Comtesse Hannah, Rosner Rita
Department of Psychology, Catholic University Eichstaett-Ingolstadt, D-Eichstaett, Germany.
Eur J Psychotraumatol. 2019 Mar 29;10(1):1591330. doi: 10.1080/20008198.2019.1591330. eCollection 2019.
: Besides the high exposure to traumatic events, many refugees to Europe experienced tremendous interpersonal losses. : The aim of this study was to investigate the rate and potential risk factors of prolonged grief disorder (PGD) in recently fled asylum seekers who lived in collective accommodations in Germany. : Three groups of asylum seekers from different countries ( = 99) completed the Traumatic Grief Inventory Self-Report Version (TGI-SR), Posttraumatic Stress Disorder Checklist-5 (PCL-5), and Patient Health Questionnaire depression module (PHQ-9). Individuals in Group 1 were waiting for asylum decisions ( = 29), Group 2 members were in appeal against rejected asylum claims ( = 32), and Group 3 members had been permitted temporary residence status ( = 38). : The loss of a loved person was reported by 92% of participants. The criteria for provisional PGD diagnosis according to Prigerson criteria were met by 20% of participants, 16% fulfilled the criteria for DSM-5 persistent complex bereavement disorder. Probable posttraumatic stress disorder (45%) and depression (42%) rates were high. The total number of lost nuclear family members and PTSD symptoms were associated with higher and temporary residence status was predicted lower PGD symptom levels. : These results show that a substantial proportion of asylum seekers suffer from PGD. This points to the need to screen for problematic grief in the current refugee population in Europe.
除了遭受大量创伤性事件外，许多前往欧洲的难民还经历了巨大的人际丧失。本研究的目的是调查居住在德国集体住所的近期逃离的寻求庇护者中持续性悲伤障碍（PGD）的发生率及潜在风险因素。来自不同国家的三组寻求庇护者（N = 99）完成了创伤性悲伤量表自我报告版（TGI-SR）、创伤后应激障碍检查表第5版（PCL-5）和患者健康问卷抑郁模块（PHQ-9）。第一组的个体正在等待庇护决定（N = 29），第二组的成员正在对被驳回的庇护申请进行上诉（N = 32），第三组的成员已获得临时居住身份（N = 38）。92%的参与者报告有亲人离世。根据普里格森标准，20%的参与者符合PGD临时诊断标准，16%的参与者符合DSM-5持续性复杂丧亲障碍的标准。可能患有创伤后应激障碍（45%）和抑郁症（42%）的比例很高。失去的核心家庭成员总数和创伤后应激障碍症状与较高的PGD症状水平相关，而临时居住身份则预示着较低的PGD症状水平。这些结果表明，相当一部分寻求庇护者患有PGD。这表明有必要对欧洲当前难民群体中的问题性悲伤进行筛查。
