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Am J Psychiatry 1987; 144:1567-1572
Copyright © 1987 by American Psychiatric Association
The psychosocial impact of war trauma and torture on Southeast Asian refugees
RF Mollica, G Wyshak and J Lavelle
Harvard Medical School, Massachusetts General Hospital, Boston 02114.
More than 700,000 refugees from Southeast Asia have settled in the United
States since 1975. Although many have suffered serious trauma, including
torture, few clinical reports have described their trauma- related symptoms
and psychosocial problems. The authors conducted a treatment study of 52
patients in a clinic for Indochinese. They found that these patients were a
highly traumatized group; each had experienced a mean of 10 traumatic
events and two torture experiences. Many of the patients had concurrent
diagnoses of major affective disorder and posttraumatic stress disorder as
well as medical and social disabilities associated with their history of
trauma. The authors also found that Cambodian women without spouses
demonstrated more serious psychiatric and social impairments than all other
Indochinese patient groups.
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