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Asylum seekers seeking mental health services in the United States: clinical and legal implications.
J Nerv Ment Dis. 2007 Sep; 195(9):715-22.JN

Abstract

Asylum seekers flee their countries in search of safety due to persecution at home. Characteristics were assessed of 134 consecutive asylum seekers who sought mental health services at a program caring for survivors of torture and refugee trauma, using a chart review of patients seen between January 1999 and December 2002. Two-thirds of the sample were female, and 82% came from Africa. Eighty-four percent of the sample reported a history of torture, and one-half experienced rape or attempted rape. Most common diagnoses included posttraumatic stress disorder and depression. Predictors of torture included: posttraumatic stress disorder [odds ratio (OR) = 4.93, p = 0.03], rape (OR = 4.23, p = 0.035), and political persecution (OR = 9.28, p = 0.006). Most common self-reported health problems were headaches (29.9%), sexual dysfunction (26.1%), chronic pain (12.7%), and gastrointestinal symptoms (11.2%).

Authors+Show Affiliations

Boston University School of Medicine, Department of Psychiatry, Boston Center for Refugee Health and Human Rights, Boston Medical Center, Boston, Massachusetts 02118, USA. piwo@bu.edu

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

17984770

Citation

Piwowarczyk, Linda. "Asylum Seekers Seeking Mental Health Services in the United States: Clinical and Legal Implications." The Journal of Nervous and Mental Disease, vol. 195, no. 9, 2007, pp. 715-22.
Piwowarczyk L. Asylum seekers seeking mental health services in the United States: clinical and legal implications. J Nerv Ment Dis. 2007;195(9):715-22.
Piwowarczyk, L. (2007). Asylum seekers seeking mental health services in the United States: clinical and legal implications. The Journal of Nervous and Mental Disease, 195(9), 715-22.
Piwowarczyk L. Asylum Seekers Seeking Mental Health Services in the United States: Clinical and Legal Implications. J Nerv Ment Dis. 2007;195(9):715-22. PubMed PMID: 17984770.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Asylum seekers seeking mental health services in the United States: clinical and legal implications. A1 - Piwowarczyk,Linda, PY - 2007/11/7/pubmed PY - 2007/12/6/medline PY - 2007/11/7/entrez SP - 715 EP - 22 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 195 IS - 9 N2 - Asylum seekers flee their countries in search of safety due to persecution at home. Characteristics were assessed of 134 consecutive asylum seekers who sought mental health services at a program caring for survivors of torture and refugee trauma, using a chart review of patients seen between January 1999 and December 2002. Two-thirds of the sample were female, and 82% came from Africa. Eighty-four percent of the sample reported a history of torture, and one-half experienced rape or attempted rape. Most common diagnoses included posttraumatic stress disorder and depression. Predictors of torture included: posttraumatic stress disorder [odds ratio (OR) = 4.93, p = 0.03], rape (OR = 4.23, p = 0.035), and political persecution (OR = 9.28, p = 0.006). Most common self-reported health problems were headaches (29.9%), sexual dysfunction (26.1%), chronic pain (12.7%), and gastrointestinal symptoms (11.2%). SN - 0022-3018 UR - https://www.unboundmedicine.com/medline/citation/17984770/Asylum_seekers_seeking_mental_health_services_in_the_United_States:_clinical_and_legal_implications_ L2 - https://doi.org/10.1097/NMD.0b013e318142ca0b DB - PRIME DP - Unbound Medicine ER -