Abstract
This study aims to compare the types and frequency of traumatic events in Syrian patients. Additionally, the study investigates the relationship between the types of traumatic events and post-traumatic stress and mental well-being based on gender differences among the Syrians. Sociodemographic form, the Stressful Life Events Screening Questionnaire, the WHO-5 Well Being Index, and the Impact of Event Scale-Revised were administered to the Syrian volunteers (n = 207) and a control group. The total number of traumatic experiences were higher in the patient (study) group and men compared to the healthy control group and women. The most significant predictors of the variables for the level of traumatic symptoms were total number of traumatic experiences and having lived in a war zone. Traumatic stress symptoms may be associated with the number and continuity of traumatic events. The number of traumatic events in Syrians could be higher in males. Mental well-being is more associated with daily stress factors than traumatic experiences. Therefore, post-migratory risk and protective factors need to be investigated to comprehend PTSD.
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References
UNHCR 2018 Critical funding needs UNHCR urgently requires some USD 452 million to address the most acute and pressing needs of Syrian refugees in Turkey, Lebanon, Jordan, Iraq,and Egypt, and internally displaced persons ( IDPS ) in Syria. Available from https://data2.unhcr.org/en/documents/download/63941. Accessed 31 Dec 2019.
UNHCR. Europe Monthly Report (2019). Available from https://reliefweb.int/report/spain/unhcr-europe-monthly-report-april-2019. Accessed 31 Dec 2019.
Anne K, Mazeda H, Ligia K, Cathy Z. Asylum seekers, violence and health : a systematic review of research in high-income host countries. Am J Public Health. 2013;103(3):30–42.
Kinzie J. Understanding trauma. In: Kirmayer LJ, Lemelson R, Barad M, editors. Understanding the impact of trauma. New Yorkp: Cambridge University Press; 2007. p. 194–206.
Tinghög P, Malm A, Arwidson C, Sigvardsdotter E, Lundin A, Saboonchi F. Prevalence of mental ill health, traumas and postmigration stress among refugees from Syria resettled in Sweden after 2011: a population-based survey. BMJ Open. 2017;7(12):e018899.
Roth G, Ekblad S, Ågren H. A longitudinal study of PTSD in a sample of adult mass-evacuated Kosovars, some of whom returned to their home country. Eur Psychiatry. 2006;21:152–9.
Jankovic J, Bremner S, Bogic M, Lecic-tosevski D, Ajdukovic D, Franciskovic T. Trauma and suicidality in war affected communities. Eur Psychiatry. 2013;28:514–20.
Milliyet news (2019). Available from: https://www.cnnturk.com/video/turkiye/multecilerin-kahramani-oldu. Accessed 31 Dec 2019.
Stamm H. Measurement of stress, trauma, and adaptation. In: Hudnall Stamm B, editor. Meas Stress trauma. Balt MD: US Sidran Press; 1996. p. 445.
Bech P, Gudex C, Staehr JK. The who (ten) well-being index: Validation in diabetes. Psychother Psychosom. 1996;65(4):183–90.
Weiss T (2004) The Impact of Event Scale-Revised. In Assessing psychological trauma and PTSD. The Guilford Press, New York, NY, p. 168–189.
Kristensen P, Weisaeth L, Tønnesen A, Heir T. Visiting the site of death: experiences of the bereaved after the 2004 Southeast Asian tsunami. Death Stud. 2012;36:462–76.
Acarturk C, Cetinkaya M, Senay I, Gulen B, Aker T, Hinton D. Prevalence and predictors of posttraumatic stress and depression symptoms among syrian refugees in a refugee camp. J Nerv Ment Dis. 2018;206(1):40–5.
Alpak G, Unal A, Bulbul F, Sagaltici E, Bez Y, Altindag A, et al. Post-traumatic stress disorder among Syrian refugees in Turkey: a cross-sectional study. Int J Psychiatry Clin Pract. 2015;19(1):45–50.
Ibrahim H, Hassan CQ. Post-traumatic stress disorder symptoms resulting from torture and other traumatic events among Syrian kurdish refugees in kurdistan region, Iraq. Front Psychol. 2017;8:1–8.
Johnson H, Thompson A. The development and maintenance of post-traumatic stress disorder ( PTSD ) in civilian adult survivors of war trauma and torture : a review. Clin Psychol Rev. 2008;28:36–47.
Steel Z, Chey T, Silove D, Marnane C, Bryant RA, Van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA. 2009;302:537–49.
Al-shagran H, Khasawneh OM, Ahmed AK. Post-traumatic stress disorder of syrian refugees in Jordan. Int J Lib arts Soc Sci. 2015;3(3):36–48.
Tekeli-yesil S, Isik E, Unal Y, Almossa FA, Unlu HK, Aker AT. Determinants of mental disorders in Syrian fefugees in Turkey versus internally displaced. Res Pract. 2018;108(7):938–45. https://doi.org/10.2105/AJPH.2018.304405.
Li SSY, Liddell BJ, Nickerson A. The relationship between post-migration stress and psychological disorders in refugees and asylum seekers. Curr Psychiatry Rep. 2016;18(9):1–9.
Steel J, Dunlavy AC, Harding CE, Theorell T. The psychological consequences of pre-emigration trauma and post-migration stress in refugees and immigrants from africa. J Immigr Minor Heal. 2017;19(3):523–32.
Riley A, Varner A, Ventevogel P, Taimur Hasan MM, Welton-Mitchell C. Daily stressors, trauma exposure, and mental health among stateless rohingya refugees in Bangladesh. Transcult Psychiatry. 2017;54(3):304–31.
Hynie M. The social determinants of refugee mental health in the post-migration context: a critical review. Can J Psychiatry. 2018;63(5):297–303.
Alfadhli K, Drury J. A typology of secondary stressors among refugees of conflict in the middle east : the case of syrian refugees in Jordan. PLOS Curr Disasters. 2018. https://doi.org/10.1371/currents.dis.4bd3e6437bff47b33ddb9f73cb72f3d8.
Idemudia ES, Williams JK, Madu SN, Wyatt GE. Trauma exposures and posttraumatic stress among zimbabwean refugees in South Africa. Life Sci J. 2013;10(3):2397–407.
Sangalang CC, Becerra D, Mitchell FM, Lechuga-Peña S, Lopez K, Kim I. Trauma, post-migration stress, and mental health: a comparative analysis of refugees and immigrants in the United States. J Immigr Minor Heal. 2019;21(5):909–19.
Crepet A, Rita F, Reid A, Van Den BW, Deiana P, Quaranta G, et al. Mental health and trauma in asylum seekers landing in sicily in 2015: a descriptive study of neglected invisible wounds. Confl Health. 2017;11(1):1–11.
Cengiz İ, Ergun D, Çakıcı E. Posttraumatic stress disorder, posttraumatic growth and psychological resilience in Syrian refugees: Hatay. Turkey Anatol J Psychiatry. 2018;20(3):269–76.
Kılıç C, Magruder KM, Koryürek MM. Does trauma type relate to posttraumatic growth after war? A pilot study of young Iraqi war survivors living in Turkey. Transcult Psychiatry. 2016;53(1):110–23.
Kazour F, Zahreddine NR, Maragel MG, Almustafa MA, Soufia M, Haddad R, et al. Post-traumatic stress disorder in a sample of Syrian refugees in Lebanon. Compr Psychiatry. 2017;72:41–7.
Uygun E, Ilkkursun Z, Sijbrandij M, Aker AT, Bryant R, Cuijpers P, et al. Protocol for a randomized controlled trial: peer-to-peer group problem management plus (PM+) for adult syrian refugees in Turkey. Trials. 2020;21(1):1–9.
Purgato M, Carswell K, Acarturk C, Au T, Akbai S, Anttila M, et al. Effectiveness and cost-effectiveness of self-help plus (sh+) for preventing mental disorders in refugees and asylum seekers in Europe and Turkey: study protocols for two randomised controlled trials. BMJ Open. 2019. https://doi.org/10.1136/bmjopen-2019-030259.
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Uygun, E. The Relationship Between the Types of Traumatic Events and Well-Being, Post-Traumatic Stress Levels and Gender Differences in Syrian Patients: A Cross-Sectional Controlled Study. J Immigrant Minority Health 23, 1232–1240 (2021). https://doi.org/10.1007/s10903-020-01097-0
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DOI: https://doi.org/10.1007/s10903-020-01097-0