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首页> 外文期刊>Psychiatry >Exposure to prolonged socio-political conflict and the risk of PTSD and depression among Palestinians.
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Exposure to prolonged socio-political conflict and the risk of PTSD and depression among Palestinians.

机译：巴勒斯坦人长期处于社会政治冲突之中，容易遭受创伤后应激障碍和抑郁的危险。

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摘要

Little is known about the impact of traumatic experiences and stressful life conditions on people in low-income countries who live in conditions of ongoing political violence. In order to determine the prevalence and predictors of post-traumatic stress disorder (PTSD) and major depression (MD) among Palestinians subjected to chronic political violence and upheaval, we used a stratified multi-stage cluster random sampling strategy to interview a representative sample of 1,200 Palestinian adults living in Gaza, the West Bank, and East Jerusalem. Prevalence of PTSD/MD for men living in the West Bank, Gaza, and East Jerusalem was 25.4%/29.9%, 22.6%/27.6%, and 16.1%/16.1%, respectively. For women, the prevalence of PTSD/MD was 23.8%/29.0%, 23.9%/28.9%, and 19.7%/27.6%. Among men, PTSD was significantly positively associated with age group, two or more incidences of political violence (compared to none), greater intrapersonal resource loss, and loss of faith in government. MD was positively associated with experiencing exposure to one, or two or more, incidences of political violence (compared to none), and greater interpersonal and intrapersonal resource loss. Among women, PTSD was positively associated with greater interpersonal and intrapersonal resource loss, and MD was positively associated with death of a loved one, two or more socio-political stressors (compared to none) previous to the past year, one or more socio-political stressors (compared to none) in the past year, and greater interpersonal and intrapersonal resource loss. Interpersonal and intrapersonal resource losses were consistently associated with PTSD and MD, suggesting potential targets for intervention and prevention efforts and thus provide important keys to treatment in areas of ongoing conflict.
机译：关于创伤经历和压力性生活条件对生活在持续政治暴力条件下的低收入国家人民的影响知之甚少。为了确定遭受长期政治暴力和动荡的巴勒斯坦人中创伤后应激障碍（PTSD）和重度抑郁（MD）的患病率和预测因素，我们采用分层多阶段整群随机抽样策略来访谈代表性的1200名巴勒斯坦成年人住在加沙，西岸和东耶路撒冷。居住在西岸，加沙和东耶路撒冷的男性的PTSD / MD患病率分别为25.4％/ 29.9％，22.6％/ 27.6％和16.1％/ 16.1％。对于女性，PTSD / MD的患病率为23.8％/ 29.0％，23.9％/ 28.9％和19.7％/ 27.6％。在男性中，PTSD与年龄组，两次或两次以上的政治暴力事件（无人发生），更大的人际资源流失以及对政府的信任度显着正相关。 MD与经历一种或两种或更多种政治暴力事件（相比之下没有）以及人际和人际资源流失的增加呈正相关。在女性中，PTSD与人际关系和人际资源流失的增加呈正相关，而MD与过去一年之前所爱的一个，两个或多个社会政治压力源（相比无人），一个或多个社会心理压力源的死亡呈正相关。过去一年中的政治压力（相比没有压力），以及更大的人际和人际资源损失。人际关系和人际资源的损失与创伤后应激障碍和医学发展始终如一地联系在一起，暗示了干预和预防工作的潜在目标，因此为正在进行的冲突地区的治疗提供了重要的关键。

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