Using Clinical Expertise and Empirical Data in Constructing Networks of Trauma Symptoms in Refugee Youth
| Autor: | Lea Schumacher, Julian Burger, Dana Barthel, Fionna Zoellner, Sacha Epskamp, Areej Zindler |
|---|---|
| Přispěvatelé: | FdR overig onderzoek, Psychology Other Research (FMG), Psychologische Methodenleer (Psychologie, FMG) |
| Rok vydání: | 2020 |
| Předmět: |
Male
050103 clinical psychology 心理创伤 IMPACT RC435-571 trauma psicológico CHILDREN 难民 青少年 percepción de la relación de los síntomas 心理病理学 Stress Disorders Post-Traumatic 0302 clinical medicine POSTTRAUMATIC-STRESS-DISORDER Germany Outpatients refugee adolescents Medical diagnosis network analysis Depression (differential diagnoses) media_common Psychiatry Clinical Research Article Refugees Psychopathology Depression 05 social sciences 网络分析 PTSD perceived symptom relations Female Psychology psychological trauma Psychological trauma Clinical psychology Research Article Sleep Wake Disorders Warfare Adolescent Refugee media_common.quotation_subject análisis de redes Disease cluster EVENTS 03 medical and health sciences Perception medicine Humans 0501 psychology and cognitive sciences refugiado adolescentes Psicopatología medicine.disease Mental health 030227 psychiatry MODEL 感知症状关系 |
| Zdroj: | European Journal of Psychotraumatology article-version (VoR) Version of Record European Journal of Psychotraumatology, Vol 12, Iss 1 (2021) European Journal of Psychotraumatology, 12(1):1920200. Taylor & Francis Ltd European Journal of Psychotraumatology, 12(1):1920200. Co-Action Publishing |
| ISSN: | 2000-8198 |
| DOI: | 10.31234/osf.io/nmduj |
| Popis: | Background: In recent years, many adolescents have fled their home countries due to war and human rights violations, consequently experiencing various traumatic events and putting them at risk of developing mental health problems. The symptomatology of refugee youth was shown to be multifaceted and often falling outside of traditional diagnoses. Objective: The present study aimed to investigate the symptomatology of this patient group by assessing the network structure of a wide range of symptoms. Further, we assessed clinicians’ perceptions of symptoms relations in order to evaluate the clinical validity of the empirical network. Methods: Empirical data on Post-Traumatic Stress Disorder (PTSD), depression and other trauma symptoms from N = 366 refugee youth were collected during the routine diagnostic process of an outpatient centre for refugee youth in Germany. Additionally, four clinicians of this outpatient centre were asked how they perceive symptom relations in their patients using a newly developed tool. Separate networks were constructed based on 1) empirical symptom data and 2) clinicians’ perceived symptom relations (PSR). Results: Both the network based on empirical data and the network based on clinicians’ PSR showed that symptoms of PTSD and depression related most strongly within each respective cluster (connected mainly via sleeping problems), externalizing symptoms were somewhat related to PTSD symptoms and intrusions were central. Some differences were found within the clinicians’ PSR as well as between the PSR and the empirical network. Still, the general PSR-network structure showed a moderate to good fit to the empirical data. Conclusion: Our results suggest that sleeping problems and intrusions play a central role in the symptomatology of refugee children, which has tentative implications for diagnostics and treatment. Further, externalizing symptoms might be an indicator for PTSD-symptoms. Finally, using clinicians’ PSR for network construction offered a promising possibility to gain information on symptom networks and their clinical validity. HIGHLIGHTS Symptom networks were investigated to understand better refugee youth’s symptomatology. Intrusions were central; PTSD and depression symptoms related mainly to symptoms in their own domain. Despite differences, clinicians’ perceptions showed moderate fit to the empirical data. |
| Databáze: | OpenAIRE |
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