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Refugees mental health

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https://www.readbyqxmd.com/read/28100197/a-two-phase-approach-for-the-identification-of-refugees-with-priority-need-for-mental-health-care-in-lebanon-a-validation-study
#1
Augusto E Llosa, Mark Van Ommeren, Kavitha Kolappa, Zeina Ghantous, Renato Souza, Pierre Bastin, Andrej Slavuckij, Rebecca F Grais
BACKGROUND: Time and resource efficient mental disorder screening mechanisms are not available to identify the growing number of refugees and other forcibly displaced persons in priority need for mental health care. The aim of this study was to identify efficient screening instruments and mechanisms for the detection of moderate and severe mental disorders in a refugee setting. METHODS: Lay interviewers applied a screening algorithm to detect individuals with severe distress or mental disorders in randomly selected households in a Palestinian refugee camp in Beirut, Lebanon...
January 18, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28053660/causes-of-and-risk-factors-for-posttraumatic-stress-disorder-the-beliefs-of-iraqi-and-afghan-refugees-resettled-in-australia
#2
Shameran Slewa-Younan, Maria Gabriela Uribe Guajardo, Anisa Yaser, Jonathan Mond, Mitchell Smith, Diana Milosevic, Caroline Smith, Sanja Lujic, Anthony Francis Jorm
BACKGROUND: Resettled refugees are a vulnerable group for mental health problems and in particular, trauma-related disorders. Evidence suggests that poor 'mental health literacy' (MHL) is a major factor in low or inappropriate treatment-seeking among individuals with mental health problems. This study sought to determine the beliefs regarding the causes of and risk factors for post-traumatic stress disorder (PTSD) amongst two resettled refugee groups in Australia. METHODS: Utilising a culturally adapted MHL survey method, 225 Iraqis and 150 Afghans of refugee background were surveyed...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/28043518/tuberculosis-in-vulnerable-populations-in-eastern-mediterranean-region-implications-for-control
#3
Sadia Shakoor, Rumina Hasan
AIMS & OBJECTIVES: Socially and economically disadvantaged or "vulnerable" people are at high risk of tuberculosis (TB) and also contribute to active chains of TB transmission. Included in such vulnerable populations are children, women, prisoners, people living with human immunodeficiency virus, the homeless, and displaced people. The ongoing active transmission of TB among such populations is made more difficult to assess and control by difficult access, health inequities, poverty, and other chronic and debilitating health conditions at individual, domestic, and community levels...
December 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/28036054/gendered-sources-of-distress-and-resilience-among-afghan-refugees-in-northern-california-a-cross-sectional-study
#4
Carl Stempel, Nilofar Sami, Patrick Marius Koga, Qais Alemi, Valerie Smith, Aida Shirazi
Recent studies have emphasized the influence of resettlement factors on the mental health of refugees resettling in developed countries. However, little research has addressed gender differences in the nature and influence of resettlement stressors and sources of resilience. We address this gap in knowledge by investigating how gender moderates and mediates the influence of several sources of distress and resilience among 259 Afghan refugees residing in Northern California (USA). Gender moderated the effects of four factors on levels of distress...
December 28, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28025756/the-longitudinal-relation-between-daily-hassles-and-depressive-symptoms-among-unaccompanied-refugees-in-norway
#5
Serap Keles, Thormod Idsøe, Oddgeir Friborg, Selcuk Sirin, Brit Oppedal
The aim of the present longitudinal study is to understand the longitudinal relation between depressive symptoms and daily hassles (i.e., general and acculturation hassles) in a high-risk population of unaccompanied refugees. We investigated the validity of three stress-mental health models: the stress exposure model, the stress generation model, and the reciprocal model. Data were collected from 918 unaccompanied refugees in Norway in three waves. Of the initial sample, the majority (82.1%) were male (M age = 19...
December 26, 2016: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28000636/a-review-of-the-health-problems-of-the-internally-displaced-persons-in-africa
#6
REVIEW
Eme T Owoaje, Obioma C Uchendu, Tumininu O Ajayi, Eniola O Cadmus
Globally, over 40 million people were displaced as a result of wars and violence due to religious and ethnic conflicts in 2015 while 19.2 million were displaced by natural disasters such as famine and floods. In Africa, 12 million people were displaced by armed conflict and violence and there were hundreds of thousands of people displaced by natural disasters. Despite these large numbers of internally displaced persons (IDPs) in Sub-Saharan African countries and the potentially negative impact of displacement on the health of these populations, there is limited information on the health problems of IDPs in the region...
October 2016: Nigerian Postgraduate Medical Journal
https://www.readbyqxmd.com/read/27923339/-mental-health-in-children-from-families-seeking-asylum-in-mecklenburg-western-pomerania-2007-2009-personal-and-contextual-risk-factors
#7
Olaf Reis, Petra Jung, Frank Häßler
Mental Health in Children from Families Seeking Asylum in Mecklenburg-Western Pomerania 2007-2009 - Personal and Contextual Risk Factors The study presented describes severity and conditions of various psychiatric symptoms in children from families seeking refuge in Germany 2007-2009 and registered in the province of Mecklenburg-Western Pomerania. Mothers of 58 children (aged 12 years on average, 23 girls, 33 boys) answered the items of the Child Behavior Checklist (Achenbach, 1991). First, the burden of disease among refugee children was compared to standard burdens of German children...
December 2016: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/27907846/modelling-life-satisfaction-and-adjustment-to-trauma-in-children-exposed-to-ongoing-military-violence-an-exploratory-study-in-palestine
#8
Guido Veronese, Alessandro Pepe, Alaa Jaradah, Feda Al Muranak, Husam Hamdouna
Exposure to war and ongoing political violence increases mental health risks among children, especially in terms of posttraumatic stress disorder (PTSD), and depressive or somatic symptoms. However, an exclusive focus on negative functioning can lead to underestimating the coping abilities and natural potential for adjusting to trauma of war-affected children at different developmental phases. Using structural equation modelling, we tested the extent to which data gathered in a predominantly nonclinical sample of Palestinian children (N=1276) living in refugee camps supported a conceptual model in which the relationship between subjective wellbeing and the effects of trauma is mainly top-down in direction...
January 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/27902694/hospital-admission-and-criminality-associated-with-substance-misuse-in-young-refugees-a-swedish-national-cohort-study
#9
Hélio Manhica, Karl Gauffin, Ylva B Almqvist, Mikael Rostila, Anders Hjern
BACKGROUND: High rates of mental health problems have been described in young refugees, but few studies have been conducted on substance misuse. This study aimed to investigate the patterns of hospital care and criminality associated with substance misuse in refugees who settled in Sweden as teenagers. METHODS: Gender stratified Cox regression models were used to estimate the risks of criminal convictions and hospital care associated with substance misuse from national Swedish data for 2005-2012...
2016: PloS One
https://www.readbyqxmd.com/read/27863498/factors-affecting-implementation-of-perinatal-mental-health-screening-in-women-of-refugee-background
#10
Nishani Nithianandan, Melanie Gibson-Helm, Jacquie McBride, Amanda Binny, Kylie M Gray, Christine East, Jacqueline A Boyle
BACKGROUND: For women of refugee background, the increased risk of mental illness associated with pregnancy is compounded by pre- and post-settlement stressors. In Australia, antenatal screening for depression and anxiety symptoms using the Edinburgh Postnatal Depression Scale is recommended for all women. Despite this, screening is not routinely implemented and little is known about barriers and enablers to implementation for women of refugee background. METHODS: Semi-structured interviews were conducted with a range of health professionals (n = 28: midwives, obstetricians, perinatal mental health and refugee health experts, interpreters) and women of refugee background (n = 9)...
November 18, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27853854/-dissemination-of-psychotherapy-modules-for-traumatized-refugees-experience-gained-from-trauma-work-in-crisis-and-conflict-regions
#11
T Elbert, S Wilker, M Schauer, F Neuner
With each additional accumulative exposure to severe and traumatic stressors, the likelihood of developing mental health problems and physical diseases increases. Displaced individuals have usually experienced a number of serious threats to health due to organized violence in their home country or attacks during the flight. Frequently, domestic violence adds additional strain to the stressors experienced. The resulting impairments in psychosocial functioning reduce the resources needed for social adjustment and integration...
November 16, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27853853/-social-support-after-traumatism
#12
A Maercker, E Heim, T Hecker, M V Thoma
The classical concept of social support has recently become of relevance again, particularly in the context of traumatized patient groups, which include refugees and migrants. This article summarizes the evidence from social support research, e. g. different types of positive effects as well as context, gender and cultural aspects. These aspects are highlighted by means of studies stemming from applied healthcare research and thus describe a wide range of health effects, e.g. increased well-being and reduced depressive symptoms, improved functional abilities, better immune status and longevity...
November 16, 2016: Der Nervenarzt
https://www.readbyqxmd.com/read/27834172/impact-of-new-traumatic-or-stressful-life-events-on-pre-existing-ptsd-in-traumatized-refugees-results-of-a-longitudinal-study
#13
Katrin Schock, Maria Böttche, Rita Rosner, Mechthild Wenk-Ansohn, Christine Knaevelsrud
BACKGROUND: A significant proportion of trauma survivors experience an additional critical life event in the aftermath. These renewed experiences of traumatic and stressful life events may lead to an increase in trauma-related mental health symptoms. METHOD: In a longitudinal study, the effects of renewed experiences of a trauma or stressful life event were examined. For this purpose, refugees seeking asylum in Germany were assessed for posttraumatic stress symptoms (PTS), Posttraumatic Stress Diagnostic Scale (PDS), anxiety, and depression (Hopkins Symptom Checklist [HSCL-25]) before treatment start as well as after 6 and 12 months during treatment (N=46)...
2016: European Journal of Psychotraumatology
https://www.readbyqxmd.com/read/27807295/partnerships-that-facilitate-a-refugee-s-journey-to-wellbeing
#14
Nina Marano, Abbey E Wojno, William M Stauffer, Michelle Weinberg, Alexander Klosovsky, J Daniel Ballew, Sharmila Shetty, Susan Cookson, Patricia Walker, Martin S Cetron
The current global refugee crisis involves 65.3 million persons who have been displaced from their homes or countries of origin. While escaping immediate harm may be their first priority, displaced people go on to face numerous health risks, including trauma and injuries, malnutrition, infectious diseases, exacerbation of existing chronic diseases, and mental health conditions. This crisis highlights the importance of building capacity among health-care providers, scientists, and laboratorians to understand and respond to the health needs of refugees...
November 2, 2016: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/27799420/public-health-implications-and-risks-for-children-and-families-resettled-after-exposure-to-armed-conflict-and-displacement
#15
Rachel Calam
Early adverse experiences can precede long-term negative effects on physical health. Children experiencing armed conflict, flight and displacement, and refugee life may be at enhanced risk. Recent psychobiological models integrating knowledge about perinatal and childhood stress with susceptibility to chronic illnesses in later life make clear the pressing need for protective provision for war-affected children, who experience multiple traumas and continuing stressors. There is increasing recognition of the mechanisms linking physical and mental health with adult diseases seen as developmental disorders with origins early in life...
October 30, 2016: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/27798992/a-compounding-mental-health-crisis-reflections-from-the-greek-experience-with-syrian-refugees
#16
Dimitris C Anagnostopoulos, George Giannakopoulos, Nikos G Christodoulou
No abstract text is available yet for this article.
November 1, 2016: American Journal of Psychiatry
https://www.readbyqxmd.com/read/27759707/can-academic-medicine-lead-the-way-in-the-refugee-crisis
#17
Amir A Afkhami
The world is currently in the midst of the largest refugee crisis since World War II, with the highest interval of mass displacement in recorded history according to the United Nations. The United States has pledged to maintain its position as one of the world's top resettlement countries in response to this crisis. These new immigrants will arrive with exceptional chronic and acute medical needs, including higher rates of behavioral health disorders. The author describes the health care challenges experienced by refugees seeking asylum in the United States and outlines the ways in which our health care system is currently deficient in helping refugee patients to overcome these challenges...
October 18, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27750358/-models-of-mental-health-care-for-vulnerable-refugees-in-the-community
#18
Julia Schellong, Franziska Epple, Kerstin Weidner, Andrea Möllering
A non-neglectable portion of people that have fled to Germany have been subjected to expulsion, violence, torture and grave human loss. In some of them, signs of secondary mental problems are obvious. In the light of the efforts at integration, these diseases must not be neglected. Outlined are the federal legal requirements and how the cost coverage, as well as the admission to health care system, is structured. Additionally, 2 exemplary regional models for psychosomatic health care are being introduced: Dresden's "Stepped Care Model for Psychologically Vulnerable Refugees" includes phased offers for prevention and treatment of acute mental crises, as well as somatoform disorders in refugees and their volunteer helpers...
October 17, 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/27750357/-psychiatric-and-psychotherapeutic-care-of-refugees-by-reference-of-a-large-psychiatric-care-hospital-in-western-germany
#19
Jonas Schaffrath, Mario Schmitz-Buhl, Ali Kemal Gün, Euphrosyne Gouzoulis-Mayfrank
Medical and psychological care of refugees is among the most important current challenges in German health politics. Work with patients from this heterogeneous group who have often faced severe stress before, during and after their migration is currently based on a thin data foundation. Based on introductory information on current knowledge concerning psychiatric morbidity of refugees this article presents the psychiatric care of refugees at LVR Clinics Cologne - a psychiatric specialty hospital situated in North Rhine-Westphalia, Germany...
October 17, 2016: Psychotherapie, Psychosomatik, Medizinische Psychologie
https://www.readbyqxmd.com/read/27739578/broken-promises-and-lost-dreams-navigating-asylum-in-the-united-states
#20
Damir S Utržan, Andrea K Northwood
Nearly 65 million people around the world have been displaced by war, conflict, and persecution since 2014 (UNHCR; United Nations High Commissioner for Refugees, 2015). This yields an average of 42,000 people refugees, asylum seekers, or internally displaced every day. Displacement has adverse and disruptive consequences, including mental health problems (e.g., anxiety, depression), impaired interpersonal relationships, and heightened conflict. These consequences are compounded by profound ambiguity associated with navigating asylum in the United States...
October 14, 2016: Journal of Marital and Family Therapy
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