Post‐traumatic stress disorder and subthreshold post‐traumatic stress disorder in recent male asylum seekers: An expected but overlooked “European” epidemic

2019 ◽  
Vol 36 (1) ◽  
pp. 37-50
Author(s):  
Emilio Sacchetti ◽  
Andrea Garozzo ◽  
Christian Mussoni ◽  
Daniele Liotta ◽  
Gaia Novelli ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Asylum Seekers ◽  
Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

scholarly journals Causes and Risk Factor of Post-Traumatic Stress Disorder in Adult Asylum Seekers and Refugees

2021 ◽  
Vol 2 (4) ◽  
pp. 410-423
Author(s):  
Abdullah AlRefaie ◽  
Christopher Dowrick
Keyword(s):  
Risk Factors ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Asylum Seekers ◽  
Stress Disorder ◽  
Qualitative Assessment ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Causes And Risk Factors ◽  
Asylum Seekers And Refugees

Objectives: To assess the causes and risk factors of post-traumatic stress disorder (PTSD) in adult asylum seekers and refugees. To explore whether the causes and risk factors of PTSD between male and female adult refugees/asylum seekers are different. Study design: Systematic review of current literature. Data Sources: PubMed, Web of Science, Scopus and Google Scholar up until February 2019. Method: A structured, systematic search was conducted of the relevant databases. Papers were excluded if they failed to meet the inclusion and exclusion criteria. Afterwards, a qualitative assessment was performed on the selected papers. Results: 12 Studies were included for the final analysis. All papers were either case studies/reports or cross-sectional studies. Traumatic events experienced by refugees/asylum seekers are the most frequently reported pre-migration causes of PTSD development, while acculturative stress is the most common post-migration stressor. There were mixed reports regarding the causes of PTSD between both genders of refugees/asylum seekers. Conclusions: This review’s findings have potential clinical application in terms of helping clinicians to risk stratify refugees/asylum seekers for PTSD development and thus aid in embarking on earlier intervention measures. However, more rigorous research similar to this study is needed for it to be implemented into clinical practice.

scholarly journals Complex post-traumatic stress disorder in asylum seekers and victims of trafficking: treatment considerations

BJPsych Open ◽  
2021 ◽  
Vol 7 (6) ◽  
Author(s):  
Sally Jowett ◽  
Angeliki Argyriou ◽  
Odile Scherrer ◽  
Thanos Karatzias ◽  
Cornelius Katona
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Asylum Seekers ◽  
Stress Disorder ◽  
Service Evaluation ◽  
Post Traumatic Stress ◽  
Treatment Needs ◽  
High Prevalence ◽  
Treatment Considerations ◽  
Post Traumatic

Asylum-seekers experience high levels of traumatic events pre-, post- and during migration. Poly-traumatisation is associated with complex post-traumatic stress disorder (CPTSD), which has not yet been extensively explored in this population. CPTSD is a prevalent and highly disabling disorder in the present population requiring culturally sensitive diagnostic and treatment approaches. In this service evaluation, we evidence the high prevalence of CPTSD in an asylum-seeking sample and its association with greater distress compared with PTSD. We outline the treatment needs of asylum seekers with CPTSD.

scholarly journals Long-distance migration was associated with increased prevalence of post-traumatic stress disorder in Syrian refugees

2021 ◽  
Author(s):  
Andreas Halgreen Eiset ◽  
Michaelangelo P Aoun ◽  
Monica Stougaard ◽  
Annemarie Graa Gottlieb ◽  
Ramzi S Haddad ◽  
...  
Keyword(s):  
Health Care ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Asylum Seekers ◽  
Stress Disorder ◽  
Syrian Refugees ◽  
Post Traumatic Stress ◽  
Long Distance ◽  
Post Traumatic ◽  
Refugees And Asylum Seekers

Background: Refugees are forced migrants but there is a large variation in the distance that refugees cover and there is a knowledge gap on how this may affect refugee' health and health care needs. We investigated the association between long-distance migration and post-traumatic stress disorder (PTSD), a serious psychiatric disorder associated with deteriorating mental and somatic health. Methods: Included from 2016-2019 were 712 adult Syrian refugees and asylum seekers in Lebanon and Denmark arrived up to 12 months prior. PTSD was assessed using the Harvard Trauma Questionnaire and the estimate of association was obtained by multiply imputing missing data and adjusting for confounding by propensity score-weighting with covariates age, sex, socioeconomic status, trauma experience and WHO-5-score, reporting the bootstrap 95-percentile confidence interval (95% CI). Additionally, a number of sensitivity analyses were performed. Results: After multiply imputing missing data and propensity score-weighted adjustment for confounding, migration to Denmark instead of Lebanon was associated with an increase in PTSD prevalence of 9 percentage point (95% CI [-1; 19] percentage point). Discussion: We found that long-distance migration was associated with an increase in the prevalence of PTSD suggesting that long-distance migration may be a factor to consider when assessing refugees' and asylum seekers' health. To secure timely and appropriate health care for this vulnerable group we need to remedy the current knowledge gap regarding the health effects of migration. This study is the first step in doing so.

Prevalence of Post-Traumatic Stress Disorder Among Asylum Seekers in Italy: A Population-Based Survey in Sicily

2019 ◽  
Vol 22 (3) ◽  
pp. 634-638 ◽  
Author(s):  
Alessandro Rodolico ◽  
Noemi Vaccino ◽  
Maria C. Riso ◽  
Carmen Concerto ◽  
Eugenio Aguglia ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Asylum Seekers ◽  
Stress Disorder ◽  
Population Based ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Population Based Survey

scholarly journals Asylum-Seekers' Experiences of Trauma-Focused Cognitive Behaviour Therapy for Post-Traumatic Stress Disorder: A Qualitative Study

2012 ◽  
Vol 41 (5) ◽  
pp. 579-593 ◽  
Author(s):  
Felicity Vincent ◽  
Helen Jenkins ◽  
Michael Larkin ◽  
Sue Clohessy
Keyword(s):  
Therapeutic Relationship ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Asylum Seekers ◽  
Stress Disorder ◽  
Special Importance ◽  
Post Traumatic Stress ◽  
Behaviour Therapy ◽  
Cognitive Behaviour ◽  
Post Traumatic

Background: Trauma-focused CBT (TFCBT) is an evidence-based treatment for post-traumatic stress disorder (PTSD), but little is known about whether it is an acceptable and effective treatment for asylum-seekers presenting with PTSD. Aims: This study considers the acceptability of TFCBT for asylum-seekers with PTSD by exploring their experiences of this treatment. Method: Seven asylum-seekers who had received CBT involving a TFCBT component were interviewed using a semi-structured schedule. The transcribed interviews were analysed using interpretative phenomenological analysis (IPA). Interpretative themes were developed iteratively to closely reflect participants’ common and distinct experiences. Results: Six super-ordinate interlinking themes are discussed: Staying where you are versus engaging in therapy; Experiences encouraging engagement in therapy; Experiences impeding engagement in therapy; Importance of the therapeutic relationship; “Losing oneself” and “Regaining life”. Conclusions: Participants described their ambivalence about engaging in TFCBT. Such treatment was experienced as very challenging, but most participants also reported finding it helpful. Various experiences that appeared to encourage or impede engagement are outlined. These preliminary findings suggest that fear of repatriation can impede engagement in TFCBT, but that some asylum-seekers with PTSD still report finding TFCBT beneficial. The clinical implications are discussed, including the special importance of the therapeutic relationship.

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