Complex post-traumatic stress disorder

The Lancet, Journal Year: 2022, Volume and Issue: 400(10345), P. 60 - 72

Published: July 1, 2022

Language: Английский

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Prevalence, comorbidities, and factors associated with prolonged grief disorder, posttraumatic stress disorder and complex posttraumatic stress disorder in refugees: a systematic review

Conflict and Health, Journal Year: 2024, Volume and Issue: 18(1)

Published: April 16, 2024

Abstract Background The number of refugees worldwide is at an all-time high with many being exposed to potentially traumatic events and the loss loved ones. 11 th revision International Statistical Classification Diseases Related Health Problems now includes prolonged grief disorder complex posttraumatic stress revised criteria for disorder. An overview these stress-related disorders among people who have become therefore needed. Consequently, we conducted a systematic review determine prevalence rates, comorbidities, associated factors each disorders. Method We systematically searched PubMed, Web Science, PsycArticles identify studies that reported predictors or factors, and/or comorbid mental either (1) disorder, (2) (3) refugees. selection process followed PRISMA guidelines. Results A total 36 met inclusion criteria. Most were quality. There was substantial variation in rates by ranging from 6 54%, 0.4 80%, 3 74.6%. Pooled estimated 29.8% treatment seeking samples 9.92% population samples. For it 57.4% 7.8% Posttraumatic most frequent comorbidities while depressive symptoms frequently occurring co-morbidity across all three Sociodemographic variables, trauma exposure, characteristics higher symptom severity. Postmigration living difficulties played important role Conclusion revealed differences between studied but underscored very ICD-11 identified point subgroups may be particularly risk establishes foundational basis targeted interventions potential policy changes. Future research should incorporate longitudinal investigations emphasize culturally sensitive assessments.

Language: Английский

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Post-migration Social–Environmental Factors Associated with Mental Health Problems Among Asylum Seekers: A Systematic Review

Journal of Immigrant and Minority Health, Journal Year: 2020, Volume and Issue: 22(5), P. 1055 - 1064

Published: May 19, 2020

People seeking asylum are at an increased risk of mental disorder compared to refugees and other migrants. This paper aims understand the impact postmigration social-environmental factors help inform efforts reduce rates disorder. We conducted a systematic review searching 11 databases, as well 6 government nongovernment websites. asked 5 experts for recommendations, carried out forwards backwards citation tracking. From 7004 papers 21 were eligible had appropriate data. Narrative synthesis was conducted. 24 Social-environmental identified categorised into 7 themes: working conditions, social networks, economic class, living healthcare, community identity, immigration system. Evidence suggests that discrimination post-migration stress associated with The environment influences health people asylum. Discrimination key factors, warranting further research public attention.

Language: Английский

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Gender, sex and complex PTSD clinical presentation: a systematic review

European journal of psychotraumatology, Journal Year: 2024, Volume and Issue: 15(1)

Published: March 20, 2024

Background: Post-traumatic stress disorder (PTSD) prevalence and clinical presentation reportedly vary with gender and/or sex. Equivalent complex PTSD (CPTSD) research is in its relative infancy to date no systematic review has been conducted on this topic.

Language: Английский

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Barriers to access to outpatient mental health care for refugees and asylum seekers in Switzerland: the therapist’s view

BMC Psychiatry, Journal Year: 2020, Volume and Issue: 20(1)

Published: July 17, 2020

Abstract Background More than 120,000 refugees and asylum seekers are currently living in Switzerland. The prevalence of mental disorders among this population is significantly higher that the general population. While effective treatment options cross-cultural, specialized centers exist, they tend to be overloaded by their target populations. General outpatient primary health care providers might able compensate for lack slots. To date, however, it unknown how often under what conditions (e.g., length waiting lists) treated outside whether there barriers prevent settings from treating more patients subgroup. present study aimed assess challenges faced psychiatrists psychotherapists working Switzerland determine potential capacity group provide care. Methods An online survey was conducted during winter 2017/2018. constructed three official languages took 10–15 min complete. Spearman’s correlations, Mann-Whitney U-Tests, Chi-squared tests were analyze data. Results Eight hundred sixty-seven ( N = 867) completed survey: 43% them reported having between 1 9 or past 12 months, a further 13% 10 more. Interpreters used almost every other patient with refugee asylum-seeker background. At same time, funding interpreters, as well general, biggest hurdles seekers. Conclusions Given low number rejected reasons (between 2 5%) median times admission new ranging 3 weeks, treat relieve centers. However, such interpreters seem hinder them. Appropriate steps authorities needed improve current situation.

Language: Английский

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Associations between postmigration living situation and symptoms of common mental disorders in adult refugees in Europe: updating systematic review from 2015 onwards

BMC Public Health, Journal Year: 2023, Volume and Issue: 23(1)

Published: July 5, 2023

Abstract Background Refugees and asylum seekers have a high prevalence of psychiatric disorders such as post-traumatic stress disorder (PTSD), anxiety, depression. The postmigration context inheres different risk protective factors for mental health refugees in host countries. We conducted systematic review to update knowledge on the association between characteristics living situation (PMLS) outcomes Europe since 2015. Methods searched five databases according PRISMA statement. From total 5,579 relevant studies published 2015–22, 3,839 were included title abstract screening, 70 full texts screened eligibility. Out these, 19 European countries after 2014 this review. quality was assessed by using Mixed Appraisal Tool (MMAT) – version 2018. performed narrative synthesis four layers social determinants framework. Results A wide range PMLS identified exposure measures, which individual (e.g., language skills), community networks family concerns, loneliness support, discrimination), working conditions legal status, duration residence, unemployment financial hardship, housing) well general socio-economic, cultural environmental acculturation). found stressors are positively associated with symptoms depression, PTSD, albeit not consistently so. Especially, showed weak associations health. Conclusions Heterogenous study likely explain inconsistent outcomes. However, broken down its component layers, most significantly showing same direction across studies, while some or resources turns out be less homogeneous than expected. Characteristics contribute diseases seekers. Disadvantages socio-economic conditions, access need redressed, addition better care.

Language: Английский

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Complex trauma, PTSD and complex PTSD in African refugees

European journal of psychotraumatology, Journal Year: 2019, Volume and Issue: 10(1)

Published: Dec. 10, 2019

Background: The introduction of the diagnosis complex posttraumatic stress disorder (CPTSD) by ICD-11 is a turning point in field traumatic studies. It's therefore important to examine validity CPTSD refugee groups exposed trauma (CT) defined as repeated, prolonged, interpersonal event.Objective: objective this study was compare DSM-5 and post-traumatic diagnoses evaluate discriminant PTSD constructs sample treatment-seeking refugees living Italy.Method: included 120 African Italy. All participants were survivors at least one CT. assessed according both criteria.Results: Findings revealed that 79% met criteria for PTSD, 38% 30% CPTSD. Generally, items evidenced strong sensitivity negative predictive power, low specificity positive power. Latent class analysis results identified two distinct groups: (1) class, (2) class. None demographic trauma-related variables analysed significantly associated with diagnostic group. On other hand, months spent Italy PCL-5 score.Conclusions: extend current evidence base support amongst torture gross violations human rights. suggest also that, phase, time 'safe place' condition contributes improve severity symptomatology, but neither variable nor socio-demographic factors seem contribute emergence PTSD. Further investigations are needed clarify which specific vulnerability influence development or trauma.

Language: Английский

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Prevalence of complex post-traumatic stress disorder in refugees and asylum seekers: systematic review

BJPsych Open, Journal Year: 2021, Volume and Issue: 7(6)

Published: Oct. 15, 2021

Background Refugees and asylum seekers often report having experienced numerous complex traumas. It is important to understand the prevalence of post-traumatic stress disorder (CPTSD), which can follow Aims This systematic review aims summarise available literature reporting in refugees three operationalised definitions CPTSD: ICD-11 diagnostic criteria, ICD-10 criteria (for enduring personality change after catastrophic experience) DSM-IV disorders extreme not otherwise specified). Method Six electronic databases were searched for studies CPTSD adult refugee and/or asylum-seeking samples. Owing heterogeneity between studies, a narrative synthesis approach was used studies. Methodological quality assessed using Joanna Briggs Critical Appraisal Checklist Prevalence Studies. has been registered with PROSPERO (registration number CRD42020188422, https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=188422 ). Results Systematic searches identified 15 eligible 10 examining treatment-seeking samples five population 16 38%. ranged from 2.2 9.3% four fifth much higher estimate (50.9%). Conclusions highlights both high treatment lack research aiming establish populations. Understanding these disabling implications policy healthcare services appropriate promotion, planning provision suitable interventions this highly traumatised population.

Language: Английский

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Prevalence, predictors and associations of complex post-traumatic stress disorder with common mental disorders in refugees and forcibly displaced populations: a systematic review

European journal of psychotraumatology, Journal Year: 2021, Volume and Issue: 12(1)

Published: Jan. 1, 2021

: The inclusion of complex post-traumatic stress disorder (CPTSD) in ICD-11 represents a turning point for the field traumatic stress, with accumulative evidence this refugees and displaced populations.

Language: Английский

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Contemporaneous and temporal network analysis of complex Posttraumatic stress disorder among Chinese college students with Childhood adversity: A longitudinal study

Psychiatry Research, Journal Year: 2024, Volume and Issue: 336, P. 115872 - 115872

Published: March 24, 2024

Language: Английский

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