1.Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran
2.Department of Emergency Medicine, George Washington University, Washington, DC, USA
3.NO.25, Farrokh St., Moghaddas Ardebily Ave., Chamran Highway, Tehran, Iran
4.Emergency Department, Medical Faculty, Qazvin University of Medical Sciences, Qazvin, Iran
5.Anesthesiology and Critical Care Labbafinejad Hospital, Medical University of Shahid Beheshti, Tehran, Iran
6.Community and Preventive Medicine, Janbazan Medical and Engineering Research Center (JMERC), Tehran, Iran
*: soroush46@gmail.com
纸质出版:2015-12
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Mental health disorders in child and adolescent survivors of post-war landmine explosions[J]. MMR, 2015,2(4):201-206.
Mohammad Ali Hemmati, Hamid Shokoohi, Mehdi Masoumi, et al. Mental health disorders in child and adolescent survivors of post-war landmine explosions[J]. Military Medical Research, 2015, 2(4): 201-206.
Mental health disorders in child and adolescent survivors of post-war landmine explosions[J]. MMR, 2015,2(4):201-206. DOI:
Mohammad Ali Hemmati, Hamid Shokoohi, Mehdi Masoumi, et al. Mental health disorders in child and adolescent survivors of post-war landmine explosions[J]. Military Medical Research, 2015, 2(4): 201-206. DOI:
Background:
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To describe the mental health status of 78 child and adolescent survivors of post-war landmine explosions.
Methods:
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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 disorders.
Results:
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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 disorders.
Conclusion:
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Child and adolescent survivors of landmine explosions had a high prevalence of psychiatric disorders.
UNICEF in Emergencies & Humanitarian Action . International Day for Mine Awareness: A landminefree world within reach . http://www.unicef.org/emerg/index_32029.html http://www.unicef.org/emerg/index_32029.html . Accessed 25 May 2012 .
Soroush A , Falahati F , Zargar M , Soroush M , Khateri S , Khaji A . Amputations Due to landmine and unexploded ordnances in post-war Iran . Arch Iranian Med . 2008 ; 11 ( 6 ): 595 - 7 . Available at http://www.sid.ir/en/VEWSSID/J_pdf/86920080617.pdf http://www.sid.ir/en/VEWSSID/J_pdf/86920080617.pdf .
Casualties and Victim Assistance . Available at http://www.the-monitor.org/custom/index.php/region_profiles/print_theme/3172 http://www.the-monitor.org/custom/index.php/region_profiles/print_theme/3172 . Accessed 25 November 2013 .
Michael W , Kathleen K . Child friendly spaces: toward a grounded, community-based approach for strengthening child protection practice in humanitarian crises . Child Abuse Negl . 2013 ; 37S : 29 - 40 . Available at http://www.ncbi.nlm.nih.gov/pubmed/24268375 http://www.ncbi.nlm.nih.gov/pubmed/24268375 .
Prasad AN , Prasad PL . Children in conflict zones . Med J Armed Forces India . 2009 ; 65 ( 2 ): 166 - 9 . Available at http://www.mjafi.net/article/S0377-1237(09)80134-2/abstract http://www.mjafi.net/article/S0377-1237(09)80134-2/abstract .
Landmine and Cluster Munition Monitor . Landmine monitor 2014 Landmine and Cluster Munition Monitor; March 2014 . Available at http://themonitor.org/index.php/LM/Our-Research-Products/CMM14 http://themonitor.org/index.php/LM/Our-Research-Products/CMM14 .
Stefan P , Marija B , Dean A , Tanja F , Gian Maria G , Abdulah K , et al . Mental disorders following War in the Balkans, a study in 5 countries . Am Med Assoc . 2010 ; 67 ( 5 ): 518 - 28 . Available at http://www.ncbi.nlm.nih.gov/pubmed/20439833 http://www.ncbi.nlm.nih.gov/pubmed/20439833 .
Somasundaram DJ , Renol KK . The psychosocial effects of landmines in Cambodia . Med Confl Surviv . 1998 ; 14 ( 3 ): 219 - 36 . Available at http://www.ncbi.nlm.nih.gov/pubmed/9772827 http://www.ncbi.nlm.nih.gov/pubmed/9772827 .
Ferguson AD , Richie BS , Gomez MJ . Psychological factors after traumatic amputation in landmine survivors: the bridge between physical healing and full recovery . Disabil Rehabil . 2004 ; 5 ( 26 ): 931 - 8 . Available at http://www.ncbi.nlm.nih.gov/pubmed/15497924 http://www.ncbi.nlm.nih.gov/pubmed/15497924 .
American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders . 4th ed . Washington,DC : (DSM-IV). American Psychiatric Association ; 1994 . Available at http://www.psychiatry.org/practice/dsm/dsmhistory-of-the-manual http://www.psychiatry.org/practice/dsm/dsmhistory-of-the-manual .
Mousavi B , Soroush MR , Masoumi M , Khateri S , Shokoohi H , Modirian E , et al . Epidemiological Study of Child Casualties of Landmines and Unexploded Ordnances: A National Study from Iran . Prehosp Disaster Med . 2015 ; 30 ( 5 ): 472 - 7 .
Ebrahimzadeh MH , Fattahi AS , Nejad AB . Long-term followup of Iranian veteran upper extremity amputees from the Iran-Iraq War (1980 –1988) . J Trauma . 2006 ; 61 : 886 - 8 . Available at http://www.ncbi.nlm.nih.gov/pubmed/17033556 http://www.ncbi.nlm.nih.gov/pubmed/17033556 .
National Institute for Health and Clinical Excellence (UK) . Common mental health disorders. Identification and pathways to care . May 2011 . Available at http://www.nice.org.uk/guidance/cg123/chapter/guidance http://www.nice.org.uk/guidance/cg123/chapter/guidance .
Breslau N . The epidemiology of posttraumatic stress disorder: what is the extent of the problem? J Clin Psychiatry . 2001 ; 62 suppl 17 : 16 - 22 . Available at http://www.ncbi.nlm.nih.gov/pubmed/11495091 http://www.ncbi.nlm.nih.gov/pubmed/11495091 .
Ascherio A , Biellik R , Epstein A , Snetro G , Gloyd S , Ayotte B , et al . Deaths and injuries caused by land mines in Mozambique . Lancet . 1995 ; 16; 346 ( 8977 ): 721 - 4 . Available at http://www.ncbi.nlm.nih.gov/pubmed/7658871 http://www.ncbi.nlm.nih.gov/pubmed/7658871 .
Gunaratnam HR , Gunaratnam S , Somasundaram D . The psychosocial effects of landmines in Jaffna . Med Confl Surviv . 2003 ; 19 ( 3 ): 223 - 34 . Available at http://www.ncbi.nlm.nih.gov/pubmed/12964706 http://www.ncbi.nlm.nih.gov/pubmed/12964706 .
Burger H , Marincek C . The life style of young person after lower limb amputation caused by injury . Prosthetics Orrhotics Int . 1997 ; 21 : 35 - 9 . Available at http://informahealthcare.com/doi/abs/10.3109/03093649709164528 http://informahealthcare.com/doi/abs/10.3109/03093649709164528 .
Mehdi M , Mohammad Reza S , Ehsan M . Evaluation of psychiatric problems in veterans with bilateral upper limb amputation . Mil Med . 2008 ; 10 ( 3 ): 185 - 92 . Avaiable at http://www.militarymedj.ir/browse.php?a_code=A-10-241-1&slc_lang=fa&sid=1 http://www.militarymedj.ir/browse.php?a_code=A-10-241-1&slc_lang=fa&sid=1 .
Ganjparvar Z , Mousavi B , Soroush M , Shokoohi H , Khateri S , Montazeri A . Quality of life among children survivors of land mine and explosive remnants of war . Sci Res J Shahed Univ . 2012 ; 7 ( 96 ): 1 - 9 . Available at http://daneshvarmed.shahed.ac.ir/files/site1/user_files_7561d7/admin-A-10-1-88-d3979f9.pdf http://daneshvarmed.shahed.ac.ir/files/site1/user_files_7561d7/admin-A-10-1-88-d3979f9.pdf .
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