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首页> 外文期刊>Archives of general psychiatry. >Mental disorders following war in the Balkans: a study in 5 countries.
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Mental disorders following war in the Balkans: a study in 5 countries.

机译：精神疾病在巴尔干半岛战争:一个在5个国家学习。

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CONTEXT: War experience may affect mental health. However, no community-based study has assessed mental disorders several years after war using consistent random sampling of war-affected people across several Western countries. OBJECTIVES: To assess current prevalence rates of mental disorders in an adult population who were directly exposed to war in the Balkans and who still live in the area of conflict, and to identify factors associated with the occurrence of different types of mental disorders. DESIGN, SETTING, AND PARTICIPANTS: War-affected community samples in Bosnia-Herzegovina, Croatia, Kosovo, the Republic of Macedonia, and Serbia were recruited through a random-walk technique. MAIN OUTCOME MEASURE: Prevalence rates of mood, anxiety, and substance use disorders were assessed using the Mini-International Neuropsychiatric Interview. RESULTS: Between 637 and 727 interviewees were assessed in each country (N = 3313). The prevalence rates were 15.6% to 41.8% for anxiety disorders, 12.1% to 47.6% for mood disorders, and 0.6% to 9.0% for substance use disorders. In multivariable analyses across countries, older age, female sex, having more potentially traumatic experiences during and after the war, and unemployment were associated with higher rates of mood and anxiety disorders. In addition, mood disorders were correlated with lower educational level and having more potentially traumatic experiences before the war. Male sex and not living with a partner were the only factors associated with higher rates of substance use disorders. Most of these associations did not significantly differ among countries. CONCLUSIONS: Several years after the end of the war, the prevalence rates of mental disorders among war-affected people vary across countries but are generally high. War experiences appear to be linked to anxiety and mood disorders but not substance use disorders. Long-term policies to meet the mental health needs of war-affected populations are required.
机译：背景:战争的经验可能会影响心理健康。但是,没有以社区为基础的研究评估精神障碍患者使用几年后战争一致的随机抽样受到战争影响的人在一些西方国家。评估当前患病率的精神障碍的成年人口的人直接暴露于巴尔干半岛战争,谁仍然生活在该地区的冲突,确定发生的相关因素不同类型的精神疾病。设置和参与者:受到战争影响的社区样品在波黑、克罗地亚、科索沃、马其顿共和国,和塞尔维亚通过一个随机游走的技术。结果测量:患病率的心情,焦虑,和物质使用障碍评估使用Mini-International神经精神病学的面试。和727名受访者进行了评估国家(N = 3313)。焦虑症,15.6%到41.8%到12.1%情绪障碍,为47.6%和0.6%到9.0%物质使用障碍。分析不同国家,老年、女性性有更多的潜在的创伤经历期间和战后,和失业与较高的心境和焦虑有关障碍。教育水平和较低有关有更多的潜在的创伤经历在战争之前。伴侣是唯一相关的因素较高的物质使用障碍。这些联系没有显著差异在国家。战争结束,患病率精神障碍在受到战争影响的人不同各国但一般高。似乎与焦虑和经验情绪障碍而不是物质使用障碍。长期的政策来满足心理健康需要受到战争影响的人群的需求。

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