关键词: Depression Mental Health Public Health Surveillance Stress Disorders, Post-Traumatic

来  源:   DOI:10.1136/gpsych-2023-101438   PDF(Pubmed)

Abstract:
UNASSIGNED: Globally, populations afflicted by armed conflict are known to have high rates of mental health disorders.
UNASSIGNED: This meta-analysis aims to estimate the prevalence of post-traumatic stress disorder (PTSD) and depressive symptoms among civilians residing in armed conflict-affected regions.
UNASSIGNED: This meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A literature search employing MEDLINE(R), Embase Classic+Embase, APA PsycINFO, Ovid Healthstar, Journal@Ovid Full Text, Cochrane, PTSDpubs and CINAHL was conducted from inception until 19 March 2024 to identify relevant studies. Quality assessment was performed using the Joanna Briggs Institute Critical Appraisal Checklist for Prevalence Studies, and a Comprehensive Meta-Analysis was used to conduct the statistical analysis.
UNASSIGNED: The search yielded 38 595 articles, of which 57 were considered eligible for inclusion. The included studies comprised data from 64 596 participants. We estimated a prevalence of 23.70% (95% CI 19.50% to 28.40%) for PTSD symptoms and 25.60% (95% CI 20.70% to 31.10%) for depressive features among war-afflicted civilians. The subgroup analysis based on time since the war and the country\'s economic status revealed the highest prevalence for both PTSD and depressive symptoms was present during the years of war and in low/middle-income countries.
UNASSIGNED: The results of this study provide conclusive evidence of the detrimental impacts of armed conflict on mental health outcomes. Hence, it is crucial to emphasise the significance of both physical and mental health in the aftermath of war and take appropriate humanistic measures to overcome challenges in the management of psychiatric illnesses.
UNASSIGNED: CRD42023416096.
摘要:
全球,众所周知,受武装冲突影响的人群患有精神疾病。
本荟萃分析旨在评估居住在武装冲突影响地区的平民中创伤后应激障碍(PTSD)和抑郁症状的患病率。
本荟萃分析是根据系统评价和荟萃分析的首选报告项目进行的。使用MEDLINE(R)进行文献检索,Embase经典+Embase,APAPsycINFO,奥维德健康之星,期刊@Ovid全文,科克伦,PTSDpubs和CINAHL从开始到2024年3月19日进行,以确定相关研究。质量评估使用JoannaBriggs研究所关键评估清单进行患病率研究,采用综合Meta分析进行统计学分析。
搜索产生了38595篇文章,其中57人被认为有资格列入名单。纳入的研究包括来自64596名参与者的数据。我们估计,在饱受战争折磨的平民中,PTSD症状的患病率为23.70%(95%CI19.50%至28.40%),抑郁特征的患病率为25.60%(95%CI20.70%至31.10%)。根据战争以来的时间和该国的经济状况进行的亚组分析显示,在战争期间和低收入/中等收入国家中,PTSD和抑郁症状的患病率最高。
这项研究的结果为武装冲突对精神健康的有害影响提供了确凿的证据。因此,必须强调战后身心健康的重要性,并采取适当的人文措施来克服精神疾病管理中的挑战。
CRD42023416096。
公众号