ПСИХОЛОГІЧНІ РОЗЛАДИ ВНУТРІШНЬО ПЕРЕМІЩЕНИХ ОСІБ
PDF 7-17 (English)

Ключові слова

психічне здоров’я
психічні розлади
біженці
внутрішньо переміщені особи
систематичний огляд

Як цитувати

Melnychuk, T., & Klimovskyi, S. (2022). ПСИХОЛОГІЧНІ РОЗЛАДИ ВНУТРІШНЬО ПЕРЕМІЩЕНИХ ОСІБ. ПСИХОЛОГІЧНИЙ ЧАСОПИС, 8(3), 7–17. https://doi.org/10.31108/1.2022.8.3.1

Анотація

 

Управління Верховного комісара ООН у справах біженців у 2017 році повідомило про безпрецедентну кількість 65,6 мільйонів осіб, які були переміщені по всьому світу внаслідок збройних конфліктів. Однак на сьогодні мало що відомо про стан психічного здоров’я цих людей. Тому ми провели систематичний огляд поширеності психічних розладів серед вимушено переміщеного населення в умовах збройних конфліктів.

Ми переглянули дослідження щодо рівня поширеності поширених психологічних і психічних розладів — розладів настрою та тривоги, психотичних розладів, розладів особистості, зловживання психоактивними речовинами та суїцидальності — серед дорослих внутрішньо переміщених осіб (ВПО) та біженців, які постраждали від збройних конфліктів. Найбільшу поширеність спостерігали для посттравматичного стресового розладу (3–88%), депресії (5–80%) і тривожних розладів (1–81%) із великою варіацією. Лише 12 оригінальних статей повідомляли про інші психічні розлади.

Ці результати показують суттєвий брак даних щодо ширшого ступеня психічних розладів серед людей, які живуть у ситуаціях тривалого переміщення. Потрібні амбіційні програми оцінки для підтримки впровадження сталої глобальної політики психічного здоров’я в країнах, охоплених війною. Нарешті, існує нагальна потреба у широкомасштабних втручаннях, спрямованих на лікування психічних розладів у біженців та внутрішньо переміщених осіб після переміщення.

 

https://doi.org/10.31108/1.2022.8.3.1
PDF 7-17 (English)

Посилання

Corbett, J. (2003). Ernest George Ravenstein, The Laws of Migration, 1885. CSISS Classics. UC Santa Barbara: Center for Spatially Integrated Social Science. Retrieved from https://escholarship.org/uc/item/3018p230.

Sarah Hynes (2009) Displaced people and the challenge to development p.6

Brun C. Research guide on internal displacement. NTNU Research Group on Forced Migration Department of Geography Norwegian University of Science and Technology (NTNU) Trondheim, Noruega en, 2005.

Erin Mooney, The concept of internal displacement and the case for internally displaced persons as a category of concern, Refugee Survey Quarterly, Vol. 24, Issue 3 © UNHCR 2005, all rights reserved

Roberta Cohen (2014) Lessons from the development of the Guiding Principles on Internal Displacement // Forced Migration Review, Crisis FMR 45 magazine. website, available at: http://www.fmreview.org/crisis/cohen.html

The Guiding Principles on Internal Displacement (E/CN.4/1998/53/Add.2) website, available at: http://www.unhcr.org/protection/idps/43ce1cff2/guiding-principles-internal-displacement.html

Mykhaylovsʹkyy V. I. Istorychni aspekty vynyknennya subʺyektyvnykh prav vnutrishnʹo peremishchenykh osib na terytoriyi Ukrayiny [Historical aspects of the emergence of subjective rights of internally displaced persons on the territory of Ukraine] Pivdennoukrayinsʹkyy pravnychyy chasopys. - 2015. - № 2. - S. 220-223. - Access mode: http://nbuv.gov.ua/UJRN/Pupch_2015_2_66

E. Mooney, "The Concept of Internal Displacement and the Case for Internally Displaced Persons as a Category of Concern", in: Refugee Survey Quarterly, Volume 24, Issue 3, 2005. http://idp-key-resources.org/documents/0000/d04393/000.pdf

International Recommendations on Refugee Statistics, from the expert group on Refugee and Internally Displaced Persons Statistics draft for Global Consultation 6 November 2017

The Pinheiro Principles: United Nations Principles on Housing and Property Restitution for Refugees and Displaced Persons. Report. from COHRE. Published on 01 Dec 2005

Sara Pantuliano (2009) Uncharted Territory: Land, Conflict and Humanitarian Action Overseas Development Institute

Moher D, Liberati A, Tetzlaff J, Altman DG, The Prisma Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. (2009) 6:e1000097 10.1371/journal.pmed.1000097 https://doi.org/10.1016/j.jns.2007.01.010

The PILOTS Database [Internet] National Center for PTSD. U.S. Department of Veterans Affairs(2015) (Accessed June 15, 2015). Available online at: http://www.ptsd.va.gov/professional/pilots-database/

Vinck P, Pham PN, Stover E, Weinstein HM. Exposure to war crimes and implications for peace building in northern Uganda. JAMA (2007) 298:543–54. 10.1001/jama.298.5.543

Pham PN, Weinstein HM, Longman T. Trauma and PTSD symptoms in Rwanda: implications for attitudes toward justice and reconciliation. JAMA (2004) 292:602–12. 10.1001/jama.292.5.602

Nickerson A, Liddell B, Asnaani A, Carlsson JM, Fazel M, Knaevelsrud C, et al. Trauma and Mental Health in Forcibly Displaced Populations: An International Society for Traumatic Stress Studies Briefing Paper (2017).

World Health Organization. Problem Management Plus (PM+): Individual Psychological Help for Adults Impaired by Distress in Communities Exposed to Adversity. Geneva: WHO; (2016). 140.

Bryant RA, Schafer A, Dawson KS, Anjuri D, Mulili C, Ndogoni L, et al. . Effectiveness of a brief behavioural intervention on psychological distress among women with a history of gender-based violence in urban Kenya: a randomised clinical trial. PLoS Med. (2017) 14:e1002371. 10.1371/journal.pmed.1002371

Rahman A, Riaz N, Dawson KS, Usman Hamdani S, Chiumento A, Sijbrandij M, et al. . Problem Management Plus (PM+): pilot trial of a WHO transdiagnostic psychological intervention in conflict-affected Pakistan. World Psychiatry (2016) 15:182–3. 10.1002/wps.20312

Kozaric-Kovacic D, Ljubin T, Grappe M. Comorbidity of posttraumatic stress disorder and alcohol dependence in displaced persons. Croat Med J. (2000) 41:173–8.

Van Ommeren M, de Jong JT, Sharma B, Komproe I, Thapa SB, Cardena E. Psychiatric disorders among tortured Bhutanese refugees in Nepal. Arch Gen Psychiatry (2001) 58:475-82. 10.1001/archpsyc.58.5.475

Kalafi Y, Hagh-Shenas H, Ostovar A. Mental health among Afghan refugees settled in Shiraz, Iran. Psychol Rep. (2002) 90:262–6. 10.2466/pr0.2002.90.1.262

Kamau M, Steel Z, Catanzaro R, Bateman C, Ekblad S. Psychiatric disorders in an African refugee camp. Intervention (2014) 2:84–9.

Kim G, Torbay R, Lawry L. Basic health, women's health, and mental health among internally displaced persons in Nyala Province, South Darfur, Sudan. Am J Public Health. (2007) 97:353-61.

Roberts B, Felix Ocaka K, Browne J, Oyok T, Sondorp E. Alcohol disorder amongst forcibly displaced persons in northern Uganda. Addict Behav. (2011) 36:870–3. 10.1016/j.addbeh.2011.03.006

Akinyemi OO, Owoaje ET, Ige OK, Popoola OA. Comparative study of mental health and quality of life in long-term refugees and host populations in Oru-Ijebu, Southwest Nigeria. BMC Res Notes (2012) 5:394. 10.1186/1756-0500-5-394

Salah TT, Abdelrahman A, Lien L, Eide AH, Martinez P, Hauff E. The mental health of internally displaced persons: an epidemiological study of adults in two settlements in Central Sudan. Int J Soc Psychiatry (2013) 59:782–8. 10.1177/0020764012456810

Doocy S, Sirois A, Tileva M, Storey JD, Burnham G. Chronic disease and disability among Iraqi populations displaced in Jordan and Syria. Int J Health Plann Manage. (2013) 28:e1–e12. 10.1002/hpm.2119

Siriwardhana C, Adikari A, Pannala G, Siribaddana S, Abas M, Sumathipala A, et al. Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study. PLoS ONE (2013) 8:e64742. 10.1371/journal.pone.0064742

Makhashvili N, Chikovani I, McKee M, Bisson J, Patel V, Roberts B. Mental disorders and their association with disability among internally displaced persons and returnees in Georgia. J Trauma Stress(2014) 27:509–18. 10.1002/jts.21949

Roberts B, Murphy A, Chikovani I, Makhashvili N, Patel V, McKee M. Individual and community level risk-factors for alcohol use disorder among conflict-affected persons in Georgia. PLoS ONE (2014) 9:e98299. 10.1371/journal.pone.0098299

Comellas RM, Makhashvili N, Chikovani I, Patel V, McKee M, Bisson J, et al. . Patterns of somatic distress among conflict-affected persons in the Republic of Georgia. J Psychosom Res. (2015) 78:466–71. 10.1016/j.jpsychores.2015.01.015

Elhabiby MM, Radwan DN, Okasha TA, El-Desouky ED. Psychiatric disorders among a sample of internally displaced persons in South Darfur. Int J Soc Psychiatry (2015) 61:358–62. 10.1177/0020764014547061

Llosa AE, Ghantous Z, Souza R, Forgione F, Bastin P, Jones A, et al. . Mental disorders, disability and treatment gap in a protracted refugee setting. Br J Psychiatry (2014) 204:208–13. 10.1192/bjp.bp.112.120535

Feyera F, Mihretie G, Bedaso A, Gedle D, Kumera G. Prevalence of depression and associated factors among Somali refugee at Melkadida camp, Southeast Ethiopia: a cross-sectional study. BMC Psychiatry (2015) 15:171. 10.1186/s12888-015-0539-1

Kazour F, Zahreddine NR, Maragel MG, Almustafa MA, Soufia M, Haddad R, et al. . Post-traumatic stress disorder in a sample of Syrian refugees in Lebanon. Compr Psychiatry (2017) 72:41–7. 10.1016/j.comppsych.2016.09.007

Siriwardhana C, Adikari A, Pannala G, Siribaddana S, Abas M, Sumathipala A, et al. . Prolonged internal displacement and common mental disorders in Sri Lanka: the COMRAID study. PLoS ONE(2013) 8:e64742. 10.1371/journal.pone.0064742

Affleck W, Selvadurai A, Sikora L. Underrepresentation of men in gender based humanitarian and refugee trauma research: a scoping review. Intervention (2018) 16:22–30. 10.1097/WTF.0000000000000157

Ager A, Ager W, Stavrou V, Boothby N. Inter-Agency Guide to the Evaluation of Psychosocial Programming in Emergencies. New York, NY: UNICEF; (2011).

Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB. Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry (2007) 20:359–64. 10.1097/YCO.0b013e32816ebc8c

UNHCR Global trends UNHCR 2016 2017. Available online at: http://www.unhcr.org/5943e8a34.pdf(Accessed December 20, 2016).

Porter M, Haslam N. Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA (2005) 294:602–12. 10.1001/jama.294.5.

Mollica RF, Cardozo BL, Osofsky HJ, Raphael B, Ager A, Salama P. Mental health in complex emergencies. Lancet (2004) 364:2058–67. 10.1016/S0140-6736(04)17519-3

Tol WA, Barbui C, Galappatti A, Silove D, Betancourt TS, Souza R, et al. . Mental health and psychosocial support in humanitarian settings: linking practice and research. Lancet (2011) 378:1581–91. 10.1016/S0140-6736(11)61094-5

Pincock S. Vikram Patel: promoting mental health in developing countries. Lancet (2007) 370:821. 10.1016/S0140-6736(07)61400-7

Herrman H, Swartz L. Promotion of mental health in poorly resourced countries. Lancet (2007) 370:1195–7. 10.1016/S0140-6736(07)61244-6

Prince M, Patel V, Saxena S, Maj M, Maselko J, Phillips MR, et al. . No health without mental health. Lancet (2007) 370:859–77. 10.1016/S0140-6736(07)61238-0

Saxena S, Thornicroft G, Knapp M, Whiteford H. Resources for mental health: scarcity, inequity, and inefficiency. Lancet (2007) 370:878–89. 10.1016/S0140-6736(07)61239-2

Chisholm D, Flisher AJ, Lund C, Patel V, Saxena S, Thornicroft G, et al. . Scale up services for mental disorders: a call for action. Lancet (2007) 370:1241–52. 10.1016/S0140-6736(07)61242-2

Eaton J, McCay L, Semrau M, Chatterjee S, Baingana F, Araya R, et al. . Scale up of services for mental health in low-income and middle-income countries. Lancet (2011) 378:1592–603. 10.1016/S0140-6736(11)60891-X

Drew N, Funk M, Tang S, Lamichhane J, Chavez E, Katontoka S, et al. . Human rights violations of people with mental and psychosocial disabilities: an unresolved global crisis. Lancet (2011) 378:1664–75. 10.1016/S0140-6736(11)61458-X

Saraceno B, van Ommeren M, Batniji R, Cohen A, Gureje O, Mahoney J, et al. . Barriers to improvement of mental health services in low-income and middle-income countries. Lancet (2007) 370:1164–74. 10.1016/S0140-6736(07)61263-X

Alisic E, Letschert RM. Fresh eyes on the European refugee crisis. Eur J Psychotraumatol. (2016) 7:2016. 10.3402/ejpt.v7.

Vinck P, Pham PN, Stover E, Weinstein HM. Exposure to war crimes and implications for peace building in northern Uganda. JAMA (2007) 298:543–54. 10.1001/jama.298.5.543

Pham PN, Weinstein HM, Longman T. Trauma and PTSD symptoms in Rwanda: implications for attitudes toward justice and reconciliation. JAMA (2004) 292:602–12. 10.1001/jama.292.5.602

Nickerson A, Liddell B, Asnaani A, Carlsson JM, Fazel M, Knaevelsrud C, et al. Trauma and Mental Health in Forcibly Displaced Populations: An International Society for Traumatic Stress Studies Briefing Paper (2017).

World Health Organization. Problem Management Plus (PM+): Individual Psychological Help for Adults Impaired by Distress in Communities Exposed to Adversity. Geneva: WHO; (2016). 140.

Bryant RA, Schafer A, Dawson KS, Anjuri D, Mulili C, Ndogoni L, et al. . Effectiveness of a brief behavioural intervention on psychological distress among women with a history of gender-based violence in urban Kenya: a randomised clinical trial. PLoS Med. (2017) 14:e1002371. 10.1371/journal.pmed.1002371

Rahman A, Riaz N, Dawson KS, Usman Hamdani S, Chiumento A, Sijbrandij M, et al. . Problem Management Plus (PM+): pilot trial of a WHO transdiagnostic psychological intervention in conflict-affected Pakistan. World Psychiatry (2016) 15:182–3. 10.1002/wps.20312

Naser Morina, Aemal Akhtar, Jürgen Barth and Ulrich Schnyder. Psychiatric Disorders in Refugees and Internally Displaced Persons After Forced Displacement: A Systematic Review, doi: 2018 10.3389/fpsyt.2018.00433

Creative Commons License

Ця робота ліцензується відповідно до Creative Commons Attribution 4.0 International License.

Авторське право (c) 2022 Tatyana Melnychuk, Stanislav Klimovskyi