Trauma exposure and refugee status as predictors of mental health outcomes in treatment-seeking refugees
Trauma exposure and refugee status as predictors of mental health outcomes in treatment-seeking refugees
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DOI：
10.1192/pb.bp.114.047951
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发表时间：
2015-08-01
期刊：
影响因子：
2.6
通讯作者：
van der Aa, Niels
中科院分区：
文献类型：
--
作者：
Knipscheer, JeroenW.;Sleijpen, Marieke;van der Aa, Niels
目的和方法本研究旨在确定转介到专门精神健康中心的寻求庇护者和难民创伤后应激障碍（PTSD）和抑郁症症状严重程度的预测因素。对688名难民进行创伤暴露（事件数量和领域）、难民身份、创伤后应激障碍和抑郁症严重程度的评估。结果创伤后应激障碍和抑郁症的症状严重程度与难民身份缺失和创伤事件积累显著相关。创伤性事件的四个领域（侵犯人权、缺乏必需品、创伤性损失和与他人分离）与症状严重程度并非唯一相关。所有因素加在一起解释了11%的PTSD和抑郁症的差异。考虑到包括多重创伤事件在内的症状严重程度的多重预测因素，对创伤难民的治疗可能需要采用多模式，并使其能够在合理的时间范围内处理多重创伤记忆。
Aims and method This study aimed to identify predictors of symptom severity for post-traumatic stress disorder (PTSD) and depression in asylum seekers and refugees referred to a specialised mental health centre. Trauma exposure (number and domain of event), refugee status and severity of PTSD and depression were assessed in 688 refugees.Results Symptom severity of PTSD and depression was significantly associated with lack of refugee status and accumulation of traumatic events. Four domains of traumatic events (human rights abuse, lack of necessities, traumatic loss, and separation from others) were not uniquely associated with symptom severity. All factors taken together explained 11% of variance in PTSD and depression.Clinical implications To account for multiple predictors of symptom severity including multiple traumatic events, treatment for traumatised refugees may need to be multimodal and enable the processing of multiple traumatic memories within a reasonable time-frame.