Psychotrauma Centrum Zuid Nederland/Reinier van Arkel groep, Den Bosch, The Netherlands.
BMC Psychiatry. 2013 May 24;13:148. doi: 10.1186/1471-244X-13-148.
Legal 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.
Sixty 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.
The 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.
Legal 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.
法律地位和其他重新安置压力源已知会影响寻求庇护者和难民的心理健康。然而，它们与这些人群的创伤后应激障碍（PTSD）治疗相互作用的方式仍知之甚少。本研究旨在探讨法律地位和其他重新安置压力源是否会影响在日间治疗环境中对寻求庇护者和难民进行的以创伤为重点的 PTSD 团体治疗的结果。
66 名居住在荷兰的伊朗和阿富汗男性 PTSD 患者在治疗前一周和治疗后两周使用自我评估 PTSD、焦虑和抑郁症状检查表和人口统计问卷进行评估。多元线性回归分析用于检查法律地位和居住安排对每个症状领域的治疗结果的影响。
结果表明，无论法律地位如何，以创伤为重点的团体治疗都可以帮助寻求庇护者和难民解决他们的心理健康问题。在治疗过程中获得难民身份似乎可以改善治疗结果。
法律地位影响男性寻求庇护者和难民 PTSD 团体治疗的结果。寻求庇护者可能会受益于团体治疗，无论其居住条件不稳定如何。
