Mental health disorders in child and adolescent survivors of post-war landmine explosions

作     者：Mohammad Ali Hemmati Hamid Shokoohi Mehdi Masoumi Shahriar Khateri Mohammadreza Soroush Ehsan Modirian Mahtab Poor Zamany Nejat Kermany Maryam Hosseini Batool Mousavi 

作者机构：Janbazan Medical and Engineering Research Center (JMERC) Department of Emergency MedicineGeorge Washington University Emergency DepartmentMedical FacultyQazvin University of Medical Sciences Anesthesiology and Critical Care Labbafinejad HospitalMedical University of Shahid Beheshti Community and Preventive MedicineJanbazan Medical and Engineering Research Center(JMERC) 

出 版 物：《Military Medical Research》 (军事医学研究（英文版）)

年 卷 期：2015年第3卷第4期

页      面：201-206页

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：Foundation of Martyr and Veterans Af airs Janbazan Medical and Engineering Research Center (JMERC) the International Committee of the Red Cross 

主　　题：Landmine Child survivors Depression Anxiety Iran 

摘      要：Background: To describe the mental health status of 78 child and adolescent survivors of post-war landmine ***: Child and adolescent survivors of landmine explosions who were younger than 18 years old at the time of the study were identified and enrolled in this study. The mental health status of the participants was assessed by general health assessment and psychiatric examinations. Psychiatric assessment and diagnosis were undertaken using the Diagnostic and Statistical Manual for mental disorders(DSM-IV) criteria. A psychiatrist visited and interviewed each survivor and identified psychiatric ***: Seventy-eight child and adolescent survivors with a mean age of 16.11±2 years old were identified and agreed to participate in the study. The mean age of the victims at the time of injury was 8.2±3.12 years old(range 2–15). Thirty-seven(47.4%) of the adolescent survivors suffered from at least one psychiatric disorder. Twenty-nine survivors(37.1%) were newly diagnosed and needed to start medication and psychiatric treatment. The most common findings were anxiety disorders(34.6%), including posttraumatic stress disorder(PTSD) in 20(25.6%), and generalized anxiety disorder(GAD) in 7(9%) subjects. Mild-Moderate depression was found in 5(6.4%) subjects. No personality disorders were observed, and two patients suffered from mental retardation. The study results revealed a significant association between age of casualty, duration of injury and limb amputation, and types of psychological ***: Child and adolescent survivors of landmine explosions had a high prevalence of psychiatric disorders.