Tags

Type your tag names separated by a space and hit enter

Mental Health of Refugees and Torture Survivors: A Critical Review of Prevalence, Predictors, and Integrated Care.
Int J Environ Res Public Health. 2019 06 28; 16(13)IJ

Abstract

Civilian war trauma and torture rank among the most traumatic life experiences; exposure to such experiences is pervasive in nations experiencing both internal and external conflict. This has led to a high volume of refugees resettling throughout the world with mental health needs that primary care physicians may not be screening for and prepared to effectively address. In this article, we review the literature on demographics, predictors, mental health outcomes of torture, and integrated care for the mental health needs of refugees. We searched PubMed and PSYCINFO databases for original research articles on refugees and mental health published in the English language between 2010 and present. Nine percent of 720 adults in conflict areas in Nepal, with predominance of literate married males, met the threshold for Post-Traumatic Stress Disorder (PTSD), 27.5% for depression, and 22.9% for anxiety. While, PTSD rate has been documented as high as 88.3% among torture survivors from Middle East (ME), Central Africa (CA), South Asia (SA), Southeast Europe (SE). Depression was recorded as high as 94.7% among 131 African torture survivors and anxiety as high as 91% among 55 South African torture survivors. Torture severity, post-migration difficulties, and wait time to receive clinical services were significantly associated with higher rate of mental health symptoms. Mental health screening is not a standard component of initial physical exams for refugees, yet these individuals have had high trauma exposure that should inform clinical care. Integrated care models are lacking but would greatly benefit this community to prevent progression to greater severity of mental health symptoms.

Authors+Show Affiliations

Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI 48201, USA. hiba_f@live.com.Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI 48201, USA. lgrasser@med.wayne.edu.Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI 48201, USA. ajavanba@med.wayne.edu.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

31261840

Citation

Abu Suhaiban, Hiba, et al. "Mental Health of Refugees and Torture Survivors: a Critical Review of Prevalence, Predictors, and Integrated Care." International Journal of Environmental Research and Public Health, vol. 16, no. 13, 2019.
Abu Suhaiban H, Grasser LR, Javanbakht A. Mental Health of Refugees and Torture Survivors: A Critical Review of Prevalence, Predictors, and Integrated Care. Int J Environ Res Public Health. 2019;16(13).
Abu Suhaiban, H., Grasser, L. R., & Javanbakht, A. (2019). Mental Health of Refugees and Torture Survivors: A Critical Review of Prevalence, Predictors, and Integrated Care. International Journal of Environmental Research and Public Health, 16(13). https://doi.org/10.3390/ijerph16132309
Abu Suhaiban H, Grasser LR, Javanbakht A. Mental Health of Refugees and Torture Survivors: a Critical Review of Prevalence, Predictors, and Integrated Care. Int J Environ Res Public Health. 2019 06 28;16(13) PubMed PMID: 31261840.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mental Health of Refugees and Torture Survivors: A Critical Review of Prevalence, Predictors, and Integrated Care. AU - Abu Suhaiban,Hiba, AU - Grasser,Lana Ruvolo, AU - Javanbakht,Arash, Y1 - 2019/06/28/ PY - 2019/04/16/received PY - 2019/06/27/revised PY - 2019/06/27/accepted PY - 2019/7/3/entrez PY - 2019/7/3/pubmed PY - 2020/1/1/medline KW - PTSD KW - integrated care KW - refugees KW - torture KW - trauma JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 16 IS - 13 N2 - Civilian war trauma and torture rank among the most traumatic life experiences; exposure to such experiences is pervasive in nations experiencing both internal and external conflict. This has led to a high volume of refugees resettling throughout the world with mental health needs that primary care physicians may not be screening for and prepared to effectively address. In this article, we review the literature on demographics, predictors, mental health outcomes of torture, and integrated care for the mental health needs of refugees. We searched PubMed and PSYCINFO databases for original research articles on refugees and mental health published in the English language between 2010 and present. Nine percent of 720 adults in conflict areas in Nepal, with predominance of literate married males, met the threshold for Post-Traumatic Stress Disorder (PTSD), 27.5% for depression, and 22.9% for anxiety. While, PTSD rate has been documented as high as 88.3% among torture survivors from Middle East (ME), Central Africa (CA), South Asia (SA), Southeast Europe (SE). Depression was recorded as high as 94.7% among 131 African torture survivors and anxiety as high as 91% among 55 South African torture survivors. Torture severity, post-migration difficulties, and wait time to receive clinical services were significantly associated with higher rate of mental health symptoms. Mental health screening is not a standard component of initial physical exams for refugees, yet these individuals have had high trauma exposure that should inform clinical care. Integrated care models are lacking but would greatly benefit this community to prevent progression to greater severity of mental health symptoms. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/31261840/Mental_Health_of_Refugees_and_Torture_Survivors:_A_Critical_Review_of_Prevalence_Predictors_and_Integrated_Care_ L2 - https://www.mdpi.com/resolver?pii=ijerph16132309 DB - PRIME DP - Unbound Medicine ER -