement in the United States and 1 year later.
Fifteen of the refugees were diagnosed with PTSD at 1-year follow-up, compared with 25 at initial assessment. The average PTSD severity score at follow-up was 12.5, compared with 20.6 at initial assessment. At 1-year follow-up, 25 of the refugees experienced a decrease in severity of PTSD symptoms, one remained the same, and eight experienced an increase in severity. Older refugees were significantly more likely to have PTSD than younger refugees, and older refugees had more severe symptoms.
The level of PTSD diagnosis and symptoms in Bosnian refugees remained substantial 1 year after their resettlement in the United States, although there were notable overall decreases. Older refugees appeared to be at greater risk.
作者的目标是描述波斯尼亚难民在美国重新安置时以及随访1年时创伤后应激障碍（PTSD）症状的特征，以及影响这些难民PTSD症状特征的可能因素。
他们使用标准化工具对34名波斯尼亚难民在美国重新安置时和1年后进行PTSD评估。
在随访1年时，15名难民被诊断为患有PTSD，而初始评估时有25名。随访时PTSD严重程度平均得分为12.5，而初始评估时为20.6。在随访1年时，25名难民的PTSD症状严重程度有所下降，1名保持不变，8名症状严重程度增加。年长难民比年轻难民患PTSD的可能性显著更高，且年长难民症状更严重。
波斯尼亚难民在美国重新安置1年后，PTSD诊断和症状水平仍然相当高，尽管总体上有显著下降。年长难民似乎风险更大。
