Does Time Heal Trauma? 18 Month Follow-Up Study of Syrian Refugees' Mental Health in Iraq's Kurdistan Region.

Autor: Mahmood HN; Department of Psychology, Clinical Psychology and Psychotherapy, Bielefeld University, 33501 Bielefeld, Germany.; Department of Clinical Psychology, Faculty of Science and Health, Koya University, Koy Sanjaq 46017, Iraq., Ibrahim H; Department of Psychology, Clinical Psychology and Psychotherapy, Bielefeld University, 33501 Bielefeld, Germany.; vivo International, 78430 Konstanz, Germany., Ismail AA; Department of Clinical Psychology, Faculty of Science and Health, Koya University, Koy Sanjaq 46017, Iraq., Neuner F; Department of Psychology, Clinical Psychology and Psychotherapy, Bielefeld University, 33501 Bielefeld, Germany.; vivo International, 78430 Konstanz, Germany.
Jazyk: angličtina
Zdroj: International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Nov 12; Vol. 19 (22). Date of Electronic Publication: 2022 Nov 12.
DOI: 10.3390/ijerph192214910
Abstrakt: The findings of longitudinal studies on traumatized refugees have shown that factors related to premigration, migration, and post-migration experiences determine changes in mental health over time. The primary aim of this follow-up study was to examine the potential change in the prevalence rates of probable PTSD and depression among Syrian refugees in Iraq. An unselected group of N = 92 Syrian adult refugees was recruited from Arbat camps in Sulaymaniyah Governorate in Iraq's Kurdistan Region, and then interviewed at two different time points between July 2017 and January 2019. Locally validated instruments were used to assess traumatic events and mental health symptoms. The primary results showed no significant change in the mean scores of PTSD and depression symptoms from the first measurement to the second measurement over the course of 18 months. On the individual level, no reliable change was found for either PTSD or depression symptoms in more than three-quarters of the participants (78.3% and 77.2%, respectively). New adversities and traumatic events that occurred over the 18 months between the interviews were a significant predictor of increasing trauma-related symptoms. After the flight from conflict settings, trauma-related disorders seem to be chronic for the majority of Syrian refugees. Further longitudinal studies are needed in order to identify specific risk factors that lead to maintaining or worsening mental health symptoms over time, and to explore effective therapeutic intervention methods for this traumatized population.
Databáze: MEDLINE