After the war in Nicaragua: a psychosocial study of war wounded ex-combatants.

F Hume, D Summerfield
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引用次数: 30

Abstract

Despite 150 wars in the Third World since 1945, there have been virtually no psychosocial studies of war wounded ex-combatants. This community study of 72 such men, on average 4.9 years post-injury, had both quantitative (General Health Questionnaire [GHQ] and clinical interview) and qualitative (personal narrative) components. Most men were coping adaptively. However their overall GHQ scores were significantly higher than an ex-combatant control group, suggesting relative psychological vulnerability (P = 0.001). 13 (18 per cent) had post-traumatic stress disorder (PTSD) though in only three was this clinically significant, two of whom were aggressive alcoholics. Social dysfunction was a better indicator of the minority who needed psychological help than a diagnosis of PTSD. The one in three with a severe physical disability were not at greater risk than the rest of the group. Personal narratives illuminated the ways subjects had registered and responded to their war experiences. Identification with the social ideals being defended by the war effort had been psychologically bolstering. Ten severely disabled ex-Contra guerrillas, who had fought on the other side, were also interviewed. The availability of appropriate training/work, and thus the economic fortunes of the whole society, are likely to be major determinants of long-term psychosocial outcomes. Six illustrative personal histories are appended.

尼加拉瓜战争后:对战争受伤的前战斗人员的社会心理研究。
尽管自1945年以来第三世界发生了150场战争,但实际上没有对战争受伤的前战斗人员进行心理社会研究。这项社区研究对72名受伤后平均4.9年的男性进行了定量研究(一般健康问卷[GHQ]和临床访谈)和定性研究(个人叙述)。大多数男性都在适应地应对。然而,他们的总体GHQ得分显著高于前战斗人员对照组,表明相对心理脆弱(P = 0.001)。13人(18%)患有创伤后应激障碍(PTSD),尽管只有3人具有这种临床意义,其中2人是攻击性酗酒者。社会功能障碍是少数人需要心理帮助的一个更好的指标,而不是PTSD的诊断。三分之一有严重身体残疾的人并不比其他人面临更大的风险。个人叙述阐明了受试者记录和回应战争经历的方式。对战争所捍卫的社会理想的认同在心理上得到了支撑。曾在另一方作战的十名严重残疾的前反政府武装游击队员也接受了采访。能否获得适当的培训/工作,以及整个社会的经济状况,可能是长期社会心理结果的主要决定因素。附有六个说明性的个人经历。
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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