Polytraumatization in young male refugees from the Middle East and its association with internalizing and externalizing symptoms.

Anxiety Depression Externalizing symptoms Internalizing symptoms Polytraumatization Potentially traumatic events Refugee adolescents

Journal

Child and adolescent psychiatry and mental health
ISSN: 1753-2000
Titre abrégé: Child Adolesc Psychiatry Ment Health
Pays: England
ID NLM: 101297974

Informations de publication

Date de publication:
17 Dec 2021
Historique:
received: 06 09 2021
accepted: 30 11 2021
entrez: 18 12 2021
pubmed: 19 12 2021
medline: 19 12 2021
Statut: epublish

Résumé

Young Middle Eastern male refugees are currently among the most vulnerable groups in Europe. Most of them have experienced potentially traumatic events (PTEs) such as rape, torture, or violent assaults. Compared to their peers, young refugees suffer more from internalizing and externalizing symptoms, especially when unaccompanied. Little is known about the cumulative impact of experiencing different types of PTEs on mental health outcomes (polytraumatization) of young male refugees from the Middle East. We investigated (1) whether there is a dose-response relationship between multiple PTE types experienced and mental health outcomes, (2) whether individual types of PTEs are particularly important, and (3) to what extent these are differentially associated with mental health outcomes among unaccompanied or accompanied peers. In total, 151 young Middle Eastern male refugees in Germany (M Hierarchical regression analyses revealed, while controlling for age, duration of stay, unaccompanied status, and post-migration stress, (1) a dose-effect between PTE types on both internalizing and externalizing symptoms. Moreover, (2) regarding internalizing symptoms, violent family separation and experiencing life-threatening medical problems were particularly crucial. The latter was driven by unaccompanied refugees, who also reported higher levels of substance use. The results extend findings from the literature and suggest that not only may greater polytraumatization be related to greater depression among refugees, but also to a range of other mental health outcomes from the internalizing and externalizing symptom domains. Furthermore, the results highlight the mental health risks that unaccompanied and accompanied refugee adolescents face after exposure to PTEs, and provide information for practitioners as well as researchers about event types that may be particularly relevant.

Sections du résumé

BACKGROUND BACKGROUND
Young Middle Eastern male refugees are currently among the most vulnerable groups in Europe. Most of them have experienced potentially traumatic events (PTEs) such as rape, torture, or violent assaults. Compared to their peers, young refugees suffer more from internalizing and externalizing symptoms, especially when unaccompanied. Little is known about the cumulative impact of experiencing different types of PTEs on mental health outcomes (polytraumatization) of young male refugees from the Middle East. We investigated (1) whether there is a dose-response relationship between multiple PTE types experienced and mental health outcomes, (2) whether individual types of PTEs are particularly important, and (3) to what extent these are differentially associated with mental health outcomes among unaccompanied or accompanied peers.
METHODS METHODS
In total, 151 young Middle Eastern male refugees in Germany (M
RESULTS RESULTS
Hierarchical regression analyses revealed, while controlling for age, duration of stay, unaccompanied status, and post-migration stress, (1) a dose-effect between PTE types on both internalizing and externalizing symptoms. Moreover, (2) regarding internalizing symptoms, violent family separation and experiencing life-threatening medical problems were particularly crucial. The latter was driven by unaccompanied refugees, who also reported higher levels of substance use.
CONCLUSIONS CONCLUSIONS
The results extend findings from the literature and suggest that not only may greater polytraumatization be related to greater depression among refugees, but also to a range of other mental health outcomes from the internalizing and externalizing symptom domains. Furthermore, the results highlight the mental health risks that unaccompanied and accompanied refugee adolescents face after exposure to PTEs, and provide information for practitioners as well as researchers about event types that may be particularly relevant.

Identifiants

pubmed: 34920749
doi: 10.1186/s13034-021-00428-9
pii: 10.1186/s13034-021-00428-9
pmc: PMC8684214
doi:

Types de publication

Journal Article

Langues

eng

Pagination

75

Subventions

Organisme : Porticus Foundation (Europe)
ID : #GR-071645
Organisme : Bundesministerium für Bildung und Forschung
ID : #GR-01GL1749A

Informations de copyright

© 2021. The Author(s).

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Auteurs

Usama El-Awad (U)

Faculty of Psychology and Sports Sciences, University of Bielefeld, P.O. Box 10 01 31, 33501, Bielefeld, Germany. usama.el-awad@uni-bielefeld.de.
Center for Clinical Psychology and Rehabilitation, University of Bremen, Grazer Str. 6, 28359, Bremen, Germany. usama.el-awad@uni-bielefeld.de.

Tilman Reinelt (T)

University of Zurich and University Hospital Zurich, Zurich, Switzerland.

Johanna Braig (J)

Department of Educational Psychology and Health Psychology, University of Education Schwäbisch Gmünd, Oberbettringer Str. 200, 73525, Schwäbisch Gmünd, Germany.

Hannah Nilles (H)

Faculty of Psychology and Sports Sciences, University of Bielefeld, P.O. Box 10 01 31, 33501, Bielefeld, Germany.

Denise Kerkhoff (D)

Faculty of Psychology and Sports Sciences, University of Bielefeld, P.O. Box 10 01 31, 33501, Bielefeld, Germany.

Pia Schmees (P)

Department of Educational Psychology and Health Psychology, University of Education Schwäbisch Gmünd, Oberbettringer Str. 200, 73525, Schwäbisch Gmünd, Germany.

Jana-Elisa Rueth (JE)

Faculty of Psychology and Sports Sciences, University of Bielefeld, P.O. Box 10 01 31, 33501, Bielefeld, Germany.

Atefeh Fathi (A)

Center for Psychosomatic Psychotherapeutic Rehabilitation, Luisenklinik, Paulinenstraße 21, 70178, Stuttgart, Germany.

Mira Vasileva (M)

Child and Community Wellbeing Unit, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie St, Carlton, VIC, 3053, Australia.

Franz Petermann (F)

Center for Clinical Psychology and Rehabilitation, University of Bremen, Grazer Str. 6, 28359, Bremen, Germany.

Heike Eschenbeck (H)

Department of Educational Psychology and Health Psychology, University of Education Schwäbisch Gmünd, Oberbettringer Str. 200, 73525, Schwäbisch Gmünd, Germany.

Arnold Lohaus (A)

Faculty of Psychology and Sports Sciences, University of Bielefeld, P.O. Box 10 01 31, 33501, Bielefeld, Germany.

Classifications MeSH