20201218

Arfken, Cynthia L.; Alsaud, Mohammed; Mischel, Edward; Haddad, Luay; Sonderman, Samantha; Lister, Jamey J.; Javanbakht, Arash

doi:10.3998/jmmh.10381607.0012.201

Cited by 5 publications

(7 citation statements)

References 18 publications

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“…Syrian and Iraqi refugees were recruited from two clinics serving the majority of individuals resettling in the area (Arfken et al, 2018;Javanbakht et al, 2018Javanbakht et al, , 2019. Inclusion criteria were: age 18 to 65, able and willing to provide informed, written consent, and able to understand English or Arabic.…”

Section: Participantsmentioning

confidence: 99%

Perceived health, adversity, and posttraumatic stress disorder in Syrian and Iraqi refugees

Javanbakht

Grasser

Kim

et al. 2020

Int J Soc Psychiatry

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Background: Exposure to armed conflict and fleeing country of origin for refugees has been associated with poorer psychological health. Methods: Within the first month following their arrival in the United States, 152 Syrian and Iraqi refugees were screened in a primary care setting for posttraumatic stress disorder (PTSD), anxiety, and depression and rated their perceived health, and perceived level of adversity of violence, armed conflict/flight. The moderating effects of psychiatric symptoms on the relation between perceived adversity and perceived health were assessed. Results: Three models based on diagnosis (PTSD, anxiety, and depression) were tested. While significant effects were found on perceived adversity negatively influencing perceived health across diagnoses, slightly different patterns emerged based on diagnosis. Discussion: Findings suggest that refugees’ perception regarding adversity of violence, armed conflict, and flight may contribute to perceived health, with a moderating role of clinically significant symptoms of PTSD, anxiety, and depression.

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Section: Participantsmentioning

confidence: 99%

Perceived health, adversity, and posttraumatic stress disorder in Syrian and Iraqi refugees

Javanbakht

Grasser

Kim

et al. 2020

Int J Soc Psychiatry

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“…Participants were 36 adult refugees (20 females, 16 males) from Syria (25) and Iraqi (8) (3 did not report origin) who resettled in southeast Michigan between June 2016 and May 2017, part of a larger cohort study of refugee mental health [45][46][47]. All participants originated from Syria or Iraq during the same time period and were refugees of war.…”

Section: Methodsmentioning

confidence: 99%

“…Adults completed the PTSD Checklist for Civilians (PCL-C for Diagnostic and Statistical Manual of Mental Disorders version IV (DSM IV)) [48,49] as a measure of post-traumatic stress symptoms and the Hopkins Symptoms Checklist (HSCL-25) [50] as a measure of anxiety and depression. Details of scoring methods have previously been reported in a separate article [45,46]. Briefly, a probable diagnosis for PTSD based on the PCL-C is determined by meeting above-threshold scores across criteria B, C, D, and E as defined by the DSM-IV.…”

Section: Methodsmentioning

confidence: 99%

“…Briefly, a probable diagnosis for PTSD based on the PCL-C is determined by meeting above-threshold scores across criteria B, C, D, and E as defined by the DSM-IV. We have previously used a cutoff of 40 for presence of probable PTSD based on total sum scores [45,46]. For the HSCL-25, a score of 1.75 or higher for the average of the first 10 items is indicative of probable anxiety; a score of 1.75 of higher for the average of the last 15 items is indicative of probable depression.…”

Section: Methodsmentioning

confidence: 99%

“…Trauma is high among Syrian and Iraqi refugees [45][46][47]. However, little attention has been paid to this unique population in research on trauma and trauma-related physiology, psychopathology, and treatment.…”

Section: Introductionmentioning

confidence: 99%

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Inflammation and Trauma-Related Psychopathology in Syrian and Iraqi Refugees

Grasser

Burghardt

Daugherty

et al. 2020

Behavioral Sciences

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Refugees experience high rates of post-traumatic stress disorder (PTSD), anxiety, and depression due to exposure to civilian war trauma and forced migration. Inflammatory products may offer viable biological indicators of trauma-related psychopathology in this cohort, promoting rapid and objective assessment of psychopathology. Incoming Syrian and Iraqi refugees (n = 36) ages 18-65 completed self-report measures of PTSD, anxiety, and depression and provided saliva samples during an assessment at a primary care clinic within the first month of resettlement in the United States. Interleukin 1β (IL-1β) and C-reactive protein (CRP) differentially correlated with symptom severity by domain, and there was a non-significant trend for sex moderating the relation between inflammation and PTSD symptoms. Our findings show unique relations between trauma-related psychopathology and inflammation. There is a need for further research in diverse ethnic cohorts with differential trauma exposures for inflammation to be considered a biological indicator of psychopathology.

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