Is legal status impacting outcomes of group therapy for posttraumatic stress disorder with male asylum seekers and refugees from Iran and Afghanistan?

BMC Psychiatry

Research Article

Rolf J Kleber¹  Jeroen W Knipscheer¹  Wietse A Tol²  Astrid M Kamperman³  Boris Drožđek⁴ 

[1] Department of Clinical and Health Psychology, Utrecht University, Utrecht/Arq Foundation, Diemen, The Netherlands;Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA;Department of Psychiatry, Erasmus MC, Rotterdam, The Netherlands;Psychotrauma Centrum Zuid Nederland/Reinier van Arkel groep, Den Bosch, The Netherlands;

关键词: Post-traumatic stress disorder;    Asylum seekers;    Refugees;    Group therapy;    Resettlement stress;    Iran;    Afghanistan;   

DOI  :  10.1186/1471-244X-13-148

 received in 2013-01-26, accepted in 2013-05-21,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundLegal status and other resettlement stressors are known to impact mental health of asylum seekers and refugees. However, the ways in which they interact with treatment of posttraumatic stress disorder (PTSD) with these populations is still poorly understood. The aim of this study was to examine whether legal status and other resettlement stressors influence outcomes of a trauma-focused group PTSD treatment within a day-treatment setting with asylum seekers and refugees.MethodsSixty six male Iranian and Afghan patients with PTSD residing in the Netherlands were assessed with self-rated symptom checklists for PTSD, anxiety and depression, and a demographic questionnaire one week before and two weeks after the treatment. Multivariate linear regression analysis was used to examine the impact of legal status and living arrangements on the treatment outcomes per symptom domain.ResultsThe results suggest that both asylum seekers and refugees can be helped with their mental health complaints with a trauma-focused group therapy for PTSD regardless of their legal status. Obtaining a refugee status in a course of the treatment appears to improve the treatment outcomes.ConclusionsLegal status is impacting outcomes of group therapy for PTSD with male asylum seekers and refugees. Asylum seekers may benefit from group treatment regardless of unstable living conditions.

【 授权许可】

Unknown   
© Drozdek et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.