Posttraumatische und depressive Symptomatik bei Asylsuchenden

Kröger, Christoph; Frantz, Inga; Friel, Pauline; Heinrichs, Nina

doi:10.1055/s-0042-114045

Cited by 31 publications

(21 citation statements)

References 11 publications

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“…Approximately one-third of the participants met the criteria for at least one diagnosis. These results are in contrast to the findings of previous studies from different countries that have shown high prevalence rates of mental distress among Syrian refugees (7–13). …”

Section: Discussioncontrasting

confidence: 99%

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Prevalence of Mental Distress Among Syrian Refugees With Residence Permission in Germany: A Registry-Based Study

et al. 2018

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Background: High rates of prevalence of mental distress among the Syrian refugee population have been repeatedly confirmed. However, little is known about the influence of length of stay, living conditions, and residence permission in the host country or about the duration of the escape journey and travel conditions on mental health in this refugee population. This study examines the mental health of Syrian refugees, taking into account the circumstances in their country of origin and host country, as well as their escape conditions.Methods: This investigation formed part of a registry-based study. A sample of 518 adult Syrian refugees in Erlangen, Germany, who have residence permission was identified. The response rate was 38.6%; a total of 200 Syrian refugees thus participated in the study. The respondents were investigated for post-traumatic stress disorder (ETI), depression (PHQ-9), generalized anxiety (GAD-7) and post-migration variables.Results: The prevalence of participants who had personally experienced and/or witnessed traumatic events was 75.3%. Symptoms of PTSD were found in 11.4% of the participants. Moderate to severe depression was confirmed in 14.5% and moderate to severe generalized anxiety in 13.5% of the sample. The criteria for at least one diagnosis were met by 30.5% of the participants. More severe PTSD symptoms were associated with older age, shorter validity of the residence permit, larger number of traumatic events (TEs) and higher generalized anxiety symptoms. Depression symptoms were associated with younger age, shorter duration of escape journey, larger number of TEs and higher generalized anxiety symptoms. Generalized anxiety symptoms correlated with female gender, PTSD, and depression symptoms.Conclusions: These findings suggest that Syrian refugees in Germany are a vulnerable population, especially if they have experienced and/or witnessed multiple traumatic events. However, post-migration conditions and positive future prospects in the host country can be protective factors for this population.

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Section: Discussioncontrasting

confidence: 99%

“…Several studies have investigated the mental health problems of Syrian refugees in recent years. Prevalence rates range from 20.5 to 35.7% for PTSD (7–12), from 20 to 43.9% for depression (7–9, 12, 13), and from 19.3 to 31.8% for anxiety (8, 12). …”

Section: Introductionmentioning

confidence: 99%

Prevalence of Mental Distress Among Syrian Refugees With Residence Permission in Germany: A Registry-Based Study

et al. 2018

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“…In comparison to other studies about refugees from Syria [12,13,14] and Iraq [15,16], we found consistent results. Compared to studies from Germany [17,18,19], we found similar or higher levels of mental distress.…”

Section: Discussioncontrasting

confidence: 52%

“…In general, the prevalence rates in the literature for depression in refugees vary between 3% and 47%, and for anxiety between 5% and 90% [4]. In studies in Germany, the prevalence rates for depression vary between 20% and 80% [10,17,18,19], and for anxiety between 19.3% and 80% [10,18]. In our sample, 57.1% of the asylum seekers endorsed symptoms of at least moderate depression and 39.3% for at least moderate anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…Also, the prevalence rates could have been underestimated due to avoidance reactions by highly distressed refugees who did not participate in this survey. During the significantly increased arrival of refugees in the summer of 2015, Kröger et al [19] estimated the extent of posttraumatic stress and depressive symptoms amongst adult asylum seekers from different regions (Balkan States, the Middle East, Northern Africa, rest of Africa) in Braunschweig, Germany. Participants reported high total numbers of traumatic events.…”

Section: Introductionmentioning

confidence: 99%

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High Manifestations of Mental Distress in Arabic Asylum Seekers Accommodated in Collective Centers for Refugees in Germany

Georgiadou

Morawa

Erim

2017

IJERPH

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The number of asylum seekers in Germany has significantly increased in the last two years. Coming from regions of political conflict and war, the refugees have often experienced traumatic events which designate them as a high risk group for mental disorders. In a sample of Arabic speaking asylum seekers in collective accommodation centers in Erlangen, Germany, we estimated the extent of posttraumatic stress, depression, and anxiety. A further objective of the study was to test the comprehensibility and cultural appropriateness of the Arabic translations of the questionnaires in this sample. Between August and September 2016, 56 Arabic speaking asylum seekers placed among three collective accommodation centers in Erlangen completed self-report questionnaires assessing posttraumatic stress disorder (Essen Trauma-Inventory, ETI), and symptoms of depression (Patient Health Questionnaire—depression module, PHQ-9) and anxiety (Generalized Anxiety Disorder, GAD-7). The prevalence of participants with personally and/or witnessed traumatic events was 80.4% (n = 45). About one-third of the examinees (35.7%, n = 20) endorsed symptoms of PTSD (posttraumatic stress disorder). The total score for depression in this sample was M = 11.9 (SD = 7.9, range: 0–27). Moderate to severe depression (PHQ-9 score ≥ 15) was found in 35.7% (n = 20) of our sample and severe depression (PHQ-9 score ≥ 20) was found in 23.2% (n = 13). The total score for anxiety was M = 8.8 (SD = 6.9, range: 0–21), with 26.8% (n = 15) of the sample showing symptoms of severe anxiety (GAD-7 score ≥ 15). No significant difference between women and men with respect to frequency and symptom scores of PTSD, depression, and anxiety was found. Amongst asylum seekers of the presented sample, the rates of traumatic events as well as the prevalence of possible PTSD, depression, and anxiety were significantly higher than in the German population. This indicates that the refugee population is in need of culturally sensitive psychological interventions. However, more studies are required to improve the understanding of mental health among this particularly vulnerable population.

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Screening for Posttraumatic Stress Disorder in Refugees: Comparison of the Diagnostic Efficiency of Two Self‐Rating Measures of Posttraumatic Stress Disorder

Wulfes

Pozo

Buhr-Riehm

et al. 2019

Journal of Traumatic Stress

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There is a high prevalence of posttraumatic stress disorder (PTSD) in the refugee population. In order to identify affected individuals and offer targeted help, there is an urgent need for easily understandable, reliable, valid, and efficient screening measures. The aim of the present study was to compare the diagnostic efficiency of the Process of Recognition and Orientation of Torture Victims in European Countries to Facilitate Care and Treatment (PROTECT) questionnaire (PQ) to that of the eight‐item short‐form Posttraumatic Diagnostic Scale (PDS‐8) and the Patient Health Questionnaire (PHQ‐9). Using structured clinical interviews, the prevalence rates of PTSD and major depression episode (MDE) were assessed in a refugee sample (N = 118), and receiver operating characteristic analyses were determined and compared. Of participants in the sample, 29.7%, 95% CI [22.0%, 38.5%], were diagnosed with PTSD and 33.1%, 95% CI [24.4%, 41.9%], were diagnosed with MDE. The area under the curve (AUC) for all measures was moderate, AUCs = 0.79–0.86; hence, measures did not differ in terms of their discriminatory abilities. Using the favored cutoff points, sensitivity and specificity were 80–97% and 60–70%, respectively. In terms of their discriminatory abilities, none of the investigated measures can be favored more than the others. Thus, for detection of these two disorders, the shorter PQ could be more efficient. Because the high co‐occurrence of PTSD and MDE might limit the explanatory power of results in the present study, the findings should be cross‐validated in the future.

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Posttraumatische und depressive Symptomatik bei Asylsuchenden

Cited by 31 publications

References 11 publications

Prevalence of Mental Distress Among Syrian Refugees With Residence Permission in Germany: A Registry-Based Study

Prevalence of Mental Distress Among Syrian Refugees With Residence Permission in Germany: A Registry-Based Study

High Manifestations of Mental Distress in Arabic Asylum Seekers Accommodated in Collective Centers for Refugees in Germany

Screening for Posttraumatic Stress Disorder in Refugees: Comparison of the Diagnostic Efficiency of Two Self‐Rating Measures of Posttraumatic Stress Disorder

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