Post-traumatic stress disorder and subthreshold post-traumatic stress disorder in recent male asylum seekers: An expected but overlooked "European" epidemic.


Journal

Stress and health : journal of the International Society for the Investigation of Stress
ISSN: 1532-2998
Titre abrégé: Stress Health
Pays: England
ID NLM: 101089166

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 21 03 2019
revised: 09 10 2019
accepted: 04 11 2019
pubmed: 27 11 2019
medline: 28 10 2020
entrez: 27 11 2019
Statut: ppublish

Résumé

The literature shows an increased risk for post-traumatic stress disorder (PTSD) among illegal migrants. We aimed to estimate the prevalence of PTSD, subthreshold PTSD, the degree of disability, and differences in sociodemographic and anamnestic characteristics associated with these clinical conditions in a sample of newly arrived migrants. Two hundred male asylum seekers from West sub-Saharan Africa were evaluated for traumatic life events, PTSD symptoms, and disability through the Life Events Checklist for DSM-5 (LEC-5), the Primary Care PTSD Screen, the PTSD Checklist for DSM-5, and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). The current prevalence of PTSD and subthreshold PTSD was 9.5% and 12.0%, respectively. PTSD and subthreshold PTSD subgroups presented higher WHODAS 2.0 scores and LEC-5 events, an over-representation of individuals with childhood adversities and an excess of premigration psychiatric contacts unrelated to PTSD spectrum disorders and peri-migration offences. Witnessing a traumatic event and disability in understanding and communication predicted both the presence of PTSD symptoms and PTSD status. PTSD spectrum disorders should be considered among the clinical emergencies associated with asylum seeker condition, and targeted interventions also involving the host citizens should be predisposed.

Identifiants

pubmed: 31769207
doi: 10.1002/smi.2910
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

37-50

Informations de copyright

©2019 John Wiley & Sons, Ltd.

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Auteurs

Emilio Sacchetti (E)

School of Medicine, University of Brescia, Brescia, Italy.
Department of Mental Health, Spedali Civili Hospital, Brescia, Italy.

Andrea Garozzo (A)

School of Medicine, University of Brescia, Brescia, Italy.

Christian Mussoni (C)

School of Medicine, University of Brescia, Brescia, Italy.

Daniele Liotta (D)

School of Medicine, University of Brescia, Brescia, Italy.

Gaia Novelli (G)

School of Medicine, University of Brescia, Brescia, Italy.

Elena Tamussi (E)

School of Medicine, University of Brescia, Brescia, Italy.

Giacomo Deste (G)

Department of Mental Health, Spedali Civili Hospital, Brescia, Italy.

Antonio Vita (A)

School of Medicine, University of Brescia, Brescia, Italy.
Department of Mental Health, Spedali Civili Hospital, Brescia, Italy.

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