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Mental Disorder among Refugees and the Impact of Persecution and Exile: Some Findings from an Out-Patient Population

Published online by Cambridge University Press:  02 January 2018

Nils Johan Lavik ,
Edvard Hauff ,
Anders Skrondal  and
Øivind Solberg
Nils Johan Lavik*
Affiliation:
Psychosocial Centre for Refugees, University of Oslo
Edvard Hauff
Affiliation:
Psychosocial Centre for Refugees, University of Oslo
Anders Skrondal
Affiliation:
Psychosocial Centre for Refugees, University of Oslo
Øivind Solberg
Affiliation:
Section of Medical Statistics, University of Oslo, Norway
*
Professor Nils Johan Lavik, Director, Psychosocial Centre for Refugees, University of Oslo, PO Box 45 Kringsjå, 0807 Oslo, Norway
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Abstract

Background

Refugees have long been considered at risk for mental disorder. We sought to characterise this risk in an out-patient refugee sample by analysing the relationship between psychiatric symptoms and dysfunction, and between symptoms and the socio-demographic background and stressors specific to this refugee sample.

Method

A consecutive sample of 231 refugee patients referred to the psychiatric out-patient unit at the Psychosocial Centre for Refugees, University of Oslo, was examined with a semi-structured interview guide, Brief Psychiatric Rating Scale (BPRS), Hopkins Symptom Check-List (HSCL-25) and a check-list for post-traumatic symptoms (PTSS-10). Global Assessment of Function (GAF) scores were obtained; and the data were analysed using nine predictor variables.

Results

It was found that 46.6% of the patients had a post-traumatic stress disorder according to the criteria for DSM–III–R as the main diagnosis, while the mean GAF score for the patients was 57.3. Analysis of the GAF and BPRS data did not reveal any predictor of psychotic behaviour. However, torture emerged as an important predictor of emotional withdrawal/retardation. Also, age, gender and no employment or education predicted for anxiety/depression, while refugee status and no employment or school predicted for hostility/aggression.

Conclusions

The results confirm earlier findings that refugees constitute a population at risk for mental disorder. Past traumatic stressors and current existence in exile constitute independent risk factors. However, stressors other than those discussed here appear to be important also, particularly with regard to psychotic symptoms.

Type
Papers
Information
The British Journal of Psychiatry , Volume 169 , Issue 6 , December 1996 , pp. 726 - 732
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

Allodi, F. (1991) Assessment and treatment of torture victims. A critical review. Journal of Nervous and Mental Disease, 170, 4–11.Google Scholar
Cienfuegos, A. J. & Monelli, C. (1983) The testimony of political repression as therapeutic instrument. American Journal of Orthopsychiatry, 53, 41–53.CrossRefGoogle ScholarPubMed
Doerr-Zegers, O., Hartman, L., Lira, E., et al (1990) Towards a phenomenology of the torture situation. In Etiology of Mental Disorder (eds Kringlen, E., Lavik, N. J. & Torgersen, S.). Oslo: Department of Psychiatry.Google Scholar
Eitinger, L. (1959) The incidence of mental disease among refugees in Norway. Journal of Mental Science, 105, 326–338.CrossRefGoogle ScholarPubMed
Hauff, E. & Vaglum, P. (1995) Organised violence and the stress of exile. Predictors of mental health in a community cohort of Vietnamese refugees three years after resettlement British Journal of Psychiatry, 166, 360–367.Google Scholar
Kinzie, J. D., Boehnlein, J. K., Leung, D., et al (1990) The prevalence of posttraumatic stress-disorder and its clinical significance among Southeast Asian refugees. American Journal of Psychiatry, 147, 913–917.Google ScholarPubMed
Krupinski, J. & Burrows, H. (1986) The Price of Freedom: Young Indochinese Refugees in Australia. Sidney, Australia: Pergamon.Google Scholar
Lavik, N. J., Christie, H., Solberg, Ø., et al (1995) A refugee protest action in a host country. Journal of Refugee Studies, 9, 73–88.Google Scholar
Mollica, R. F., Wyshak, G., Lavelle, J., et al (1987a) The psychosocial impact of trauma and torture on South East-Asian refugees. American Journal of Psychiatry, 144, 1567–1572.Google Scholar
Mollica, R. F., Wyshak, G., Marneffi, J., et al (1987b) Indochinese versions of the Hopkins Symptoms Check List 25: a screening instrument for the psychiatric care of refugees. American Journal of Psychiatry, 144, 497–500.Google Scholar
Mulaik, S. A. (1972) The Foundations of Factor Analysis. New York: McGraw Hill.Google Scholar
Overall, J. E., Hollister, L. E., et al (1967) Major psychiatric disorders. A four dimensional model. Archives of General Psychiatry, 16, 146–151.CrossRefGoogle ScholarPubMed
Overall, J. E., Hollister, L. E., et al (1987) The Brief Psychiatric Rating Scale (BPRS): recent developments in ascertainment and scaling. Psychopharmacology Bulletin, 24, 97–99.Google Scholar
Raphael, B., Lundin, T., Weisaeth, L., et al (1989) A research method for the study of psychological and psychiatric aspects of disaster. Acta Psychiatrica Scandinavica Supplementum, 353, 1–75.CrossRefGoogle Scholar
Weine, S. M., Becker, D. F., McGlashan, T., et al (1995) Psychiatric consequences of “ethnic cleansing”: clinical assessments and trauma testimonies of newly resettled Bosnian refugees. American Journal of Psychiatry, 152, 532–542.Google Scholar
Westermeyer, J. (1989) Paranoid symptoms and disorder among 100 Hmong refugees: a longitudinal study. Acta Psychiatrica Scandinavica, 80, 47–59.Google Scholar
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