Tinghög Petter, Malm Andreas, Arwidson Charlotta, Sigvardsdotter Erika, Lundin Andreas, Saboonchi Fredrik
Department of Health Sciences, Red Cross University College, Stockholm, Sweden.
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
BMJ Open. 2017 Dec 29;7(12):e018899. doi: 10.1136/bmjopen-2017-018899.
To estimate the prevalence of and associations between anxiety, depression, post-traumatic stress disorder (PTSD), low subjective well-being (SWB), potential traumas and postmigration stress among refugees from Syria resettled in Sweden.
A cross-sectional and population-based questionnaire study based on a known and complete sample frame. The survey included multiple measures of mental ill health and factors of particular relevance for refugees. Weighted analyses were conducted to calculate representative prevalence rates and associations. Associations were investigated through a series of logistic regression analyses. All analyses were supplemented with robust 95% CIs.
Sweden.
A random sample of 1215 individuals (response rate 30.4%) from Syria aged 18-64 years that were granted residency in Sweden on grounds of asylum between 2011 and 2013.
Anxiety, depression, PTSD and low SWB were assessed through Hopkins Symptom Checklist, Harvard Trauma Questionnaire and WHO-5 Well-being Index, using established cut-offs.
A majority of the participants met the criteria for at least one of the studied types of mental ill health, and the comorbidity was high. Depression was the most the common type with 40.2% (95% CI 36.9% to 43.3%), followed by low SWB with 37.7% (95% CI 34.8% to 40.1%), anxiety with 31.8% (95% CI 29.2% to 34.7%) and PTSD with 29.9% (95% CI 27.2% to 32.6%). Refugee-related potentially traumatic events (PTEs) experienced before or during migration was common as was substantial levels of postmigration stress. Most types of refugee-related PTEs, especially being exposed to interpersonal violence, and postmigration stress were associated with increased risks for anxiety, depression, low SWB and PTSD.
Mental ill health, in terms of anxiety, depression, low SWB and PTSD, are highly elevated and comorbid among refugees from Syria. Increased attention from multiple societal sectors to adequately support Syrian refugees' mental health needs, promoting recovery and reducing postmigration stress are needed.
评估在瑞典重新安置的叙利亚难民中焦虑、抑郁、创伤后应激障碍（PTSD）、低主观幸福感（SWB）、潜在创伤和移民后压力的患病率及其之间的关联。
基于已知且完整样本框架的横断面、基于人群的问卷调查研究。该调查包括多种心理健康不良测量方法以及对难民特别相关的因素。进行加权分析以计算具有代表性的患病率和关联。通过一系列逻辑回归分析研究关联。所有分析均补充了稳健的95%置信区间。
瑞典。
从2011年至2013年以庇护为由在瑞典获得居留权的18至64岁叙利亚人中随机抽取的1215名个体（应答率30.4%）。
通过霍普金斯症状清单、哈佛创伤问卷和WHO-5幸福感指数，使用既定的临界值评估焦虑、抑郁、PTSD和低SWB。
大多数参与者符合至少一种所研究的心理健康不良类型的标准，且共病率很高。抑郁是最常见的类型，占40.2%（95%置信区间36.9%至43.3%），其次是低SWB，占37.7%（95%置信区间34.8%至40.1%），焦虑占31.8%（95%置信区间29.2%至34.7%），PTSD占29.9%（95%置信区间27.2%至32.6%）。在移民前或移民期间经历的与难民相关的潜在创伤事件（PTEs）很常见，移民后压力水平也很高。大多数类型的与难民相关的PTEs，尤其是遭受人际暴力，以及移民后压力与焦虑、抑郁、低SWB和PTSD风险增加相关。
在叙利亚难民中，焦虑、抑郁、低SWB和PTSD等心理健康不良状况高度普遍且共病。多个社会部门需要增加关注，以充分支持叙利亚难民的心理健康需求，促进康复并减轻移民后压力。
