Posttraumatic stress disorder and prolonged grief in refugees exposed to trauma and loss

BMC Psychiatry

Research Article

Derrick Silove¹  Zachary Steel¹  Fiona Maccallum²  Angela Nickerson²  Belinda J Liddell²  Richard A Bryant² 

[1] Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, 2052, Sydney, NSW, Australia;School of Psychology, University of New South Wales, 2052, Sydney, NSW, Australia;

关键词: Trauma;    Bereavement;    Posttraumatic stress disorder;    Grief;    Refugees;    War;   

DOI  :  10.1186/1471-244X-14-106

 received in 2013-12-19, accepted in 2014-03-31,  发布年份 2014

来源: Springer

【 摘 要 】

BackgroundWhile a large proportion of conflict-affected populations have been dually exposed to trauma and loss, there is inadequate research identifying differential symptom profiles related to bereavement and trauma exposure in these groups. The objective of this study were to (1) determine whether there are distinct classes of posttraumatic stress disorder (PTSD) and prolonged grief disorder (PGD) symptoms in bereaved trauma survivors exposed to conflict and persecution, and (2) examine whether particular types of refugee experiences and stressors differentially predict symptom profiles.MethodsParticipants were 248 Mandaean adult refugees who were assessed at an average of 4.3 years since entering Australia following persecution in Iraq. PTSD, PGD, trauma exposure, adjustment difficulties since relocation, and English proficiency were measured. Latent class analysis was used to elucidate symptom profiles of PTSD and PGD in this sample.ResultsLatent class analysis revealed four classes of participants: a combined PTSD/PGD class (16%), a predominantly PTSD class (25%), a predominantly PGD class (16%), and a resilient class (43%). Whereas membership in the PTSD/PGD class was predicted by exposure to traumatic loss, those in the PGD class were more likely to have experienced adaptation difficulties since relocation, and individuals in the PTSD class were more likely to have experienced difficulties related to loss of culture and support.ConclusionsThis study provides evidence that specific symptom patterns emerge following exposure to mass trauma and loss. These profiles are associated with distinct types of traumatic experiences and post-migration living difficulties. These results have substantial public health implications for assessment and intervention following mass trauma.

【 授权许可】

CC BY   
© Nickerson et al.; licensee BioMed Central Ltd. 2014