Experience of traumatic events in people with severe mental illness in a low-income country: a qualitative study

被引：0

作者：

Ng, Lauren C. ^{[1
,2
,3
]}

Hook, Kimberly ^{[2
,3
,4
,5
]}

Hailemariam, Maji ^{[6
,7
]}

Selamu, Medhin ^{[8
]}

Fekadu, Abebaw ^{[8
,9
]}

Hanlon, Charlotte ^{[8
,9
,10
]}

机构：

[1] Univ Calif Los Angeles, Dept Psychol, Los Angeles, CA 90095 USA

[2] Boston Med Ctr, Dept Psychiat, Boston, MA 02118 USA

[3] Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02215 USA

[4] Massachusetts Gen Hosp, Dept Psychiat, Boston, MA USA

[5] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, Boston, MA USA

[6] Michigan State Univ, Dept Obstet Gynecol & Reprod Biol, Coll Human Med, E Lansing, MI USA

[7] Michigan State Univ, Coll Human Med, Charles Stewart Mott Dept Publ Hlth, Flint, MI USA

[8] Addis Ababa Univ, Coll Hlth Sci, Ctr Innovat Drug Dev Therapeut Trials Africa CDT A, Sch Med, Addis Ababa, Ethiopia

[9] Addis Ababa Univ, Coll Hlth Sci, Sch Med, Dept Psychiat, Addis Ababa, Ethiopia

[10] Kings Coll London, Inst Psychiat Psychol & Neurosci, Ctr Global Mental Hlth, WHO Collaborating Ctr Mental Hlth Res & Training,H, London, England

来源：

INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS | 2023年 / 17卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Severe mental illness (SMI); Trauma; Low- and middle-income countries (LMICs); Quality of life; POSTTRAUMATIC-STRESS-DISORDER; SUBSTANCE USE DISORDERS; PSYCHOTIC SYMPTOMS; CHILDHOOD TRAUMA; 1ST-EPISODE PSYCHOSIS; FAMILY MEMBERS; SCHIZOPHRENIA; PTSD; PREVALENCE; EXPOSURE;

D O I：

10.1186/s13033-023-00616-4

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background: This study describes the trauma experiences of people with severe mental illness (SMI) in Ethiopia and presents a model of how SMI and trauma exposure interact to reduce functioning and quality of life in this setting.Methods: A total of 53 participants living and working in a rural district in southern Ethiopia were interviewed: 18 people living with SMI, 21 caregivers, and 14 primary health care providers.Results: Many participants reported that exposure to traumatic and stressful events led to SMI, exacerbated SMI symptoms, and increased caregiver stress and distress. In addition, SMI symptoms and caregiver desperation, stress or stigma were also reported to increase the possibility of trauma exposure.Conclusions: Results suggest it is incumbent upon health professionals and the broader health community to view trauma exposure (broadly defined) as a public health problem that affects all, particularly individuals with SMI.

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页数：18

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