Tufan Ali Evren, Alkin Melis, Bosgelmez Sukriye
Abant Izzet Baysal University Medical Faculty, Department of Child and Adolescent Psychiatry, Bolu, Turkey.
Nord J Psychiatry. 2013 Jun;67(3):219-24. doi: 10.3109/08039488.2012.732113. Epub 2012 Dec 18.
Turkey is both a source and target for asylum seekers seeking refugee status in countries of European Union. There is a scarcity of research on the mental health issues of asylum seekers and refugees residing in Turkey.
This study aimed: 1) to provide clinical and demographic information on asylum seekers and refugees receiving mental health services from a non-governmental refugee support program in Istanbul between 2005 and 2007, and 2) to evaluate the differences between patients diagnosed with post-traumatic stress disorder (PTSD) with those who did not meet criteria.
The study was conducted at the Mental Health Division of the Refugee Advocacy Support Group. Between July 2005 and February 2007, 1209 asylum seekers applied to the support group; 75 of these individuals (6.2%) were referred for psychiatric evaluation while 57 were diagnosed as having a psychopathology. The number of analyzed subjects was 57.
PTSD and major depressive disorder were the most common diagnoses (55.2% for both). The most common criteria of PTSD reported were problems in concentration and social isolation (97.3% for both). Suffering torture and losing a significant other due to violence were found to be associated with a diagnosis of PTSD.
This study is the first of its kind to be conducted on a mixed refugee population residing in Turkey and focusing on their mental health problems. Our results should be tested within larger samples of refugees residing in different cities of Turkey.
土耳其既是寻求在欧盟国家获得难民身份的庇护者的来源国，也是目的地国。对于居住在土耳其的庇护者和难民的心理健康问题，相关研究匮乏。
本研究旨在：1）提供2005年至2007年间在伊斯坦布尔一个非政府难民支持项目中接受心理健康服务的庇护者和难民的临床及人口统计学信息；2）评估被诊断为创伤后应激障碍（PTSD）的患者与未达诊断标准的患者之间的差异。
该研究在难民倡导支持小组的心理健康部门开展。2005年7月至2007年2月期间，1209名庇护者向该支持小组提出申请；其中75人（6.2%）被转介进行精神科评估，57人被诊断患有精神病理学疾病。分析对象数量为57人。
PTSD和重度抑郁症是最常见的诊断（两者均为55.2%）。报告的PTSD最常见标准是注意力不集中和社交隔离（两者均为97.3%）。遭受酷刑和因暴力失去重要他人被发现与PTSD诊断相关。
本研究是首次针对居住在土耳其的混合难民群体并聚焦其心理健康问题开展的此类研究。我们的研究结果应在居住于土耳其不同城市的更大规模难民样本中进行验证。
