Predictors of psychological distress in Syrian refugees with posttraumatic stress in Germany.

Syria has been the main country of citizenship of refugees in Germany since 2013. Syrians face numerous human rights violations in their country that can be accompanied by the experience of potentially traumatic events, loss and displacement. Along the migration process, refugees are exposed to vari...

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Autores principales:	Anna Renner, David Jäckle, Michaela Nagl, Rahel Hoffmann, Susanne Röhr, Franziska Jung, Thomas Grochtdreis, Judith Dams, Hans-Helmut König, Steffi Riedel-Heller, Anette Kersting
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/7950a3f4fd044ac3958833f5b0185fe0
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spelling	oai:doaj.org-article:7950a3f4fd044ac3958833f5b0185fe02021-12-02T20:15:17ZPredictors of psychological distress in Syrian refugees with posttraumatic stress in Germany.1932-620310.1371/journal.pone.0254406https://doaj.org/article/7950a3f4fd044ac3958833f5b0185fe02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254406https://doaj.org/toc/1932-6203Syria has been the main country of citizenship of refugees in Germany since 2013. Syrians face numerous human rights violations in their country that can be accompanied by the experience of potentially traumatic events, loss and displacement. Along the migration process, refugees are exposed to various factors that can have an impact on mental health. The aim of this study is to investigate sociodemographic, war- and flight-related as well as post-migration factors as predictors of posttraumatic stress, depression, somatization and anxiety in Syrian refugees with posttraumatic stress symptoms based in Germany. Data were based on the baseline sample of the "Sanadak" randomized-controlled trial. A total of 133 adult Syrian refugees participated in the study. A questionnaire covered sociodemographic and flight-related questions as well as standardized instruments for symptoms of PTSD (PDS-5), depression (PHQ-9), somatization (PHQ-15), anxiety (GAD-7), generalized self-efficacy (GSE), religiousness (Z-Scale), social support (ESSI) and mental health stigma (SSMIS-SF). Linear regression models were executed to predict mental health outcomes. Sociodemographic predictors (i.e., female sex, higher education) and flight-related predicting factors (i.e., variability of traumatic events) have a negative impact on mental health in Syrian refugees with posttraumatic stress symptoms in Germany. Mental health stigma predicts worse mental health outcomes. Post-migration factors have a major impact on mental health, such as low income, lack of social support, low life satisfaction or a strongly felt connection to Syria. Somatization is an important manifestation of mental distress in Syrian refugees with posttraumatic stress symptoms. Our study showed a range of factors predicting the mental health of Syrian refugees with posttraumatic stress symptoms. Measures to foster mental health could be securing financial security, promoting gender equality and tailored psychosocial programs addressing mental health stigma, loss and social support networks.Anna RennerDavid JäckleMichaela NaglRahel HoffmannSusanne RöhrFranziska JungThomas GrochtdreisJudith DamsHans-Helmut KönigSteffi Riedel-HellerAnette KerstingPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0254406 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Anna Renner David Jäckle Michaela Nagl Rahel Hoffmann Susanne Röhr Franziska Jung Thomas Grochtdreis Judith Dams Hans-Helmut König Steffi Riedel-Heller Anette Kersting Predictors of psychological distress in Syrian refugees with posttraumatic stress in Germany.
description	Syria has been the main country of citizenship of refugees in Germany since 2013. Syrians face numerous human rights violations in their country that can be accompanied by the experience of potentially traumatic events, loss and displacement. Along the migration process, refugees are exposed to various factors that can have an impact on mental health. The aim of this study is to investigate sociodemographic, war- and flight-related as well as post-migration factors as predictors of posttraumatic stress, depression, somatization and anxiety in Syrian refugees with posttraumatic stress symptoms based in Germany. Data were based on the baseline sample of the "Sanadak" randomized-controlled trial. A total of 133 adult Syrian refugees participated in the study. A questionnaire covered sociodemographic and flight-related questions as well as standardized instruments for symptoms of PTSD (PDS-5), depression (PHQ-9), somatization (PHQ-15), anxiety (GAD-7), generalized self-efficacy (GSE), religiousness (Z-Scale), social support (ESSI) and mental health stigma (SSMIS-SF). Linear regression models were executed to predict mental health outcomes. Sociodemographic predictors (i.e., female sex, higher education) and flight-related predicting factors (i.e., variability of traumatic events) have a negative impact on mental health in Syrian refugees with posttraumatic stress symptoms in Germany. Mental health stigma predicts worse mental health outcomes. Post-migration factors have a major impact on mental health, such as low income, lack of social support, low life satisfaction or a strongly felt connection to Syria. Somatization is an important manifestation of mental distress in Syrian refugees with posttraumatic stress symptoms. Our study showed a range of factors predicting the mental health of Syrian refugees with posttraumatic stress symptoms. Measures to foster mental health could be securing financial security, promoting gender equality and tailored psychosocial programs addressing mental health stigma, loss and social support networks.
format	article
author	Anna Renner David Jäckle Michaela Nagl Rahel Hoffmann Susanne Röhr Franziska Jung Thomas Grochtdreis Judith Dams Hans-Helmut König Steffi Riedel-Heller Anette Kersting
author_facet	Anna Renner David Jäckle Michaela Nagl Rahel Hoffmann Susanne Röhr Franziska Jung Thomas Grochtdreis Judith Dams Hans-Helmut König Steffi Riedel-Heller Anette Kersting
author_sort	Anna Renner
title	Predictors of psychological distress in Syrian refugees with posttraumatic stress in Germany.
title_short	Predictors of psychological distress in Syrian refugees with posttraumatic stress in Germany.
title_full	Predictors of psychological distress in Syrian refugees with posttraumatic stress in Germany.
title_fullStr	Predictors of psychological distress in Syrian refugees with posttraumatic stress in Germany.
title_full_unstemmed	Predictors of psychological distress in Syrian refugees with posttraumatic stress in Germany.
title_sort	predictors of psychological distress in syrian refugees with posttraumatic stress in germany.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/7950a3f4fd044ac3958833f5b0185fe0
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Predictors of psychological distress in Syrian refugees with posttraumatic stress in Germany.

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