Experience of traumatic events in people with severe mental illness in a low-income country: a qualitative study.

IF 3.1 2区医学 Q2 PSYCHIATRY International Journal of Mental Health Systems Pub Date : 2023-12-05 DOI:10.1186/s13033-023-00616-4

Lauren C Ng, Kimberly Hook, Maji Hailemariam, Medhin Selamu, Abebaw Fekadu, Charlotte Hanlon

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Abstract

Background: This study describes the trauma experiences of people with severe mental illness (SMI) in Ethiopia and presents a model of how SMI and trauma exposure interact to reduce functioning and quality of life in this setting.

Methods: A total of 53 participants living and working in a rural district in southern Ethiopia were interviewed: 18 people living with SMI, 21 caregivers, and 14 primary health care providers.

Results: Many participants reported that exposure to traumatic and stressful events led to SMI, exacerbated SMI symptoms, and increased caregiver stress and distress. In addition, SMI symptoms and caregiver desperation, stress or stigma were also reported to increase the possibility of trauma exposure.

Conclusions: Results suggest it is incumbent upon health professionals and the broader health community to view trauma exposure (broadly defined) as a public health problem that affects all, particularly individuals with SMI.

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低收入国家严重精神病患者的创伤事件经历：一项定性研究。

背景：本研究描述了埃塞俄比亚严重精神疾病（SMI）患者的心理创伤经历，并提出了 SMI 和心理创伤如何相互作用，降低患者功能和生活质量的模型：本研究描述了埃塞俄比亚严重精神疾病（SMI）患者的精神创伤经历，并提出了一个模式，说明在这种情况下，严重精神疾病和精神创伤是如何相互作用，降低患者的功能和生活质量的：共采访了 53 名在埃塞俄比亚南部农村地区生活和工作的参与者：结果：许多参与者报告说，他们受到了创伤和精神创伤的影响：结果：许多参与者报告说，遭受创伤和压力事件导致了 SMI，加剧了 SMI 症状，增加了照顾者的压力和痛苦。此外，据报告，SMI 症状和照顾者的绝望、压力或耻辱感也增加了遭受创伤的可能性：研究结果表明，卫生专业人员和更广泛的卫生界有责任将创伤暴露（广义上的创伤暴露）视为影响所有人（尤其是 SMI 患者）的公共卫生问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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