Journal of Nervous and Mental Disease
Volume 195, Issue 9, 2007, Pages 715-722

Asylum seekers seeking mental health services in the United States: Clinical and legal implications (Article)

Piwowarczyk L.*
  • a Boston University School of Medicine, Department of Psychiatry, Boston Center for Refugee Health and Human Rights, Boston, MA, United States, Boston University School of Medicine, Department of Psychiatry, Boston Center for Refugee Health and Human Rights, One Boston Medical Center Place, Boston, MA 02118, United States

Abstract

Asylum seekers flee their countries in search of safety due to persecution at home. Characteristics were assessed of 134 consecutive asylum seekers who sought mental health services at a program caring for survivors of torture and refugee trauma, using a chart review of patients seen between January 1999 and December 2002. Two-thirds of the sample were female, and 82% came from Africa. Eighty-four percent of the sample reported a history of torture, and one-half experienced rape or attempted rape. Most common diagnoses included posttraumatic stress disorder and depression. Predictors of torture included: posttraumatic stress disorder [odds ratio (OR) = 4.93, p = 0.03], rape (OR = 4.23, p = 0.035), and political persecution (OR = 9.28, p = 0.006). Most common self-reported health problems were headaches (29.9%), sexual dysfunction (26.1%), chronic pain (12.7%), and gastrointestinal symptoms (11.2%). © 2007 Lippincott Williams & Wilkins, Inc.

Author Keywords

Torture Asylum seeker Sexual violence

Index Keywords

depression longitudinal study refugee mental health service psychological aspect human Longitudinal Studies Refugees survivor middle aged statistics gastrointestinal disease violence Survivors Self Report pain health status Chronic Pain comparative study Aged Depressive Disorder Sexual Dysfunctions, Psychological Mental Health Services chronic disease diagnostic and statistical manual of mental disorders Mental Disorders sexual dysfunction mental disease United States Humans Adolescent headache male female psychological rating scale Psychiatric Status Rating Scales Article gastrointestinal symptom major clinical study adult legal aspect posttraumatic stress disorder Stress Disorders, Post-Traumatic politics patient attitude Utilization Review psychosexual disorder Patient Acceptance of Health Care Gastrointestinal Diseases Torture Rape

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-38449123638&doi=10.1097%2fNMD.0b013e318142ca0b&partnerID=40&md5=b7b91521f3f3f4a8251c9eb3b1ee792e

DOI: 10.1097/NMD.0b013e318142ca0b
ISSN: 00223018
Cited by: 19
Original Language: English