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| Burmese Political Dissidents in Thailand: Trauma and Survival among Young Adults in Exile | ||
| 作者 | Allden, Kathleen (著) ; Poole, Charles (著) ; Chantavanich, Supang (著) ; Ohmar, Khin (著) ; Aung, Nyi Nyi (著) ; Mollica, Richard F. (著) |
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| 出處題名 | American Journal of Public Health |
| 卷期 | v.86 n.11 |
| 出版日期 | 1996.11 |
| 頁次 | 1561 - 1569 |
| 出版者 | American Public Health Association |
| 出版者網址 | https://www.apha.org/ |
| 出版地 | Washington, DC, US [華盛頓, 哥倫比亞特區, 美國] |
| 資料類型 | 期刊論文=Journal Article |
| 使用語言 | 英文=English |
| 附註項 | Harvard Program in Refugee Trauma, Cambridge, Mass 02138, USA |
| 關鍵詞 | Buddhism and Medicine; Health Status; Mental Health; Politics; Refugees; Ethnology of Stress; Psychological Adaptation; Adolescence; Adult; Ethnology of Myanmar; Social Support; Ethnology of Psychological Stress; Survival Rate; Epidemiology in Thailand; Allden, K.; Poole, C.; Chantavanich, S.; Ohmar, K.; Aung, N. N.; Mollica, R. F. |
| 摘要 | This study assessed the self-reported mental health, physical health, and social functioning of young adult political exiles and relates their psychiatric symptoms to their trauma and survival strategies. METHODS: A 1992/93 survey of Burmese who fled to Bangkok, Thailand, after participating in a 1988 uprising against Burma's government elicited information on employment, education, disability, trauma, survival strategies, and depressive and posttraumatic stress symptoms. RESULTS: The 104 participants reported a mean of 30 trauma events, including interrogation (89%), imprisonment (78%), threats of deportation (70%), and torture (38%). Many reported poor health and lack of social supports, but few reported substantial social disability. The prevalence of elevated symptom scores was 38% for depressive symptoms and 23% for criterion symptoms of posttraumatic stress disorder. Symptoms of avoidance and of increased arousal were the most strongly related to cumulative trauma. Two survival strategies, camaraderie and a Buddhist concept of self-confidence (weria), were associated with somewhat reduced levels of both classes of symptoms. CONCLUSIONS: Burmese political exiles in Thailand are young adults adversely affected by severe trauma. Their psychosocial well-being may deteriorate further without legal protections to reduce the continuing stress and violence. |
| 目次 | Introduction 1561 Methods 1561 Survey Instrument 1562 Analysis 1563 Results 1563 Demographics 1563 Trauma 1564 Perceived Health Status and Social Function 1565 Demographic and Symptoms 1566 Trauma and Symptoms 1567 Social Support, Survival Strategies, and Future Expectations 1567 Discussion 1567 Acknowledgments 1568 References 1569 |
| ISSN | 00900036 (P); 15410048 (E) |
| DOI | https://doi.org/10.2105/AJPH.86.11.1561 |
| 點閱次數 | 251 |
| 建檔日期 | 2000.10.26 |
| 更新日期 | 2021.12.08 |
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