Social Psychiatry and Psychiatric Epidemiology
Volume 49, Issue 11, 2014, Pages 1793-1804

Somatization in refugees: a review (Article)

Rohlof H.G.* , Knipscheer J.W. , Kleber R.J.
  • a Foundation Centrum’45/Foundation Arq, Rijnzichtweg 35, Oegstgeest, 2342 AX, Netherlands
  • b Utrecht University/Foundation Arq, Heidelberglaan 1, Utrecht, 3584 CS, Netherlands
  • c Utrecht University/Foundation Arq, Heidelberglaan 1, Utrecht, 3584 CS, Netherlands

Abstract

Purpose: To present a review of the literature concerning medically unexplained physical symptoms in refugees.Methods: We outline a variety of definitions and explanations of somatization, as well as the role of culture in the concept of disease. In addition, we present a review of the epidemiological literature about somatization in refugees.Results: Refugees from non-Western countries exhibit more unexplained somatic symptoms than the general Western population. Although different studies have employed different methodologies and are therefore difficult to compare, it can be concluded that refugees form a particular population in which somatization is prominent.Conclusions: Potential, not mutually exclusive, explanations of the high number of somatic symptoms in the refugee population include general psychopathology, specifically traumatisation, results of torture, and stigmatisation of psychiatric care. There are implications for assessment, clinical treatment and further research concerning somatization in refugees. © 2014, Springer-Verlag Berlin Heidelberg.

Author Keywords

Migrants traumatization Medically unexplained physical symptoms Refugees somatization

Index Keywords

male cultural anthropology Torture female Culture refugee Social Stigma Somatoform Disorders somatoform disorder human Humans Refugees psychology

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84919874676&doi=10.1007%2fs00127-014-0877-1&partnerID=40&md5=8fd702508567518722bf3a9174201b21

DOI: 10.1007/s00127-014-0877-1
ISSN: 09337954
Cited by: 32
Original Language: English