‘Only God can promise healing.’: help-seeking intentions and lay beliefs about cures for post-traumatic stress disorder among Sub-Saharan African asylum seekers in Germany

Autor: Freyja Grupp, Sara Skandrani, Ricarda Mewes, Urs M. Nater, Marie Rose Moro
Rok vydání: 2019
Předmět:
050103 clinical psychology
medicine.medical_specialty
trastorno de estrés postraumático
lcsh:RC435-571
Refugee
Asylum seekers
寻求庇护者
• Compared to German participants without a migration background
asylum seekers indicated a preference to seek help from religious authorities rather than psychologists

难民
撒哈拉以南非洲
solicitantes de asilo
03 medical and health sciences
0302 clinical medicine
• Many asylum seekers from Sub-Saharan Africa have experienced multiple traumas
lcsh:Psychiatry
Health care
medicine
0501 psychology and cognitive sciences
Psychiatry
• For the treatment of PTSD
they emphasized the role of religion and showed a high intention to seek medical and psychological help

Basic Research Article
Sub-Saharan Africa
business.industry
Public health
05 social sciences
help-seeking
Traumatic stress
Questionnaire
寻求帮助
búsqueda de ayuda
Africa Sub-Sahariana
refugees
Focus group
health care
atención de salud
refugiados
Help-seeking
• Public health campaigns in collaboration with religious communities can facilitate access to local health care systems for asylum seekers and refugees
030227 psychiatry
trauma
Vignette
创伤后应激障碍
post-traumatic stress disorder
卫生保健
business
Psychology
创伤
Zdroj: European Journal of Psychotraumatology
European Journal of Psychotraumatology, Vol 10, Iss 1 (2019)
DOI: 10.6084/m9.figshare.11295530
Popis: Background: Epidemiological studies have reported high rates of post-traumatic stress disorder (PTSD) among asylum seekers from Sub-Saharan Africa. In order to provide appropriate and culturally sensitive mental health care for this group, further knowledge about treatment preferences might be necessary. Objective: We aimed to provide insights into help-seeking intentions and lay beliefs about cures for PTSD held by asylum seekers from Sub-Saharan Africa living in Germany. Methods: To address this objective, we used a quantitative and qualitative methodological triangulation strategy based on a vignette describing symptoms of PTSD. In the quantitative part of the study, asylum seekers (n = 119), predominantly from Eritrea (n = 41), Somalia (n = 36), and Cameroon (n = 25), and a German comparison sample without a migration background (n = 120) completed the General Help-Seeking Questionnaire (GHSQ). In the qualitative part, asylum seekers (n = 26) reviewed the results of the questionnaire survey within eight focus group discussions sampled from groups of the three main countries of origin. Results: Asylum seekers showed a high intention to seek religious, medical, and psychological treatment for symptoms of PTSD. However, asylum seekers indicated a higher preference to seek help from religious authorities and general practitioners, as well as a lower preference to enlist psychological and traditional help sources than Germans without a migration background. Furthermore, asylum seekers addressed structural and cultural barriers to seeking medical and psychological treatment. Conclusion: To facilitate access to local health care systems for asylum seekers and refugees, it might be crucial to develop public health campaigns in collaboration with religious communities. When treating asylum seekers and refugees from Sub-Saharan Africa, practitioners should explore different religious and cultural frameworks for healing and recovery in order to signal understanding and acceptance of varying cultural contexts. • Many asylum seekers from Sub-Saharan Africa have experienced multiple traumas. • For the treatment of PTSD, they emphasized the role of religion and showed a high intention to seek medical and psychological help. • Compared to German participants without a migration background, asylum seekers indicated a preference to seek help from religious authorities rather than psychologists. • Public health campaigns in collaboration with religious communities can facilitate access to local health care systems for asylum seekers and refugees.
Databáze: OpenAIRE