European Journal of Psychotraumatology
Volume 5, Issue SUPPL, 2014

Gender and offender status predicting treatment success in refugees and asylum seekers with PTSD (Article) (Open Access)

Stenmark H.* , Guzey I.C. , Elbert T. , Holen A.
  • a Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway, Centre on Violence, Traumatic Stress and Suicide Prevention, Mid-Norway, St. Olav University Hospital, Trondheim, Norway
  • b Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway, Department of Research and Development, Division of Psychiatry, St. Olav University Hospital, Trondheim, Norway
  • c Department of Psychology, University of Konstanz, Konstanz, Germany
  • d Department of Neuroscience, Norwegian University of Science and Technology, Trondheim, Norway, Pain Care Unit, St. Olav University Hospital, Trondheim, Norway

Abstract

Background: Current knowledge is limited regarding patient characteristics related to treatment outcome of posttraumatic stress disorders (PTSD) in refugees and asylum seekers. Objective: Gender, torture status, offender status, level of anger, and level of depression were investigated for possible effects on the treatment outcome. Method: Patient characteristics were explored in 54 refugees and asylum seekers who had completed a treatment program for PTSD. Non-responders (10), those who had the same or higher levels of symptom severity after treatment, were compared with responders, those who had lower symptom severity after treatment (44). Symptom severity was measured by Clinician-Administered PTSD Scale. The non-responders and responders constituted the dichotomous, dependent variable. The independent variables were gender, torture status, offender status, level of anger, and level of depression. T-tests and Exact Unconditional Homogeneity/Independence Tests for 2×2 Tables were used to study the relationship to treatment outcome. Results: Being male and reporting to have been a violent offender were significantly more frequent characteristics among the non-responders compared to the responders. The levels of pretreatment anger, depression and torture status did not affect the treatment outcome. Conclusions: The study adds support to findings that females benefit more from treatment of PTSD than males and that violent offenders are difficult to treat within the standard treatment programs. © 2014 Håkon Stenmark et al.

Author Keywords

Offender Patient characteristics Gender Treatment Torture trauma

Index Keywords

[No Keywords available]

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940111171&doi=10.3402%2fejpt.v5.20803&partnerID=40&md5=b1da9ba7a052f942d138d47ba27316b1

DOI: 10.3402/ejpt.v5.20803
ISSN: 20008066
Cited by: 23
Original Language: English