A Follow-Up Study of Mental Health and Health-Related Quality of Life in Tortured Refugees in Multidisciplinary Treatment

Carlsson, Jessica; Mortensen, Erik Lykke; Kastrup, Marianne

doi:10.1097/01.nmd.0000180739.79884.10

Cited by 106 publications

(108 citation statements)

References 38 publications

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“…Although the HSCL-25 scores and the HTQ-IV scores improved following treatment, the level of change was non-significant. Previous studies have reported similar non-significant reductions in overall levels of PTSD, anxiety, and depression (Birck, 2001;Carlsson et al, 2005; Mollica, Wyshak, …”

Section: Discussionmentioning

confidence: 57%

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Can disability predict treatment outcome among traumatized refugees?

Jørgensen¹,

Auning-Hansen²,

Elklit

2017

Torture

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The aim of the present study was to examine the influence of disability on changes in symptoms of PTSD, anxiety, and depression among treatment-seeking traumatized refugees. Eighty-one refugees participated in different rehabilitation programs. PTSD symptomatology was assessed by the HTQ-IV and symptoms of depression and anxiety were assessed by the HSCL-25. Disability was assessed by the WHODAS 2.0 before treatment. Following treatment, no statistically significant changes in PTSD, depression, and anxiety symptom scores were observed. Disability in the domain 'getting along' was a significant predictor of PTSD scores following treatment, when controlling for baseline scores. Neither total disability nor individual disability domains predicted any other symptom changes. Living with one's partner did, however, seem to be a consistent and significant predictor of treatment outcome. The results are discussed in terms of clinical implications and future research needs.

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Section: Discussionmentioning

confidence: 57%

“…Lavelle, Truong, Tor, & Yang, 1990), while others found statistically significant symptom reductions following multidisciplinary treatment (Brune, Haasen, Krausz, Yagdiran, Bustos, & Eisenman, 2002;Carlsson et al, 2005;Raghavan et al, 2013). There may be several reasons for these non-significant findings.…”

Section: S C I E N T I F I C a R T I C L Ementioning

confidence: 73%

Can disability predict treatment outcome among traumatized refugees?

Jørgensen¹,

Auning-Hansen²,

Elklit

2017

Torture

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“…In terms of sociodemographic variables predicting treatment outcome, the results are mixed. Stenmark, Guzey, Elbert, and Holen (2014) found that female participants responded better to a treatment programme for PTSD than male participants, while other studies did not find gender to predict treatment outcome (Carlsson et al, 2005; Haagen et al, 2017; Stenmark, Catani, Neuner, Elbert, & Holen, 2013). In terms of age being associated with treatment outcome, a study with refugees from Bosnia-Herzegovina suggests that younger refugees might respond better to group treatment and/or medication in terms of PTSD symptom reduction than older ones (Drozdek, 1997), while Carlsson et al (2005) did not find associations between age and treatment outcome.…”

Section: Introductionmentioning

confidence: 99%

“…However, for most measures the sample size was quite small (ranging from n = 7 to n = 21). Another multimodal intervention conducted at a specialized treatment centre for refugees in Denmark with refugees from various backgrounds showed no significant symptom changes after an average of nine months treatment (Carlsson, Mortensen, & Kastrup, 2005). After an average of 23 months treatment (Carlsson, Olsen, Kastrup, & Mortensen, 2010), symptoms of PTSD, depression and anxiety decreased significantly from baseline to follow-up, while quality of life did not change significantly.…”

Section: Introductionmentioning

confidence: 99%

Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors

Stammel

Knaevelsrud

Schock³

et al. 2017

European Journal of Psychotraumatology

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Background: Multidisciplinary treatment approaches are commonly used in specialized psychosocial centres for the treatment of traumatized refugees, but empirical evidence for their efficacy is inconsistent. Objective: In order to obtain more evidence on the development of mental health and well-being of traumatized refugees who receive multidisciplinary treatment, symptom courses of posttraumatic stress disorder (PTSD), anxiety, depression and somatoform symptoms as well as in the subjective quality of life were investigated in the course of a multidisciplinary treatment. In addition, it was analysed if sociodemographic variables were predictors for possible changes in symptomatology and quality of life. Method: N = 76 patients of the outpatient clinic of a psychosocial centre for traumatized refugees receiving regular multidisciplinary treatment were surveyed using standardized questionnaires at three measurement points (at the beginning of treatment, and after an average of 7 and 14 months of treatment) in a single-group design. Results: Multilevel analysis showed significant improvements of symptoms of PTSD (p < .001), depression (p < .001), anxiety (p < .001), and somatoform symptoms (p = .002) as well as of the subjective quality of life (p < .001) over time. Among the tested predictors (gender, age, country of origin), age was a significant predictor for the course of somatoform symptoms (p < .05). Younger patients showed greater improvements in symptomatology over time than older ones. Conclusions: The results suggest that the received multidisciplinary treatment had a positive effect on trauma-related symptoms as well as on quality of life of traumatized refugees. There was no indication that sociodemographic characteristics predicted the symptom courses of the patients, except for somatoform symptoms. Younger patients benefitted more from multidisciplinary treatment than older ones.

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“…Violence -Relevance for mental health, key points Data from Refs 3,[7][8][9][10][11][12][13][14] <<AU: Please check mention of Box 1 and move as needed. Mention was added by the Publisher.>> An increasing host of data demonstrates long term impact not only on the individual, but also on social networks, economy and society ( 15 ) that must be seen as interfacing (see Box 1).…”

Section: Introductionmentioning

confidence: 99%

Facing Violence – A Global Challenge

Wenzel

Kienzler

Wollmann

2015

Psychiatric Clinics of North America

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Violence has been shown lead to a global challenge leading to long lasting social, medical and mental health sequels. In this article we focus on massive social violence affecting groups such as war and civil war. Models developed in Western Europe and North America for understanding trauma related health problems and developing interventions cannot be sufficient to address this global health challenge. Culture is an important aspect of this challenge. Revisions of the APAs Diagnostical and Statistical Manual in DSM V, the discussion of dimensional approaches, new approaches in public mental and community health and closer interdisciplinary collaboration indicate a paradigm shift that reflects the complexity of issues. In displaced populations, the benefit of flight might be unbalanced by further problems due to forced migration. Social suffering and mental health problems related to violence as a global public health problem can only be tackled with a holistic approach that takes cultural, social, legal and economic determinants into account, and might also need a strong focus on human rights. Research that can give a reliable assessment of complex long term outcomes is still largely missing, and can be seen as a major and complex challenge for future research. Key points:• Sequels to violence can, due to their high prevalence and potentially severe long term impact, be seen globally as the potentially largest mental health challenge.• Displacement can add additional challenges for victims and health care systems.• An interdisciplinary approach integrating medical, and psychological but also legal and sociological aspects is required to address understanding, treating and preventing violence.• A stronger focus on subjective, culture based and dimensional factors, as partly reflected in the new DSM V models, needs to be part of any intervention.

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A Follow-Up Study of Mental Health and Health-Related Quality of Life in Tortured Refugees in Multidisciplinary Treatment

Cited by 106 publications

References 38 publications

Can disability predict treatment outcome among traumatized refugees?

Can disability predict treatment outcome among traumatized refugees?

Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors

Facing Violence – A Global Challenge

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