Transcultural Psychiatry
Volume 54, Issue 5-6, 2017, Pages 595-610

Posttraumatic stress disorder and comorbid depression among refugees: Assessment of a sample from a German refugee reception center (Article)

Belz M.* , Özkan I. , Graef-Calliess I.T.
  • a Asklepios Clinical Center Göttingen, Germany; University Medical Center Göttingen, Germany
  • b Asklepios Clinical Center Göttingen, Germany
  • c Clinical Center Wahrendorff, Germany

Abstract

In 2015, a large number of refugees arrived in Germany, mostly driven to emigrate by devastating circumstances in their countries of origin. Arriving refugees are distributed to reception centers within the German federal states, frequently facing marginal conditions in terms of overcrowding or waiting time of several months until their application for asylum is processed. Most of these refugees underwent numerous traumatizing experiences—both in their country of origin and while fleeing from their country of origin. Furthermore, they faced and will likely continue to face various access barriers to mental health care. In this study, we assessed a sample of 85 refugees from a reception center in Germany selected due to their observed psychological strain. Results showed that the majority suffered from posttraumatic stress disorder, mostly with symptoms of intrusion, hyperarousal, avoidance, and dissociation. Most refugees also suffered from comorbid depression. We discuss implications of these findings for reception services and the need for more preventive psychiatric care. © 2017, © The Author(s) 2017.

Author Keywords

posttraumatic stress disorder (PTSD) Migration Refugees application for asylum refugee reception

Index Keywords

Germany depression refugee mental health service clinical feature human sex difference comorbidity middle aged Refugees statistics and numerical data Depressive Disorder Mental Health Services mental health care mental dissociation Young Adult Humans avoidance behavior Adolescent male female Behavior Article major clinical study adult hyperarousal behavior intrusion behavior posttraumatic stress disorder Stress Disorders, Post-Traumatic disease severity Psychological Trauma psychotrauma disease association Health Services Accessibility health care delivery

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85037735359&doi=10.1177%2f1363461517745473&partnerID=40&md5=444b8c72eaf7bcd926614adcc79eb152

DOI: 10.1177/1363461517745473
ISSN: 13634615
Cited by: 5
Original Language: English