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Posttraumatic stress disorder and psychiatric co-morbidity: symptoms in a random sample of female Bosnian refugees
Published online by Cambridge University Press: 16 April 2020
- Kristina Sundquist*
- Affiliation:Karolinska Institute, Department of Family Medicine, Center for Research in Migration Medicine and Psychiatry (MigraMed), Alfred Nobels allé 12, SE-141 83Huddinge, Stockholm, Sweden
- Leena-Maria Johansson
- Affiliation:Karolinska Institute, Department of Family Medicine, Center for Research in Migration Medicine and Psychiatry (MigraMed), Alfred Nobels allé 12, SE-141 83Huddinge, Stockholm, Sweden
- Valeri DeMarinis
- Affiliation:Theological Institute, Psychology of Religion, Uppsala University, Uppsala, Sweden
- Sven-Erik Johansson
- Affiliation:Karolinska Institute, Department of Family Medicine, Center for Research in Migration Medicine and Psychiatry (MigraMed), Alfred Nobels allé 12, SE-141 83Huddinge, Stockholm, Sweden
- Jan Sundquist
- Affiliation:Karolinska Institute, Department of Family Medicine, Center for Research in Migration Medicine and Psychiatry (MigraMed), Alfred Nobels allé 12, SE-141 83Huddinge, Stockholm, Sweden
- *
- *Corresponding author. Tel.: +46 8 5248 8708; fax: +46 8 5248 8706.E-mail address:kristina.sundquist@klinvet.ki.se (K. Sundquist).
Abstract
Objectives
This study investigated psychological symptoms in Bosnian women 3–4 years after their arrival in Sweden.
Methods
A simple random sample of 163 Bosnian women aged 19–59 was drawn from the Swedish populations register in 1996. The control group consisted of 392 Swedish-born women. Data were collected in face-to-face interviews. The Hopkins Symptom Checklist 25 (HSCL-25) and the Posttraumatic Symptom Scale (PTSS-10) were used to measure psychological symptoms of depression, anxiety, psychological distress, and posttraumatic stress disorder (PTSD). Unconditional logistic regression was used to estimate odds ratios (OR) for psychological symptoms after adjustment for age, country of birth, education, marital status, economic difficulties, social network, and feeling secure.
Results
The prevalence of symptoms of PTSD was 28.3% among the Bosnian women. Bosnian women had significantly higher risks of symptoms of depression, anxiety, and psychological distress than Swedish-born women. For depression the odds ratio was 9.50 among Bosnian women.
Conclusions
Psychiatric community interventions need to target Bosnian refugee women. Awareness among health-care workers who encounter these women in a clinical setting should be improved.
Information
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- Original article
- Information
- Copyright
- Copyright © Elsevier SAS 2005
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References
Amann,GSocial network and social support deficits in depressed patients: a result of distorted perception?.Eur. Arch. Psychiatry Clin. Neurosci.1991;241(1):49–56.CrossRefGoogle ScholarPubMed
Bayard-Burfield,L,Sundquist,J,Johansson,SESelf-reported long-standing psychiatric illness as a predictor of premature all-cause mortality and violent death: a 14-year follow-up study of native Swedes and foreign-born migrants.Soc. Psychiatry Psychiatr. Epidemiol.1998;33(10):491–496.CrossRefGoogle ScholarPubMed
Berman,HStories of growing up amid violence by refugee children of war and children of battered women living in Canada.Image J. Nurs. Sch.1999;31(1):57–63.CrossRefGoogle Scholar
Blair,RGRisk factors associated with PTSD and major depression among Cambodian refugees in Utah.Health Soc. Work2000;25(1):23–30.CrossRefGoogle ScholarPubMed
Dahl,S,Mutapcic,A,Schei,BTraumatic events and predictive factors for posttraumatic symptoms in displaced Bosnian women in a war zone.J. Trauma. Stress1998;11(1):137–145.CrossRefGoogle Scholar
DeMarinis,VTvärkulturell vård i livets slutskede: Att möta äldre personer med invandrarbakgrund.Stockholm:Studentlitteratur;1998Google Scholar
Drozdek,BFollow-up study of concentration camp survivors from Bosnia–Herzegovina: 3 years later.J. Nerv. Ment. Dis.1997;185(11):690–694.CrossRefGoogle Scholar
Fiscella,KIs lower income associated with greater biopsychosocial morbidity? Implications for physicians working with underserved patients.J. Fam. Pract.1999;48(5):372–377.Google ScholarPubMed
Gorst-Unsworth,C,Goldenberg,EPsychological sequelae of torture and organised violence suffered by refugees from Iraq. Trauma-related factors compared with social factors in exile.Br. J. Psychiatry1998;172:90–94 [see comments]CrossRefGoogle Scholar
Hirschfeld,RM,Montgomery,SA,Keller,MB,Kasper,S,Schatzberg,AF,Moller,HJet al.Social functioning in depression: a review.J. Clin. Psychiatry2000;61(4):268–275.CrossRefGoogle ScholarPubMed
Holen,A,Sund,A,Weisaeth,IThe Alexander Kielland disaster March 27th 1980: psychological reactions among survivors..Oslo:Division of Disaster Psychiatry, University of Oslo;1983Google Scholar
Johansson,LM,Sundquist,J,Johansson,SE,Bergman,BEthnicity, social factors, illness and suicide: a follow-up study of a random sample of the Swedish population.Acta Psychiatr. Scand.1997;95(2):125–131.CrossRefGoogle ScholarPubMed
Kivling-Boden,G,Sundbom,ELife situation and posttraumatic symptoms: a follow-up study of refugees from the former Yugoslavia living in Sweden.Nord. J. Psychiatry2001;55(6):401–408.CrossRefGoogle ScholarPubMed
Kleinman,ACulture and depression: studies in the anthropology and cross-cultural psychiatry of affect and disorder.Berkeley:University of California Press;1985Google Scholar
Locke,CJ,Southwick,K,McCloskey,LA,Fernandez-Esquer,METhe psychological and medical sequelae of war in Central American refugee mothers and children.Arch. Pediatr. Adolesc. Med.1996;150(8):822–828.CrossRefGoogle ScholarPubMed
Marmot,M,Ryff,CD,Bumpass,LL,Shipley,M,Marks,NFSocial inequalities in health: Next questions and converging evidence.Soc. Sci. Med.1997;44(6):901–910.CrossRefGoogle ScholarPubMed
Marsella,AJ,Friedman,MJ,Gerrity,ET,Scurfield,RMEthnocultural aspects of post-traumatic stress disorder. Issues, research and clinical application.Washington DC:American Psychological Association Press;1996CrossRefGoogle Scholar
Mollica,RF,Wyshak,G,Marneffe,Dd,Tu,B,Yang,T,Khuon,F et al. Hopkins Symptom Checklist 25. Manual. Harvard program in refugee trauma: Harvard School of Public Health ;1991.Google Scholar
Mollica,RF,Wyshak,G,Marneffe,D,Khuon,F,Lavelle,JIndochinese versions of the Hopkins Symptom Checklist-25: a screening instrument for the psychiatric care of refugees.Am. J. Psychiatry1987;144(4):497–500.Google ScholarPubMed
Mollica,RF,McInnes,K,Sarajlic,N,Lavelle,J,Sarajlic,I,Massagli,MPDisability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia.J. Am. Med. Assoc.1999;282(5):433–439.CrossRefGoogle ScholarPubMed
Momartin,S,Silove,D,Manicavasagar,V,Steel,ZDimensions of trauma associated with posttraumatic stress disorder (PTSD) caseness, severity and functional impairment: a study of Bosnian refugees resettled in Australia.Soc. Sci. Med.2003;57(5):775–781.CrossRefGoogle Scholar
Nygard,M,Malterud,KA simple survey of post-traumatic stress disorders among Bosnian war refugees in Norway.Tidsskr. Nor. Laegeforen.1995;115(16):1971–1974.Google ScholarPubMed
Ong,AMaking the biopolitical subject: Cambodian immigrants, refugee medicine and cultural citizenship in California.Soc. Sci. Med.1995;40(9):1243–1257.CrossRefGoogle ScholarPubMed
Statistics SwedenRe-interviews in the Survey of Living Conditions (ULF) 81, 83 and 84. Appendix No. 8.Stockholm:Statistics Sweden;1985Google Scholar
Statistics SwedenMeasurement problems in survey items. Analysis of variation in reliability. Appendix No. 9.Stockholm:Statistics Sweden;1987Google Scholar
Statistics SwedenRe-interviews in the Survey of Living Conditions (ULF). Appendix No. 12.Stockholm:Statistics Sweden;1989Google Scholar
Stein,B,Comer,D,Gardner,W,Kelleher,KProspective study of displaced children’s symptoms in wartime Bosnia.Soc. Psychiatry Psychiatr. Epidemiol.1999;34(9):464–469.CrossRefGoogle ScholarPubMed
Stein,MB,Hanna,C,Vaerum,V,Koverola,CMemory functioning in adult women traumatized by childhood sexual abuse.J. Trauma. Stress1999;12(3):527–534.CrossRefGoogle ScholarPubMed
Sundquist,J,Behmen-Vincevic,A,Johansson,S-EPoor quality of life and health in young to middle aged Bosnian female war refugees: a population-based study.Public Health1998;112:21–26.Google Scholar
Sundquist,J,Bayard-Burfield,L,Johansson,LM,Johansson,SEImpact of ethnicity, violence and acculturation on displaced migrants: psychological distress and psychosomatic complaints among refugees in Sweden.J. Nerv. Ment. Dis.2000;188(6):357–365.CrossRefGoogle ScholarPubMed
Thulesius,H,Hakansson,AScreening for posttraumatic stress disorder symptoms among Bosnian refugees.J. Trauma. Stress1999;12(1):167–174.CrossRefGoogle ScholarPubMed
US Committee for RefugeesWorld Refugee Statistics: World Refugee Survey.Washington DC:Immigration and Refugee Services of America;1997Google Scholar
Weine,SM,Becker,DF,McGlashan,TH,Laub,D,Lazrove,S,Vojvoda,Det al.Psychiatric consequences of “ethnic cleansing”: clinical assessments and trauma testimonies of newly resettled Bosnian refugees.Am. J. Psychiatry1995;152(4):536–542.Google ScholarPubMed
Weine,SM,Vojvoda,D,Becker,DF,McGlashan,TH,Hodzic,E,Laub,Det al.PTSD symptoms in Bosnian refugees 1 year after resettlement in the United States.Am. J. Psychiatry1998;155(4):562–564.CrossRefGoogle ScholarPubMed
Winokur,A,Winokur,DF,Rickels,K,Cox,DSSymptoms of emotional distress in a family planning service: stability over a 4-week period.Br. J. Psychiatry1984;144:395–399.CrossRefGoogle Scholar
Wärneryd,BLevnadsförhållanden. Återintervjustudie i undersökningen av levnadsförhållanden 1989 (ULF).(Living conditions. Reinterview in ULF 1989.) Appendix 12: Statistics Sweden1991Google Scholar
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