Prevalence of mental disorders in young refugees and asylum seekers in European Countries: a systematic review

Autor: Irma Klerings, Robert Jank, Lacey Gibson, Petter Brattström, Anna Faustmann, Bernd Kerschner, Martha Schneider, Monika Szelag, Eva Krczal, Gerald Gartlehner, Christina Kien, Isolde Sommer
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Adolescent
Refugee
Review
Unaccompanied refugee minors
Stress Disorders
Post-Traumatic
03 medical and health sciences
0302 clinical medicine
Prevalence of mental disorders
Surveys and Questionnaires
Epidemiology
Prevalence
Developmental and Educational Psychology
medicine
Child and adolescent psychiatry
Humans
media_common.cataloged_instance
0501 psychology and cognitive sciences
European union
Child
Psychiatry
Depression (differential diagnoses)
media_common
Refugees
Depression
Mental Disorders
05 social sciences
Posttraumatic stress disorder
General Medicine
Mental health
030227 psychiatry
Europe
Accompanied refugee minors
Psychiatry and Mental health
Pediatrics
Perinatology and Child Health
Systematic review
Anxiety
Female
medicine.symptom
Psychology
050104 developmental & child psychology
Zdroj: European Child & Adolescent Psychiatry
ISSN: 1435-165X
1018-8827
Popis: The European Union member states received about 385,000 asylum applications from children and adolescents below 18 years in 2015, and 398,000 in 2016. The latest political crises and war have led to an upsurge in refugee movements into European countries, giving rise to a re-evaluation of the epidemiology of psychiatric disorders and mental health problems among young refugees and asylum seekers. We systematically searched five electronic databases and reference lists of pertinent review articles. We then screened the results of forward citation tracking of key articles for relevant studies in the field for the period from January 1990 to October 2017. We dually reviewed citations and assessed risk of bias. We reported the results narratively, as meta-analyses were impeded due to high heterogeneity. We included 47 studies covered in 53 articles. Overall, the point prevalence of the investigated psychiatric disorders and mental health problems varied widely among studies (presenting interquartile ranges): for posttraumatic stress disorder between 19.0 and 52.7%, for depression between 10.3 and 32.8%, for anxiety disorders between 8.7 and 31.6%, and for emotional and behavioural problems between 19.8 and 35.0%. The highly heterogeneous evidence base could be improved by international, methodologically comparable studies with sufficiently large sample sizes drawn randomly among specific refugee populations. The prevalence estimates suggest, nevertheless, that specialized mental health care services for the most vulnerable refugee and asylum-seeking populations are needed. Registration The systematic review protocol was registered in PROSPERO on October 19th, 2017 with the number: CRD42017080039 and is available from: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=80039 Electronic supplementary material The online version of this article (10.1007/s00787-018-1215-z) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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