Prevalence of mental ill health, traumas and postmigration stress among refugees from Syria resettled in Sweden after 2011: a population-based survey

BMJ Open, Год журнала: 2017, Номер 7(12), С. e018899 - e018899

Опубликована: Дек. 1, 2017

Objectives To estimate the prevalence of and associations between anxiety, depression, post-traumatic stress disorder (PTSD), low subjective well-being (SWB), potential traumas postmigration among refugees from Syria resettled in Sweden. Design A cross-sectional population-based questionnaire study based on a known complete sample frame. The survey included multiple measures mental ill health factors particular relevance for refugees. Weighted analyses were conducted to calculate representative rates associations. Associations investigated through series logistic regression analyses. All supplemented with robust 95% CIs. Setting Participants random 1215 individuals (response rate 30.4%) aged 18–64 years that granted residency Sweden grounds asylum 2011 2013. Main outcome Anxiety, PTSD SWB assessed Hopkins Symptom Checklist, Harvard Trauma Questionnaire WHO-5 Well-being Index, using established cut-offs. Results majority participants met criteria at least one studied types health, comorbidity was high. Depression most common type 40.2% (95% CI 36.9% 43.3%), followed by 37.7% 34.8% 40.1%), anxiety 31.8% 29.2% 34.7%) 29.9% 27.2% 32.6%). Refugee-related potentially traumatic events (PTEs) experienced before or during migration as substantial levels stress. Most refugee-related PTEs, especially being exposed interpersonal violence, associated increased risks PTSD. Conclusions Mental terms PTSD, are highly elevated comorbid Syria. Increased attention societal sectors adequately support Syrian refugees’ needs, promoting recovery reducing needed.

Язык: Английский

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The Mental Health Costs of Armed Conflicts—A Review of Systematic Reviews Conducted on Refugees, Asylum-Seekers and People Living in War Zones

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(4), С. 2840 - 2840

Опубликована: Фев. 6, 2023

Aims: Armed conflicts produce a wide series of distressing consequences, including death, all which impact negatively on the lives survivors. This paper focuses specifically mental health consequences war adults and child/adolescent refugees or those living in zones through review systematic reviews and/or meta-analyses published from 2005 up until current time. Results: Fifteen conducted adult populations, seven relating to children adolescents, were selected for purpose this review. Prevalence rates anxiety, depression post-traumatic stress disorder (PTSD) two- three-fold higher amongst people exposed armed conflict compared who had not been exposed, with women being most vulnerable outcome conflicts. A war-related, migratory post-migratory stressors contribute short- long-term issues internally displaced, asylum seekers refugees. Conclusion: It should be required social responsibility psychiatrists psychiatric associations commit raising awareness political decision-makers as caused by conflicts, part their duty care experiencing war.

Язык: Английский

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A Systematic Review of Factors Affecting Mental Health and Well-Being of Asylum Seekers and Refugees in Germany

Frontiers in Psychiatry, Год журнала: 2021, Номер 12

Опубликована: Март 18, 2021

Background: Since the onset of 2015 European refugee crisis, ~4. 46 million people have sought asylum in Union, with Germany logging largest share all applications. In addition to severe adversities before and during flight, process settling into a new environment involves stressors that affect psychological well-being mental health. The aim this systematic review was examine contextual factors post-migration influence health seekers refugees (ASRs) Germany. Methods: Following PRISMA guidelines, conducted across multiple databases for English German studies published between 2020 index keywords. Results: From total 303 articles, 156 duplicates were removed and, after title review, another 87 excluded not meeting inclusion criteria. After assessing abstracts remaining 60 39 excluded. Full texts 21 articles assessed eligibility excluding 8 13 included review. results demonstrate high rates distress among ASRs significant on their well-being. risk poor include an uncertain status, living shared accommodations, separation from nuclear family, lack language skills, integration issues discrimination, while employment is protective factor. Conclusion: Asylum prevalence directly influenced by Based these findings, policy makers are strongly recommended apply preventive strategies reduce problems

Язык: Английский

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Ethnic inequalities in the incidence of diagnosis of severe mental illness in England: a systematic review and new meta-analyses for non-affective and affective psychoses

Social Psychiatry and Psychiatric Epidemiology, Год журнала: 2019, Номер 54(11), С. 1311 - 1323

Опубликована: Сен. 3, 2019

Although excess risks particularly for a diagnosis of schizophrenia have been identified ethnic minority people in England and other contexts, we sought to identify synthesise up-to-date evidence (2018) affective addition non-affective psychoses by specific groups England. Systematic review meta-analysis differences diagnosed incidence England, searching nine databases reviews (citing relevant studies up 2009) an updated search three between 2010 2018. Studies from both searches were combined meta-analyses allowing coverage more than previously. We included 28 primary studies. Relative the majority population, significantly higher found Black African (Relative risk, RR 5.72, 95% CI 3.87–8.46, n = 9); Caribbean (RR 5.20, 4.33–6.24, 21); South Asian 2.27, 1.63–3.16, 14); White Other 2.24, 1.59–3.14, Mixed Ethnicity 1.32–3.80, 4). Significantly also revealed: 4.07, 2.27–7.28, 5); 2.91, 1.78–4.74, 16); 1.71, 1.07–2.72, 8); 1.55, 1.32–1.83, 6.16, 3.99–9.52, The risk is elevated groups, but all including those previously not assessed through (White Other, Ethnicity). This calls further research on broader disadvantages affecting people.

Язык: Английский

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Social support attenuates the link between torture exposure and post-traumatic stress disorder among male and female Syrian refugees in Sweden

BMC International Health and Human Rights, Год журнала: 2019, Номер 19(1)

Опубликована: Сен. 5, 2019

The aim of this study is threefold: (i) to establish the psychometric properties and gender invariance ENRICHD Social Support Inventory (ESSI), which was used for first time in present population Syrian refugees resettled Sweden; (ii) assess whether moderates associations between social support, exposure torture PTSD; (iii) support mediates association PTSD, mediation turn moderated by gender. Data from a cross-sectional population-based random sample (n = 1215) Sweden 2011˗2013 analyzed within Structural Equation Modeling (SEM) framework. Our results indicate adequate fit unidimensional model ESSI. Exposure associated with lower (B ˗0.22, p < 0.01) higher odds ratio (OR) PTSD (OR 2.52, 95% Confidence interval (CI) 1.83˗3.40). Furthermore, less likelihood ˗0.56, 0.001). partially mediated effect on 1.13, bias corrected bootstrap CI 1.06˗1.26). Gender did not moderate pattern. that attenuates link may function as protective factor among both torture-exposed refugee men women.

Язык: Английский

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Complex Posttraumatic Stress Disorder Symptom Profiles in Traumatized Refugees

Journal of Traumatic Stress, Год журнала: 2019, Номер 32(6), С. 822 - 832

Опубликована: Окт. 24, 2019

Abstract Although it is well documented that exposure to severe, cumulative trauma and postdisplacement stress increases the risk for posttraumatic symptom disorder (PTSD), less known about representation predictors of complex PTSD (CPTSD) symptoms in refugee populations. We examined CPTSD profiles (co‐occurring disturbances self‐organization [DSO] symptoms) their premigration, postmigration, demographic predictors, using latent class analysis (LCA), a cohort 112 refugees resettled Australia. The LCA identified four‐factor model as best fit data, comprising classes categorized as: (a) CPTSD, exhibiting high levels DSO (29.5%); (b) only (23.5%); (c) affective dysregulation (AD) (31.9%); (d) low (15.1%). Membership was specifically associated with traumatization, OR = 1.56, 95% CI [1.15, 2.12], 1.64, 2.34]; female gender, 14.18, [1.66, 121.29], 16.84, [1.78, 159.2], relative low‐symptom class. Moreover, AD membership significantly predicted by insecure visa status, 7.53, [1.26, 45.08], 7.19, [1.23, 42.05]. These findings are consistent ICD‐11 highlight contributions contextual from uncertainty cohorts, particularly those characterized AD.

Язык: Английский

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Refugee trauma measurement: a review of existing checklists

Public health reviews, Год журнала: 2016, Номер 37(1)

Опубликована: Сен. 9, 2016

Studies have shown that a high proportion of refugees been subjected to potentially traumatic experiences (PTEs). PTEs, including torture, are powerful predictors mental ill health. This paper reports review refugee trauma history self-report measures used in population studies. A existing instruments and checklists, up September 2015, was performed. The types for vary from semi-structured interviews medical records extensive multi-item trauma-checklists. Harvard Trauma Questionnaire (HTQ) the most commonly instrument measuring among populations. Few checklists included PTEs during flight. often as tool control background variables when studying refugees' health mostly developed clinical or semi-clinical settings. There is need acceptable, reliable valid brief refugees, purpose performing larger scale

Язык: Английский

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Development and Preliminary Validation of Refugee Trauma History Checklist (RTHC)—A Brief Checklist for Survey Studies

International Journal of Environmental Research and Public Health, Год журнала: 2017, Номер 14(10), С. 1175 - 1175

Опубликована: Окт. 4, 2017

A high proportion of refugees have been subjected to potentially traumatic experiences (PTEs), including torture. PTEs, and torture in particular, are powerful predictors mental ill health. This paper reports the development preliminary validation a brief refugee trauma checklist applicable for survey studies.A pool 232 items was generated based on pre-existing instruments. Conceptualization, item selection refinement conducted existing literature collaboration with experts. Ten cognitive interviews using Think Aloud Protocol (TAP) were performed clinical setting, field testing proposed total sample n = 137 asylum seekers from Syria.The history (RTHC) consists 2 × 8 items, concerning PTEs that occurred before during respondents' flight, respectively. Results show low non-response adequate psychometric properties Conclusion: RTHC is usable tool providing self-report data surveys community samples. The core set included events can be augmented slight modifications applied use also other populations settings.

Язык: Английский

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Health-related quality of life among Syrian refugees resettled in Sweden

Quality of Life Research, Год журнала: 2019, Номер 29(2), С. 505 - 514

Опубликована: Окт. 15, 2019

Abstract Purpose The main purpose of this study was to assess health-related quality life (HRQoL) among Syrian refugees resettled in Sweden. Further, we wanted investigate whether sex, age, education, area residence, cohabitation and social support were associated with HRQoL population. Methods This is a cross-sectional including 1215 from randomly selected sample frame Sweden between the years 2011 2013. measured by EQ-5D-5L descriptive system, index values calculated. Associations cohabitation, investigated using multiple linear regression analysis. Results Depression/anxiety most commonly (61.9%) reported problem group refugees. mean value found be 0.754. Male younger higher score. Conclusions Our results concerning long-lasting health problems population indicate that there profound need for policies interventions promoting refugees’ health. also show support, modifiable factor, relevant overall health, pointing importance public targeting facilitation, mobilization enhancing support.

Язык: Английский

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War in Ukraine and Racism: The Physical and Mental Health of Refugees of Color Matters

International Journal of Public Health, Год журнала: 2022, Номер 67

Опубликована: Апрель 27, 2022

COMMENTARY Int J Public Health, 27 April 2022 https://doi.org/10.3389/ijph.2022.1604990

Язык: Английский

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