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引用次数: 47
摘要
本系统综述收集了有关无人陪伴未成年难民(URMs)精神疾病患病率和病程的现有文献数据。检索了PsychINFO、PubMed、Scopus和Web of Science数据库,并人工检查了论文的参考文献列表,以确定相关文章。包括同行评议的期刊文章,重点关注因战争威胁而被迫离开居住地的难民的心理健康。对研究中提出的数据进行了叙述性综合分析。综述中包含的15项研究的结果强调了创伤后应激障碍(PTSD)、抑郁和焦虑在urm中的高患病率。内化障碍与暴露于创伤之间的关系,以及流离失所后的时间。移民前,与家庭成员分离、父母和近亲死亡、接触武装冲突的程度以及对个人的威胁是urm中最常见的生活压力事件(SLE)。尽管对这一弱势群体进行的研究数量在不断增加,但该审查强调有必要进一步检查难民的心理健康状况以及影响创伤后应激障碍、抑郁和焦虑症状的因素。
Post-traumatic stress disorders, depression, and anxiety in unaccompanied refugee minors exposed to war-related trauma: a systematic review
ABSTRACT This systematic review gathers data from the existing literature on the prevalence and course of psychiatric disorders among unaccompanied refugee minors (URMs). The databases PsychINFO, PubMed, Scopus and Web of Science were searched and reference lists of papers were also manually examined to identify relevant articles. Peer-reviewed journal articles included focused on the mental health of URMs, who were forced to leave their place of residence because of threats of wars. A narrative synthesis was done to analyse the data presented in the studies. Results from the fifteen studies included in the review highlighted the high prevalence of post-traumatic stress disorders (PTSD), depression, and anxiety among URMs. The association between internalizing disorders and exposure to trauma, and time since displacement were examined. Separation from family members, death of parents and close relatives, level of exposure to armed conflicts, and threats to a person were the most frequent stressful life events (SLE) among URMs before migration. Although the number of research done on this vulnerable population is increasing overtime, the review highlights the need for further examination of refugee mental health and the factors affecting symptoms of PTSD, depression, and anxiety.
期刊介绍:
This title has ceased (2018). This important peer-review journal provides an innovative forum, both international and multidisciplinary, for addressing cross-cultural issues and mental health. Culture as it comes to bear on mental health is a rapidly expanding area of inquiry and research within psychiatry and psychology, and other related fields such as social work, with important implications for practice in the global context. The journal is an essential resource for health care professionals working in the field of cross-cultural mental health.Readership includes psychiatrists, psychologists, medical anthropologists, medical sociologists, psychiatric nurses and social workers, general practitioners and other mental health professionals interested in the area. The International Journal of Culture and Mental Health publishes original empirical research, review papers and theoretical articles in the fields of cross-cultural psychiatry and psychology. Contributions from the fields of medical anthropology and medical sociology are particularly welcome. A continuing dialogue between members of various disciplines in various fields is encouraged. The aim of the journal is to encourage its readers to think about various issues which have clouded cross-cultural development of ideas. The journal lays special emphasis on developing further links between medical anthropology, medical sociology, clinical psychiatry and psychology, and implications of the findings on service provisions. The journal is published four times a year. The style of reference is Harvard. All research articles in this journal, including those in special issues, special sections or supplements, have undergone rigorous peer review, based on initial editor screening and anonymized refereeing by at least two independent referees.