Traumatisme et fonctionnement psychosocial au Cambodge : étude épidémiologique et recommandations pour l'organisation des soins de santé mentale
(2004)
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- For several years, international public health has been more and more preoccupied with the psychological repercussions of catastrophes. This awareness is playing a part in setting up mental health programmes in a great many countries affected by mass violence (Rwanda, Sierra Leone, Algeria, Kosovo, Cambodia etc). <BR> Nevertheless, controversy remains as to the necessity of such interventions (why mental health programmes ?), the levels of interventions (programmes for who ?) and the type of activity that should be instituted to meet the need (What kind of programme ?). Considering the first question and in order to study the importance (frequency and outcome) of mental health issues in post-conflict settings, we conducted a cross-sectional cluster sample survey among 1320 adults randomly selected within 50 clusters distributes over the Kampong Cham province in Cambodia. The aims of the survey were to estimate the prevalence of psychiatric symptoms and to determine the association between these symptoms and a choosen outcome factor (social dysfunctioning). <BR> The results suggested that, five years after the return of a more stable context in Cambodia, the prevalence of psychiatric symptoms in the community remains high. In addition, these symptoms are strongly associated with social impairment and the importance of mental health problems is demonstrated. <BR> Considering our results and our field practice, we are able to discuss the questions of the target people and the type of mental health programmes that should be implemented. Considering the people to reach, social dysfunctioning would be a possible indicator to identify the populations more in need of mental health cares. Moreover, as the present time, the majority of mental health programmes emphasises a psychosocial approach for communities affected by mass violence. <BR> The health care component is poorly developed and acceptance of clinical interventions remains difficult. Considering the demonstrated importance of the problem, we think that as well as the multidisciplinary psychosocial initiatives at present being promoted, setting up individualised psychiatric care within primary health car system must be strongly encouraged
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Dubois, V. (2004). Traumatisme et fonctionnement psychosocial au Cambodge : étude épidémiologique et recommandations pour l’organisation des soins de santé mentale. https://hdl.handle.net/2078.5/110741