Psychische Belastungen bei Geflüchteten - Prävalenzen, Prädiktoren und Behandlungsansätze
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Philipps-Universität Marburg
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Abstract
The overall goal of this doctoral thesis is to provide the reader with comprehensive insight into
the scientific field of mental health in refugees and thus to derive specific implications for
prevention and targeted treatment measures.
First we conducted a meta analyses on symptoms of PTSD and depression among refugees in
Germany (Study I). Reported prevalence rates were notably large and by far exceeded the
prevalence in the general population. However, heterogeneity was large within and between
subgroups. To reduce this heterogeneity and identify high-risk subgroups we compared
unaccompanied refugee minors (URM) to accompanied refugee minors (ARM) regarding
depressive symptoms and mental distress (Study III). Results confirmed URM as a high-risk
subgroup within the refugee population, which should receive particular attention and more
targeted measures by health authorities. To gain broad insight in the driving forces of symptomdevelopment
among URM, we evaluated and summarized findings on associated factors to URM
mental health by conducting a systematic review (Study II). Qualitative synthesis revealed the
number of stressful life events to be the most evaluated and verified risk factor. Social support, on
the other hand, can protect UMR from developing poor mental health. Besides that, several other
influencing factors were pointed out, such as type of accommodation, family contact, gender and
cultural competences. In a next step, we aimed to investigate all relevant associated factors and
sequence them according their impact on the basis of a large sample of URM in Germany (Study
III). To achieve this, we created a screening tool (MEHIRA-SQ) comprising all relevant associated
factors identified in our previous systematic review. Results indicate that mental health measures
should comprise a rapid promotion of family contact, school attendance, language acquisition and
the fast processing of asylum applications. Despite the epidemiological relevance, the access and
success of psychological treatment has been shown to be very challenging. To address the
increasing demand for suitable mental health services, we investigated whether a culturalsensitive
stepped care model (SCM) will reduce symptoms of depression and PTSD in young
refugees more effectively and efficiently than treatment as usual (Study IV). Although our SCM did
not prove to be more effective in symptom change, it represented a more cost-efficient treatment
alternative. In addition, subgroup-analyses revealed disorder-specific intervention effects. Thus,
our findings contribute to the optimization of clinical productivity and the improvement of
therapeutic care for mentally burdened adolescent refugees.
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Dates
Created: 2022Issued: 2022-07-04Updated: 2022-07-04
Faculty
Fachbereich Psychologie
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
DFG-subjects
Geflüchtete
DDC-Numbers
150
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Höhne, Edgar: Psychische Belastungen bei Geflüchteten - Prävalenzen, Prädiktoren und Behandlungsansätze. : Philipps-Universität Marburg 2022-07-04. DOI: https://doi.org/10.17192/z2022.0216.
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This item has been published with the following license: In Copyright