■最近的战争经历在世界各地非常普遍,对受害者的心理健康影响深远,尤其是年轻人。最牵连的心理健康问题是创伤后应激障碍,这是在作为创伤事件的严重和长期结果暴露于创伤之后发生的。发达国家的研究揭示了这一发现,但是发展中国家的信息不足,那里存在许多战争和冲突,年轻人口生活,包括埃塞俄比亚。因此,本研究旨在评估经历战争的高中生创伤后应激障碍的患病率和相关因素。
我们评估了经历过战争的高中生的创伤后应激障碍的患病率和相关因素。
■于2022年5月23日至6月8日进行了以多为中心的学校基地横断面研究。数据是从Woldia镇的高中生那里收集的。使用双变量和多变量逻辑回归来确定与创伤后应激障碍相关的独立因素。
■410名学生中共有338名参加了这项研究(响应率为94.5%)。创伤后应激障碍的患病率为39.2%。在多变量分析中,社会支持差(AOR=3.40,95%CI:1.45,7.95),抑郁症(AOR=3.24,95%CI:1.69,6.21),高水平的感知压力(AOR=2.98,95%CI:1.61,5.50),处于战争状态(AOR=2.85,95%CI:1.40,5.78),目睹家人或朋友的谋杀(AOR=3.05,95%CI:1.47,6.32)是与创伤后应激障碍显著相关的因素,p值<0.05。
■在这项研究中,大约五分之二的高中生患有创伤后应激障碍。PTSD的独立因素是抑郁,高压力水平,社会支持差,目睹家人/朋友被谋杀,处于战争状态。我们建议教育部和卫生部合作,将精神卫生服务纳入学校。这侧重于早期发现有创伤后应激障碍风险的学生,比如那些患有抑郁症的人,高感知压力水平,暴露在谋杀或战争中,并为预防创伤后应激障碍提供必要的社会支持。
UNASSIGNED: The experience of war in recent time is very common around the world, and the impact is profound on the mental health of the victims, especially among the young population. The most implicated mental health problem is post-traumatic stress disorder, which comes after an exposure to trauma as a severe and long-term result of the traumatic event. Studies in developed countries revealed this finding, but there is insufficient information in developing countries, where much of war and
conflict exist and young population live including Ethiopia. Therefore, this study aims to assess the prevalence and associated factors of post-traumatic stress disorder among high school students who experienced war.
UNASSIGNED: We assessed the prevalence and factors associated with post-traumatic stress disorder among high school students who experienced war.
UNASSIGNED: A multi-centered school base cross-sectional study was conducted from May 23 to June 08, 2022. Data were collected from high school students in Woldia town. Bivariable and multivariable logistic regression was used to identify the independent factors associated with post-traumatic stress disorder.
UNASSIGNED: A total of 338 of the 410 students participated in this study (94.5% response rate). The prevalence of post-traumatic stress disorder was 39.2%. In the multivariable analysis, poor social support (AOR = 3.40, 95% CI: 1.45, 7.95), depression (AOR = 3.24, 95% CI: 1.69,6.21), high level of perceived stress (AOR = 2.98, 95% CI: 1.61, 5.50), being in war fighting situation (AOR = 2.85, 95% CI: 1.40, 5.78), and witnessing the murder of family members or friends (AOR = 3.05, 95% CI: 1.47, 6.32) were factors significantly associated with post-traumatic stress disorder at a p-value <0.05.
UNASSIGNED: In this study, around two in five of high school students had post-traumatic stress disorder. Independent factors of PTSD were depression, high stress levels, poor social support, witnessing the murder of family members/friends, and being in war fighting situation. We recommend that the Ministry of Education and the Ministry of Health collaborate to integrate mental health services into schools. This focuses on the early detection of students at risk of PTSD, such as those with depression, high perceived stress levels, and exposure to murder or war, and provides necessary social support to prevent PTSD.