scholarly journals A Mental Health Profile of 900 Newly Arrived Refugees in Denmark Using ICD-10 Diagnoses

2021 ◽  
Vol 14 (1) ◽  
pp. 418
Author(s):  
Anne Mette Fløe Hvass ◽  
Lene Nyboe ◽  
Kamilla Lanng ◽  
Claus Vinther Nielsen ◽  
Christian Wejse
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Somatoform Disorders ◽  
Health Assessment ◽  
University Hospital ◽  
Health Profile ◽  
Post Traumatic Stress ◽  
High Prevalence ◽  
Icd 10 ◽  
Post Traumatic

(1) Background: Recognizing mental health problems in newly arrived refugees poses a challenge. Little is known of the mental health profile of refugees currently arriving in Northern Europe. (2) Method: In total, we included 900 adult (≥18 years old) refugees arriving in Aarhus, Denmark, between 1 January 2014 and 1 January 2020. All participants accepted an offer of a voluntary systematic health assessment from the municipality in Aarhus, including a mental health screening. (3) Results: Within this cohort, 26% (237/900) of the participants were referred to the Department of Psychiatry, Aarhus University Hospital, 24% (212/900) were in contact with the department and 21% (185/900) received ≥1 psychiatric diagnosis. Within the subpopulation referred (n = 237), 64% (152/237) were diagnosed with post-traumatic stress disorder (PTSD) (DF431), 14% (34/237) with neurotic, stress-related and somatoform disorders (F40–F48) and 13% (30/237) with major mood disorders (F30–F39). Among the participants referred to the Department of Psychiatry and participants receiving a diagnosis, we found an overrepresentation of participants originating from the Southern Asian region (Pakistan, Afghanistan and Iran) and with an age above 44 years. (4) Conclusion: We found a high prevalence of both referrals and psychiatric diagnoses in newly arrived refugees. Attention to psychiatric conditions in refugees and systematic health assessments during resettlement are needed.

scholarly journals Online Mental Health Assessments of COVID-19 Patients in South Korea

2021 ◽  
Vol 12 ◽  
Author(s):  
Jung Hyun Lee ◽  
Dayoung Lee ◽  
Soyoen Hyun ◽  
Ji Sun Hong ◽  
Chang-Hoon Kim ◽  
...  
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Mental Health Problems ◽  
Health Problems ◽  
Self Report ◽  
Patient Health Questionnaire ◽  
Health Questionnaire ◽  
Post Traumatic Stress ◽  
Patient Health ◽  
Post Traumatic

Experiences of infectious diseases cause stressful and traumatic life events, hence, coronavirus disease 2019 (COVID-19) patients could suffer from various mental health problems requiring psychological support services. This study investigates the severity of mental health problems among confirmed COVID-19 patients. From March to November 2020, we collected the data from 118 COVID-19 patients who voluntarily participated in the National Center for Disaster Trauma's online mental health assessment consisting of self-report scales like Primary Care of Posttraumatic Stress Disorder screen (PC-PTSD), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Patient Health Questionnaire-15 (PHQ-15), and P4 Suicidality Screener. For control, 116 other disaster-experienced and 386 non-COVID-19-experienced participants were recruited. The COVID-19 patients showed more severe symptoms including post-traumatic symptoms, depression, anxiety, and somatic symptoms than control groups across all four screening scales (p < 0.001). Regarding high-risk, COVID-19 patients had an increased association with high-risk compared to the comparison groups (PC-PTSD: OR = 24.16, 95% CI = 13.52–43.16 p < 0.001; PHQ-9: OR = 14.45, 95% CI = 8.29–25.19, p < 0.001; GAD-7: OR=20.71, 95% CI = 10.74–39.96, p < 0.001; PHQ-15: OR = 5.65, 95% CI = 3.44–9.25, p < 0.001; P4: OR = 14.67, 95% CI = 8.95–25.07, p < 0.001). This study's results imply that there is a high-risk of overall mental health problems, especially stronger associations of post-traumatic stress symptoms, in COVID-19 patients. These findings help inform practitioners about the psychological responses to COVID-19 experiences and to prepare appropriate interventions and services for the incremental number of confirmed cases.

Dynamics aspects in ex-combatants experienced PTSD

2011 ◽  
Vol 26 (S2) ◽  
pp. 1087-1087
Author(s):  
M. Tadevosyan ◽  
A. Babakhanya-Gambaryan
Keyword(s):  
Traumatic Stress ◽  
Somatoform Disorders ◽  
Self Report ◽  
Post Traumatic Stress ◽  
Icd 10 ◽  
Post Traumatic ◽  
The One ◽  
Psychological Features ◽  
Level 2 ◽  
Observation Period

IntroductionGrowing stress and extreme situations create serious psychological problems, for solving which a person must get adopted to new situations different from stress- formed conditions, “suppressing” herewith spontaneous aggression and anxiety that quite often leads to both forming anti- and asocial behavior and the development of somatoform disorders.ObjectiveThe purpose of this study is to examine the development of several PTSD (post traumatic stress disorder) symptoms actual in PTSD dynamics.AimTo determine how growing of actual parameters impacts on development of PTSD.MethodsIn this study material of observation, testing and diagnoses of 30 male Karabagh war volunteers at the age of 35–61 (48 ± 8) were used. The psychiatric disorders (among the examined patients) corresponded to ICD-10 diagnostic criteria for PTSD. The observation period included 15–18 years. The clinical self- report scale SCL-90-R was used to assess several psychological features.ResultsAll the actual SCL-90 properties exceed the pathological level (≥2). In particular, somatisation level was 2, 2 ± 0, 5 in 2009 vs. 1, 97 ± 0,10 in 1996. It is caused, on the one hand, by the presence of unconscious suppressed anxiety, on the other hand, by the evident deterioration of the patients’ somatoneurological status. Besides, growing aggression is revealed (SCL- hostility) (2,4 ± 0,8 in 2009 vs. 2, 24 ± 0,16 in 1996), that indicates gradual forming of organic cerebral changes.ConclusionThe comparison of 1996–2009 features enables to hypothesize, that development of actual parameters is essential in PTSD dynamics at the stage of distant results.

scholarly journals Psychological and psychosocial interventions for refugee children resettled in high-income countries

2017 ◽  
Vol 27 (2) ◽  
pp. 117-123 ◽  
Author(s):  
M. Fazel
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Psychosocial Interventions ◽  
High Income ◽  
Refugee Children ◽  
Post Traumatic Stress ◽  
General Mental Health ◽  
Large Numbers ◽  
Post Traumatic ◽  
Science Methodology

Large numbers of refugee children are arriving in high-income countries. The evidence to date suggests that they have mental health needs that are higher than for the general population and that these are exacerbated by the numbers of traumatic events they have experienced and the post-migration stressors they continue to be exposed to. The importance of a thorough and thoughtful assessment is discussed. Treatments of note are described for post-traumatic stress disorder, family functioning, general mental health problems and school environments. Future opportunities to operationalise outcome measures, develop multimodal interventions and utilise implementation science methodology are considered.

Use of telepsychiatry for the management of mental health problems in migrants

2021 ◽  
pp. 633-642
Author(s):  
Keith Hariman ◽  
Antonio Ventriglio ◽  
Dinesh Bhugra
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Mental Health Problems ◽  
Post Traumatic Stress ◽  
Language And Culture ◽  
Heterogenous Group ◽  
Physical Barriers ◽  
Psychiatric Intervention ◽  
Post Traumatic ◽  
Refugees And Asylum Seekers

An estimated 3.3% of the global population lives outside their place of birth. This heterogenous group includes not only high-skilled labour and expats, but also refugees and asylum seekers. Research has shown that the prevalence of certain mental illnesses, such as post-traumatic stress disorder and depression, may be higher in migrants than in the general population. However, some migrants might not be able to receive the relevant mental health treatment owing to various social, cultural, and physical barriers. One possible solution is the use of telepsychiatry, defined as the delivery of psychiatric intervention from a distance. This includes real-time videoconferencing, pre-recorded videos, or even decision support systems. This technology has the ability to connect migrants with a clinician who understands their language and culture, thereby improving the patient satisfaction and outcome. The benefits of telepsychiatry, along with the challenges in its implementation, will be discussed in this chapter, as will potential problems related to ethics, regulation, and confidentiality.

Asylum Adjudication, Mental Health and Credibility Evaluation

2013 ◽  
Vol 41 (3) ◽  
pp. 471-495 ◽  
Author(s):  
Jill Hunter ◽  
Linda Pearson ◽  
Mehera San Roque ◽  
Zac Steel
Keyword(s):  
Mental Health ◽  
Health Assessment ◽  
Poor Mental Health ◽  
Decision Makers ◽  
Psychological State ◽  
Post Traumatic Stress ◽  
Mental Health Assessment ◽  
Expert Opinions ◽  
Post Traumatic ◽  
Answering Questions

This article examines the central role that credibility assessment plays in refugee determinations. It draws on the authors' own empirical study, Tales of the Unexpected, to display the complex ways in which applicants' poor mental health can affect their capacity to present a 'coherent and plausible‘ account of their experiences. The authors then explore the significant issues arising from the tendency revealed in the Tales study for decision makers to dismiss expert opinions expressed in reports tendered by applicants from psychologists specialising in cross-cultural mental health assessment. For example, consider the decision maker who observed that [The] psychologist reported that the Applicant was suffering from post-traumatic stress disorder and depression and that this psychological state was likely to affect his ability to answer questions at an RRT hearing …. [Nevertheless] [Mr S] did not display any difficulty in understanding or answering questions. … He [appeared] alert, engaged, and is clearly an intelligent man. I do not accept that he had any difficulty in understanding proceedings or answering questions.5

scholarly journals Impact of trauma on Palestinian children's mental health: lessons from the Gaza studies

2003 ◽  
Vol 1 (2) ◽  
pp. 5-6 ◽  
Author(s):  
Panos Vostanis
Keyword(s):  
Mental Health ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Mental Health Problems ◽  
Health Needs ◽  
Internal Displacement ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Children Exposed To Violence

Children exposed to violence are at high risk of developing a range of mental health problems, predominantly post-traumatic stress disorder (PTSD) and depression (Yule, 1999). Children in war zones can be affected not only directly but also indirectly, for example through their basic health needs not being met, the loss of family members, disruption of social networks, internal displacement and their parents’ responses.

scholarly journals Post-traumatic stress reactions in survivors of the 2011 massacre on Utøya Island, Norway

2014 ◽  
Vol 204 (5) ◽  
pp. 361-367 ◽  
Author(s):  
Grete Dyb ◽  
Tine K. Jensen ◽  
Egil Nygaard ◽  
Øivind Ekeberg ◽  
Trond H. Diseths ◽  
...  
Keyword(s):  
Mental Health ◽  
General Population ◽  
Traumatic Stress ◽  
Mental Health Problems ◽  
Terrorist Attack ◽  
Subsequent Development ◽  
Health Problems ◽  
Traumatic Experience ◽  
Post Traumatic Stress ◽  
Post Traumatic

BackgroundAlthough youths in many countries have been exposed to terrorism, few studies have examined early risk and protective factors for the subsequent development of mental health problems.AimsTo investigate the levels of post-traumatic stress in survivors of the 2011 massacre on Ut⊘ya Island compared with the general population in Norway, and to identify predictive factors.MethodFour hundred and ninety survivors were invited to participate. Structured face-to-face interviews were performed 4–5 months after the attack.ResultsThere were 325 study participants (response rate 66%). Survivors had been highly exposed to danger and loss. Post-traumatic stress levels were more than six times higher in survivors than in the general population. Predictors were female gender, minority ethnic status, high level of trauma exposure, pain, the loss of someone close and social support.ConclusionsSurvivor characteristics that can be assessed in the early aftermath of a terrorist attack strongly predict the subsequent mental health problems of exposed youths. The highly elevated symptoms observed were largely attributable to the traumatic experience and reflect the mental health costs of the terrorist attack.

Adolescent Exposure to Violence and Adult Anxiety, Depression, and PTSD

2017 ◽  
Vol 45 (2) ◽  
pp. 185-201
Author(s):  
Herbert C. Covey ◽  
Leah McCoy Grubb ◽  
Robert J. Franzese ◽  
Scott Menard
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Early Adulthood ◽  
Exposure To Violence ◽  
Health Problems ◽  
Post Traumatic Stress ◽  
Parental Violence ◽  
Post Traumatic ◽  
Anxiety Depression ◽  
Adolescent Exposure

The present study investigates how adolescent exposure to violence (AEV), in the form of parental physical abuse, witnessing parental violence, and exposure to violence in the neighborhood, is related to adult anxiety, depression, and post-traumatic stress disorder, controlling for more general adolescent violent victimization and for self-reports and parent reports of mental health problems in adolescence, on a national household-based probability sample of individuals who were adolescents in the mid-1970s and who were followed through early adulthood in the early 2000s. The results suggest that AEV is associated with mental health problems in adolescence but not, controlling for other variables, in adulthood, but there is continuity in mental health problems associated with AEV from adolescence to adulthood.

scholarly journals Self-reported auditory problems are associated with adverse mental health outcomes and alcohol misuse in the UK Armed Forces

2021 ◽  
Author(s):  
Fred N. H. Parker ◽  
Nicola T. Fear ◽  
S. A. M. Stevelink ◽  
L. Rafferty
Keyword(s):  
Mental Health ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Alcohol Misuse ◽  
Mental Health Problems ◽  
Armed Forces ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
The Uk ◽  
Hearing Problems

Abstract Purpose Auditory problems, such as hearing loss and tinnitus, have been associated with mental health problems and alcohol misuse in the UK general population and in the US Armed Forces; however, few studies have examined these associations within the UK Armed Forces. The present study examined the association between auditory problems and probable common mental disorders, post-traumatic stress disorder and alcohol misuse. Methods 5474 serving and ex-service personnel from the UK Armed Forces were examined, selected from those who responded to phase two (data collection 2007–09) and phase three (2014–16) of a military cohort study. Multivariable logistic regression was used to examine the association between auditory problems at phase two and mental health problems at phase three. Results 9.7% of participants reported ever experiencing hearing problems alone, 7.9% reported tinnitus within the last month alone, and 7.8% reported hearing problems with tinnitus. After adjustment, hearing problems with tinnitus at phase two was associated with increased odds of probable common mental disorders (AOR = 1.50, 95% CI 1.09–2.08), post-traumatic stress disorder (AOR = 2.30, 95% CI 1.41–3.76), and alcohol misuse (AOR = 1.94, 95% CI 1.28–2.96) at phase three. Tinnitus alone was associated with probable post-traumatic stress disorder (AOR = 1.80, 95% CI 1.03–3.15); however, hearing problems alone were not associated with any outcomes of interest. Conclusions The association between auditory problems and mental health problems emphasises the importance of the prevention of auditory problems in the Armed Forces: through enhanced audiometric screening, improved hearing protection equipment, and greater levels of utilisation of such equipment.

scholarly journals Literature Review: Quarantine and Lockdown During Covid19 Outbreak Impact on Mental Health Problem

2020 ◽  
Vol 12 (1si) ◽  
pp. 29
Author(s):  
Dea Rosa Gracia ◽  
Erica Rosa Rubetta
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Human Life ◽  
Virus Transmission ◽  
Post Traumatic Stress ◽  
Short Sleep Duration ◽  
Public Places ◽  
Social Interventions ◽  
Post Traumatic ◽  
The Government

Introduction: COVID-19 is a unique disease that was first confirmed in Wuhan, Wubei, China in late 2019 and within 6 months the virus spread rapidly throughout the world. The obscurity in overcoming this virus is the background of the interventions applied. Several interventions conducted, such as nationwide lockdowns, quarantine and isolation. In addition to avoid the virus transmission, these interventions also have psychological impacts that affect the mental health. Methods: We did a review of the mental health outcomes referring to several interventions amid COVID-19 outbreak using two databases. Out of 302 papers found by the search engine, 5 articles were counted in this review. Discussion: Most reviewed researches proclaimed adverse mental health problems, along with anxiety, stress, and post-traumatic stress disorder. Stressors consist of infection fears, grieves, boredom, stigma, faulty information, short sleep duration, and minimum social activities. Several researchers have proposed abiding effects. Conclusion: Social interventions which are imposed limit the process of meeting the needs of human life. It is crucial to point out the mental health of the population and take charge to diminish its adverse effects for the time being. Therefore, the Government needs to implement a strict and fair policy, especially on the issue of community survival. Public health protocol socialization needs to be done, especially in controlling the transmission of viruses in public places, such as malls, public transportations, schools, workplaces, and many other.

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