乌克兰战争难民中创伤后应激障碍的高发率:对不确定性的不容忍、失控和随后的歧视所起的作用。

IF 4.2 2区 医学 Q1 PSYCHIATRY European Journal of Psychotraumatology Pub Date : 2024-01-01 Epub Date: 2024-10-02 DOI:10.1080/20008066.2024.2394296
Michał Bilewicz, Maria Babińska, Anna Gromova
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引用次数: 0

摘要

背景:众所周知,对不确定性的不容忍是创伤事件后出现创伤后应激症状的一个预测因素。与此同时,对于不确定性的不容忍是否会放大其他不利生活事件对创伤后应激障碍症状的影响,人们还相对缺乏了解:本文通过研究乌克兰战争难民在移民后遭受歧视和无能为力(失去控制)的经历来解决这一问题:4972名来自乌克兰的被迫移民(90.2%为女性,男性=40.4,女性=12.5)参加了研究,他们填写了创伤后应激障碍-8量表、移民后歧视和失控经历测量表以及对不确定性的不容忍度测量表:几乎一半的受访者(47.5%)可能患有创伤后应激障碍。回归分析证实,与战争有关的经历、对不确定性的不容忍、移民后的失控和歧视经历是自我报告的创伤后应激障碍症状的重要预测因素。此外,对不确定性的不容忍弱化了歧视经历和控制权丧失对自我报告的创伤后应激障碍症状的影响,因此,移民后不利经历对不确定性不容忍度高的人的影响更为明显:了解移民后经历对战争难民心理健康的影响对于制定更好的文化适应政策和为被迫移民营造有利环境至关重要。
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High rates of probable PTSD among Ukrainian war refugees: the role of intolerance of uncertainty, loss of control and subsequent discrimination.

Background: Intolerance of uncertainty is a well-known predictor of post-traumatic stress symptoms following a traumatic event. At the same time, it is relatively unknown whether intolerance of uncertainty amplifies the effects of other adverse life events on PTSD symptoms among traumatized individuals.Objective: This article addresses this problem in a study of Ukrainian war refugees' experiences with post-migration discrimination and powerlessness (loss of control).Method: 4972 forced immigrants from Ukraine took part in the study (90.2% women, Mage = 40.4, SD = 12.5) completing the PTSD-8 scale, measures of post-migration discrimination and loss of control experiences, and intolerance of uncertainty.Results: Almost half of respondents (47.5%) have probable PTSD. Regression analysis confirmed that war-related experiences, as well as intolerance of uncertainty, post-migration loss of control and experiences of discrimination were significant predictors of self-reported PTSD symptoms. Also, intolerance of uncertainty weakly moderated the effects of experienced discrimination and control deprivation on self-reported PTSD symptoms, so that the effects of adverse post-migration experiences were more pronounced among individuals high in intolerance of uncertainty.Conclusions: Understanding the effect of post-migration experiences on war refugees' mental health is crucial for developing improved acculturation policies and fostering a supportive environment for forced migrants.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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