scholarly journals 1217The prevalence of post-traumatic stress disorder in Syrian refugees increased after long-distance migration

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Andreas Halgreen Eiset ◽  
Michaelangelo P. Aoun ◽  
Monica Stougaard ◽  
Annemarie Graa Gottlieb ◽  
Ramzi S. Haddad ◽  
...  

Abstract Background Refugees are forced migrants but there is a large variation in the distance that refugees cover. Previous studies suggest an inverse association between long-distance migration and self-reported health in the general population but there is a knowledge gap in the health effects of migration in refugee populations. Here, we estimate the association between long-distance migration and post-traumatic stress disorder (PTSD), a severe mental health disorder associated with deteriorating mental and somatic health. Methods Included were 712 adult Syrian refugees and asylum seekers newly arrived in Lebanon and Denmark. PTSD was assessed using the Harvard Trauma Questionnaire, confounding was handled by propensity score-weighting with covariates age, sex, socioeconomic status, trauma experience, and WHO-5-score after multiply imputing missing data, and the 95-percentile confidence interval (CI) was computed by bootstrapping. Results The prevalence of PTSD was high in both Lebanon (55%) and Denmark (60%). After adjusting for biases the prevalence difference increased to 9 percentage point (95-percentile CI: [-1; 19] percentage point). All sensitivity analysis produced estimates of the same magnitude and direction, except when grossly violating the assumption of multiple imputation which halved the magnitude of the association. Conclusions Long-distance migration was associated with an estimated 87 additional cases of PTSD for every 1000 Syrian refugees. This is a first step in examining the effects of migration in refugee health. Key messages Long-distance migration was positively associated with 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 ◽  
...  

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.


Author(s):  
Hariri El Mehdi ◽  
Sellouti Mohamed ◽  
Nguadi Jaouad ◽  
Chhoul Hakima

Introduction : Odontophobia is a complex anxiety disorder related to excessive fear of dental care. Of multifactorial origin, it affects more females than males at all ages. Odontophobia can also be associated with other disorders, namely post-traumatic stress disorder (PTSD), which is recognized in refugees from civil wars. Materials and methods : Descriptive and analytical cross-sectional epidemiological study, carried out during February 2020 at the Syrian refugee camp in Zaatari, Jordan, involving 200 consultants at the dental office to assess their degree of odontophobia and to determine the risk factors associated with this disorder, particularly post-traumatic stress disorder (PTSD). Results : The authors collated 200 subjects of which 125 (62.5%) were phobic with a corah score (> or = to 13) and 75 (37.5%) were non-phobic with a corah score (< to 13). The sex ratio was statistically different between the two populations with a predominance of female sex (p=0.025). odontophobia is also related to the length of time spent in Syria during the civil war, it is observed more in 96 (48%) patients who spent between (13 and 24 months) (p=0.017). Similarly, odontophobia is influenced by post-traumatic stress disorder in its severe form (p=0.011). Conclusion: Descriptive and analytical observational epidemiological study showing the high prevalence of odontophobia among Syrian refugees consulting at the dental office of the Moroccan military medical-surgical hospital in Zaatari camp in Jordan and its influence by post-traumatic stress disorder (PTSD).


2019 ◽  
Vol 48 (7) ◽  
pp. 677-687 ◽  
Author(s):  
Emma k. Peconga ◽  
Marie Høgh Thøgersen

Background: The crisis in Syria has resulted in vast numbers of refugees seeking asylum in Syria’s neighboring countries and Europe. Refugees are at considerable risk of developing common mental disorders, including depression, anxiety, and post-traumatic stress disorder. Since the war, no systematic review has been conducted regarding the prevalence of these in the Syrian refugee group. Research is needed to develop strategies to improve the integration of Syrian refugees. Objective: This study provides a systematic review of peer-reviewed articles that feature originally collected data regarding the prevalence of post-traumatic stress, depression, and anxiety in adult Syrian refugees. Methods: The authors searched online databases (PsychInfo, PubMed, PILOTS) for peer-reviewed articles that used validated screening tools to provide mental health prevalence rate estimates in adult Syrian refugees. This article explores potential sources of heterogeneity, including individual risk factors such as demographic and environmental variables. Results: In total, 15 eligible studies provided cross-sectional data for 8176 adult Syrian refugees resettled in 10 countries, with significant variation in assessment and sampling methods. Combined, these studies indicate prevalence rates of 43.0% (range: 23.4–83.4%) for post-traumatic stress, 40.9% (range: 20–44.1%) for depression, and 26.6% (range: 19.30–31.8%) for anxiety morbidity in adult Syrian refugees. Larger and more rigorous surveys reported similar prevalence rates to studies with less rigorous designs, but vast heterogeneity in prevalence of morbidity persisted among all. Conclusions: Syrian refugees could be over 10 times more likely to develop post-traumatic stress and other disorders than the general population. Although there are limitations when comparing studies with different research methodologies, the results of this study suggest increased focus on adequate mental health support is necessary.


Author(s):  
Carolina Rodriguez-Paras ◽  
Farzan Sasangohar

Post-traumatic stress disorder (PTSD) is a common mental health disorder that can affect those who have experienced a traumatic event. Despite the availability of different treatment options for PTSD, there are several barriers that prevent some patients from receiving treatment. To overcome these barriers, mobile health (mHealth) apps have been developed to allow access to therapeutic and self-assessment tools outside the clinic. Our review of literature shows that the three mostly used apps (PTSD Coach, PE Coach, and CPT Coach) are not empirically evaluated and very little information is available for the process used in design and development of these tools. This paper documents a usability study of the most popular PTSD mHealth app; PTSD Coach. Findings indicate that the learning component of the app provides useful information, the assessment is effective in keeping track of the symptoms, and that some of the tools provided can help mitigate some of the symptoms. However, the color scheme, lack of personalization options, and lack of clarity on the mitigation techniques was deemed to affect usability.


2016 ◽  
Vol 46 (12) ◽  
pp. 2583-2593 ◽  
Author(s):  
C. Acarturk ◽  
E. Konuk ◽  
M. Cetinkaya ◽  
I. Senay ◽  
M. Sijbrandij ◽  
...  

BackgroundPrevious research indicates a high prevalence of post-traumatic stress disorder (PTSD) and depression among refugees. Eye movement desensitization and reprocessing (EMDR) is an effective treatment for PTSD for victims of natural disasters, car accidents or other traumatic events. The current study examined the effect of EMDR on symptoms of PTSD and depression by comparing the treatment with a wait-list control condition in Syrian refugees.MethodAdult refugees located in Kilis Refugee Camp at the Turkish–Syrian border with a PTSD diagnosis were randomly allocated to either EMDR (n= 37) or wait-list control (n= 33) conditions. All participants were assessed with the Mini-International Neuropsychiatric Interview Plus at pre-intervention, at 1 week after finishing the intervention and at 5 weeks after finishing the intervention. The main outcome measures were the Harvard Trauma Questionnaire (HTQ) and the Impact of Event Scale-Revised. The Beck Depression Inventory and the Hopkins Symptoms Checklist-25 were included as secondary outcome measures. The Trial Registration no. is NCT01847742.ResultsMixed-model analyses adjusted for the baseline scores indicated a significant effect of group at post-treatment indicating that the EMDR therapy group showed a significantly larger reduction of PTSD symptoms as assessed with the HTQ. Similar findings were found on the other outcome measures. There was no effect of time or group × time interaction on any measure, showing that the difference between the groups at the post-treatment was maintained to the 5-week follow-up.ConclusionsEMDR may be effective in reducing PTSD and depression symptoms among Syrian refugees with PTSD located in a refugee camp.


2016 ◽  
Vol 15 (10) ◽  
pp. 936-941 ◽  
Author(s):  
Ahmed Mohammad Al-Smadi ◽  
Hanan Jameil Halaseh ◽  
Omar Salem Gammoh ◽  
Ala Fawzi Ashour ◽  
Besher Gharaibeh ◽  
...  

Author(s):  
Vicki Bitsika ◽  
Christopher F. Sharpley

Young people with autism are often bullied at school, a potential direct correlate of Post-Traumatic Stress Disorder (PTSD). This may be compounded by their difficulties in social interaction. Alternately, some of these young people may develop ‘coping strategies’ against bullying that may have an inverse association with PTSD. As a vulnerable population for PTSD, a sample of 71 young males with autism were surveyed for their self-reported experiences of being bullied at school, their coping strategies for dealing with this bullying, and their own evaluations of the severity of two of the key diagnostic criteria for PTSD. Their mothers also provided a rating of the severity of the three major diagnostic criteria for autism for these boys. Over 80% of this sample had been bullied, and there was a significant direct correlation between this and PTSD score, and between their mother-rated severity of the boys’ social interaction difficulties, but also a significant inverse correlation between their coping strategies and PTSD score. There were differences in these relationships according to whether the boys attended elementary or secondary school. These findings hold implications for the identification, assessment and support of autistic youth at risk of PTSD.


2017 ◽  
Vol 72 ◽  
pp. 41-47 ◽  
Author(s):  
Francois Kazour ◽  
Nada R. Zahreddine ◽  
Michel G. Maragel ◽  
Mustafa A. Almustafa ◽  
Michel Soufia ◽  
...  

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