Naslov
Refugees with psychological disturbances and psychiatric hospitalization : when and why?

Autori
Kozarić-Kovačić, Dragica ; Folnegović-Šmalc, Vera ; Marušić, Ana

Vrsta, podvrsta i kategorija rada
Poglavlja u knjigama, stručni

Knjiga
War violence, Trauma and the Coping Process

Urednik/ci
Arcel, L.T ; Tocilj Šimunković, G.

Izdavač
Nakladništvo Lumin

Grad
Zagreb

Godina
1998

Raspon stranica
101-106

ISBN
953-6289-10-5

Ključne riječi
refugees, psychiatric hospitalization
(psychological adaptation, refugees, displaced persons)

Sažetak
An important dilemma in the treatment of persons with psychotrauma is whether hospital treatment is necessary or ont. Our two-year experience with a large number of refugees that we encountered in several refugee camps, a counselling office in the community, and a psychiatric hospital, is that certain psychological disturbances present a strong indication for either in or out-patient treatment in a psychiatric hospital. Of the 500 patients treated as in -patients in the Department for General Psychiatry, Vrapče Psychiatric Hospital in Zagreb in 1994, 20.8% were refugees from Bosnia and Herzegovina and internally displaced persons from Croatia. More than 60% of them did not have a history of psychiatric disease and treatment before the war, and were hospitalised for PTSD (33.8%), PTSD and alcohol abuse (18.5%), anxiotic-depressive syndrome (24.6%), and dementia (23.1%). We believe that psychiatric treatment in an institution has its place in providing psycho-social support to refugees, particularly when a differentation occurs between the war-traumatised persons that have adapted well to the exile, and those that have developed serious psychological disturbances and/or psychiatric symptoms (suicide, prolonged risk behavior because of alcohol abuse, psycho-physical decompensation). The latter require urgent in-patient psychiatric treatment, usually of psychopharmaceutical type, which may be supported by psychotherapeutic methods.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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