"Despite progress in legislation protecting internally displaced Colombians, access to basic resources such as food, shelter, education, and medical care has remained poor. Access to mental health treatment is virtually nonexistent (Mogolló n-Pérez & Vázquez, 2008; Mogolló n Pérez & Vázquez Navarrete, 2006). It is imperative to understand the nature of the psychological distress of internally displaced people to develop appropriate evidence-based interventions. "
[Show abstract][Hide abstract] ABSTRACT: Armed conflict in Colombia has resulted in the displacement of an estimated 4.5 million people, or about 10% of the Colombian population. Hundreds of thousands of Colombians are exposed to violence and forced displacement annually. The present study used survey methods to assess levels of posttraumatic stress disorder (PTSD), depression, and anxiety symptoms in a convenience sample of 109 internally displaced adults residing in Medellín, Colombia. A qualitative approach including an open-ended survey and focus groups with a subsample of 44 survey respondents was used to gain a better understanding of mental health treatment needs. A large proportion of survey respondents exceeded cut-scores for clinically significant PTSD (88%), anxiety (59%), and depression (41%). Multivariate regression models showed that female gender was a significant predictor of higher PTSD symptom levels and that female gender, higher education, and being separated as opposed to married predicted higher levels of depression symptoms. Focus group findings suggest that participants are interested in specialized psychological treatments as well as broader psychosocial interventions to treat the consequences of exposure to violence and forced displacement. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
Psychological Trauma Theory Research Practice and Policy 11/2011; 3(4):384-393. DOI:10.1037/a0022257 · 2.31 Impact Factor
"The mental health effects of not being able to provide for children were noted by a number of study respondents. This supports the observation by Ambrose Olaa of stress amongst Ugandan IDPs of trying to meet the costs of educating their children ; and also studies by Mogollón Pérez et al and Almedom on the stress of IDPs trying to ensure their children's education [14,16]. "
[Show abstract][Hide abstract] ABSTRACT: Social determinants of health describe the conditions in which people are born, grow, live, work and age and their influence on health. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are themselves influenced by policy choices. Armed conflict and forced displacement are important influences on the social determinants of health. There is limited evidence on the social determinants of health of internally displaced persons (IDPs) who have been forced from their homes due to armed conflict but remain within the borders of their country. The aim of this study was to explore the social determinants of overall physical and mental health of IDPs, including the response strategies used by IDPs to support their health needs. Northern Uganda was chosen as a case-study, and 21 face-to-face semi-structured interviews with IDPs were conducted in fifteen IDP camps between November and December 2006.
The findings indicated a number of key social determinants. Experiencing traumatic events could cause "over thinking" which in turn could lead to "madness" and physical ailments. Respondents also attributed "over thinking" to the spirit (cen) of a killed person returning to disturb its killer. Other social determinants included overcrowding which affected physical health and contributed to an emotional sense of loss of freedom; and poverty and loss of land which affected physical health from lack of food and income, and mental health because of worry and uncertainty. Respondents also commented on how the conflict and displacement and led to changes in social and cultural norms such as increased "adultery", "defilement", and "thieving". Response strategies included a combination of biopsychosocial health services, traditional practices, religion, family and friends, and isolating.
This study supports work exploring the political, environmental, economic, and socio-cultural determinants of health of IDPs. Addressing these determinants is essential to fundamentally improving the overall physical and mental health of IDPs.
Conflict and Health 12/2009; 3(1):10. DOI:10.1186/1752-1505-3-10
"Rolen gainkarga izan da emakumeen osasuna argitzeko proposatu den adierazpen erabiliena (Caro, 2001; Chandola et al., 2004; Martikainen, 1995; Lahelma, UZTARO 67, 87-104 89 Arber , Kivela eta Roos , 2002). Immigrazioarekin , horrek , batez ere emakumeen - gan eragiten du , beraiek baitira etxearen ardura hartzen dutenak eta hainbat gauzari aurre egiten dietenak : familiaren zailtasunei eta deserrotze sozial eta afek - tiboari ( Mogollón eta Vázquez , 2006 ) . Dena den , kulturaren arabera eskakizunok aldatzen dira eta lehen ikusi dugun bezala , latinoamerikarrek bai jatorrian bai bertako gizartean Magrebekoek baino betebehar gehiago dituzte ( Gregorio eta Ramirez , 2000 ) . "
[Show abstract][Hide abstract] ABSTRACT: Unibertsitateko irakasleak, psikologoak (Z), Psikologia Fakultatea (EHU/UPV) Azterlan honetan Euskal Herrian bizi diren jatorri desberdineko 201 emakume etorkinen egoera psikosoziala aztertuko da. Beren ongizate-maila eta osasun mentala azalduko dira, genero-ikuspuntutik eragiten duten aldagaien arteko harremanak deskribatuz. Elkarrizketatutako emakumeen artean, % 77,1 Latinoamerikakoa da, % 12,4 Magrebekoa eta % 10,4 Ekialdeko Euro-pakoa. Migrazio-prozesuaz eta hona egokitzeko prozesuaz egiten duten balantzea positiboa da eta osasun oneko emakumeak izan ohi diren arren, emigratzeak suposatzen duen aldaketaren gogortasunak emakume etorkinen osasun mentalean eragina du: % 42k sintoma depresiboak ditu, % 45ek so-matikoak eta % 57k antsietate-sintomak. Migratze-dolua, jatorrizko herrial-dean geratu den familia eta bakardadea, familia egituraren ezaugarriak, gizarte-harremanak, lana eta irregulartasun-egoerarekin lotutako urrakortasuna dira, beste batzuen artean, emakume etorkinen ongizatea eta osasun mentala esplikatzen dituzten arrazoiak. GAKO-HITZAK: Jatorri kulturala · Egitasmo migratoria · Ongizatea · Genero ikuspuntua. This essay is going to analyse the psychosocial situation of 201 immigrant women who come from different countries and actually live in the Basque Country. It will expose their well-being and mental health, describing the relations among the variables that are relevant from a gender point of view. Among the interviewed women, 77,1% are Latin American,12,4% from Maghreb and 10,4% from East Europe. The balance of the migratory process and the adaptation process is positive and even if these women healthy the migration experience generates consequences in their mental health: 42% have symptoms of depression, 45% somatic ones and 57% suffers from anxiety. Migration sorrow, the family is still in the original country, the loneliness, the characteristics of the family structure, social relationships, the employment and the vulnerability related to being irregular are among others the main reasons that explain the well-being and the mental health of these immigrant women. KEY WORDS: Migration initiative · Cultural origin · Well-being · Gender view.
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