Prevalence of Mental Distress Among Syrian Refugees With Residence Permission in Germany: A Registry-Based Study

Frontiers in Psychiatry, Год журнала: 2018, Номер 9

Опубликована: Авг. 28, 2018

Background: High rates of prevalence mental distress among the Syrian refugee population have been repeatedly confirmed. However, little is known about influence length stay, living conditions, and residence permission in host country or duration escape journey travel conditions on health this population. This study examines refugees, taking into account circumstances their origin country, as well conditions. Methods: investigation formed part a registry-based study. A sample 518 adult refugees Erlangen, Germany, who was identified. The response rate 38.6%; total 200 thus participated respondents were investigated for post-traumatic stress disorder (ETI), depression (PHQ-9), generalized anxiety (GAD-7) post-migration variables. Results: participants had personally experienced and/or witnessed traumatic events 75.3%. Symptoms PTSD found 11.4% participants. Moderate to severe confirmed 14.5% moderate 13.5% sample. criteria at least one diagnosis met by 30.5% More symptoms associated with older age, shorter validity permit, larger number (TEs) higher symptoms. Depression younger journey, TEs Generalized correlated female gender, PTSD, Conclusions: These findings suggest that Germany are vulnerable population, especially if they multiple events. positive future prospects can be protective factors

Язык: Английский

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ICD‐11 PTSD and complex PTSD amongst Syrian refugees in Lebanon: the factor structure and the clinical utility of the International Trauma Questionnaire

Acta Psychiatrica Scandinavica, Год журнала: 2018, Номер 138(6), С. 547 - 557

Опубликована: Окт. 24, 2018

Objective Support for ICD ‐11 post‐traumatic stress disorder ( PTSD ) and complex CPTSD is growing; however, few studies include refugees or examine the clinical utility of / classifications. This study sought to provide first evaluations (i) factor structure amongst in Middle East; (ii) International Trauma Questionnaire ITQ identify a humanitarian context. Method Participants were 112 treatment‐seeking Syrian living Lebanon. Factorial validity was assessed using confirmatory analysis CFA based on responses . Clinical through semi‐structured interviews with six Lebanese psychotherapists. Results Complex (36.1%) more common than (25.2%), no sex age differences observed at prevalence symptomatic levels. results supported two‐factor higher‐order model consistent Qualitative findings indicated that generally positively regarded, some limitations suggested modifications noted. Conclusion support East Findings growing evidence cross‐cultural applicability

Язык: Английский

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Prevalence of Mental Disorders in the WHO Eastern Mediterranean Region: A Systematic Review and Meta-Analysis

Frontiers in Psychiatry, Год журнала: 2021, Номер 12

Опубликована: Июль 14, 2021

Objectives: To synthesize the prevalence of mental and substance use disorders in countries Eastern Mediterranean Region (EMR) World Health Organization. Methods: The literature search was conducted across several databases two phases. First, we searched for systematic reviews and/or meta-analyses published before 2014, reporting estimates EMR. Then, identified new primary cross-sectional or longitudinal studies between 2014 2020. Studies were included if they had a sample size ≥ 450 among general adult population. Current, period lifetime each disorder pooled using random-effects meta-analyses, subgroup analyses meta-regressions conducted. Findings: Prevalence extracted from 54 15 within Pooled current, showed highest depression (14.8%, 95% confidence interval, CI: 10.7–20.1%), followed by generalized anxiety (GAD) (10.4%, 7.1–14.7%), post-traumatic stress (7.2%, 2.9–16.6%), (4.0%, 3.1–5.2%), obsessive compulsive (2.8%, 1.6–4.9%), phobic (1.8%, 1.1–2.8%), panic (1.1%, 0.6–2.2%), bipolar (0.7%, 0.3–1.6%), psychosis (0.5%, 0.3–0.9%). Populations exposed to adverse events higher than Period little difference disorders. More pronounced differences seen GAD, specifically current (depression: 20.5% (95% 14.9–27.4%), vs. prevalence: 4.2% (95%CI: 1.8–9.6%); GAD: 10.3% 6.1–17.0), 4.5% 2.4–8.3%). Differences may be due different screening instruments thresholds being applied. Conclusion: EMR is high. Despite substantial inter-survey heterogeneity, our align with previous global regional data on Our meta-review provides evidence burden health problems Systematic Review Registration: PROSPERO, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020187388 .

Язык: Английский

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Psychological well-being of Ukrainian students three months after the emerge of full-scale war

Psychiatria Polska, Год журнала: 2024, Номер 58(1), С. 121 - 151

Опубликована: Фев. 28, 2024

Cel pracy przedstawienie ogólnego stanu psychicznego dużej grupy studentów różnych uniwersytetów w Ukrainie trzy miesiące po wybuchu wojny na pełną skalę. Metoda 1142 uczestników zostało poproszonych o określenie swojego dobrostanu skali od 0 do 10 przed, i rozpoczęciu się Objawy zaburzeń zdrowia zostały zmierzone przy pomocy kwestionariuszy dotyczących depresji (PHQ-9), lęku (GAD-7), problemów ze snem (ISI), odżywiania (SCOFF), nadużywania alkoholu (CAGE) stresu pourazowego (PC-PTSD-5). Do oceny związków między zmiennymi wykorzystano test χ2. Moc określono współczynników Phi and V Cramera. Dodatkowo, wykorzystując metody uczenia maszynowego (model regresji XGBoost) utworzono model predykcyjny objawów depresyjnych Wyniki 66% badanych zgłosiło występowanie PTSD, 45% - umiarkowanych lub ciężkich lękowych, 47% depresyjnych. Ponadto 19% miało objawy umiarkowanej ciężkiej bezsenności, 15% nadużywanie alkoholu, a 31% zaburzenia odżywiania. Nasilenie różniło zależności m.in. płci, roku studiów, statusu społecznego. Zgodnie z modelem predykcyjnym, niższy początkowy poziom psychicznego, płeć żeńska, młodszy wiek, początkowe lata studiów przeżycie jakiegokolwiek doświadczenia traumatycznego, tym traumy złożonej, prowadziły wyższych wyników zakresie depresyjności. Powrót poprzedniego miejsca zamieszkania relokacji był czynnikiem protekcyjnym. Wnioski Badanie wykazało wysokie rozpowszechnienie psychicznych wśród podczas pierwszych miesięcy Najsilniejszym predyktorem uzyskanym modelu predykcyjnym przed wojną.

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Prevalence of depression and anxiety in end-stage renal disease: A survey of patients undergoing hemodialysis

Applied Nursing Research, Год журнала: 2018, Номер 43, С. 80 - 85

Опубликована: Июль 26, 2018

Язык: Английский

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The mediating role of post-traumatic stress disorder symptoms in the relationship between childhood adversities and depressive symptoms in two samples

Child Abuse & Neglect, Год журнала: 2022, Номер 131, С. 105707 - 105707

Опубликована: Июнь 14, 2022

Язык: Английский

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A joint international collaboration to address the inevitable mental health crisis in Ukraine

Nature Medicine, Год журнала: 2022, Номер 28(6), С. 1103 - 1104

Опубликована: Май 13, 2022

Язык: Английский

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Mental health of university students twenty months after the beginning of the full-scale Russian-Ukrainian war

BMC Psychiatry, Год журнала: 2025, Номер 25(1)

Опубликована: Март 12, 2025

Russia's full-scale military invasion of Ukraine on February 24, 2022 led to an increase anxiety and depressive states, psychosomatic manifestations, a tendency abuse alcohol psychoactive substances in the population. The aim this paper is examine mental health burden among university students twenty months after war identify risk protective factors for problems. A cross-sectional study was conducted Ukrainian October 2023 (n = 1398). online survey included sociodemographic data collection, evaluation psychological well-being measured depression, anxiety, PTSD symptoms insomnia. Normality variables verified by Kolmogorov–Smirnov test. An independent-samples t-test, Mann–Whitney U-test, χ2 test analysis variance were used compare data. Differences PHQ-9 GAD-7 levels based characteristics analyzed using ANOVA. Correlation between calculated with Pearson correlation, adjusted Benjamini-Hochberg procedure. To develop predictive model XGBoost algorithm employed, additionally, SHAP utilized. Symptoms PTSD, as well moderate severe insomnia, reported 48.1%, 34.1%, 33.6%, 19.3% students, respectively. severity these varied such sex, age, prior trauma experiences, living conditions. Additionally, type relocation (within or abroad) significantly influenced outcomes. majority participants (68.5%) experience war-related traumatic events. Factors linked higher depression symptom scores lower initial well-being, greater social media use, female gender, exposure multiple events, experiences assault sexual violence, loss loved one, pre-existing ongoing treatment during war, use psychotropic medications. face significant due high rates insomnia symptoms. These findings highlight importance tailored interventions through different stakeholders that take into account individual needs, past burdens usage.

Язык: Английский

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Depression in post-traumatic stress disorder

Reviews in the Neurosciences, Год журнала: 2020, Номер 31(7), С. 703 - 722

Опубликована: Авг. 31, 2020

Abstract Major depressive disorder (MDD) symptoms commonly occur after trauma-exposure, both alone and in combination with post-traumatic stress (PTSD). This article reviews recent research on comorbidity between these disorders, including its implications for symptom severity response to treatment. Despite considerable overlap, the two disorders represent distinct constructs depend, at least part, separate biological mechanisms. Both, however, are also clearly related psychopathology. We recommend that more focus specifically study of individual differences expression order identify subgroups individuals develop targeted treatments. However, a barrier this line inquiry is trend excluding particular patients from clinical trials new interventions based or comorbidity. Another obstacle overreliance self-report measures human research. argue developing computer-based behavioral supplement can help address challenge. Furthermore, we propose tie findings non-human animal A number paradigms have been used model MDD-and PTSD-like behavior animals. These models remain valuable understanding basis humans identifying potential interventions, but they underused Although interpretation remains concern, be overcome through development close analogs paradigms.

Язык: Английский

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A Generation at Risk: The Impacts of Lebanon's Escalating Humanitarian Crisis on Children

Frontiers in Public Health, Год журнала: 2021, Номер 9

Опубликована: Авг. 16, 2021

Lebanon is in the midst of a rapidly escalating, unprecedented humanitarian crisis that plunging country deep into poverty and threatens population well-being, economic development, social welfare national regional stability. The dire situation due to compounding effects August 2020 Beirut blast, massive collapse COVID-19 pandemic, setting longstanding entrenched political corruption dysfunctional, mismanaged response by state. This current emergency occurs on background turbulent history complex geopolitical context – including Syrian refugee crisis, ongoing influence foreign actors their local proxies, United-States-imposed sanctions, endemic corruption, culture nepotism entitlement among dynasties, dysfunctional power-sharing deep-seated sectarian divides. With over half now living poverty, generation children are those at risk. Perspective provides brief overview Lebanon's discusses impacts evolving youth proposes suite recommendations mitigate effects.

Язык: Английский

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