Lurie Ido, Nakash Ora, Gerber Yariv, Gross Raz
Shalvata Mental Health Center, Hod Hasharon, Israel.
Department of Psychiatry, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Harefuah. 2019 Jul;158(7):432-436.
In 2012, 183,896 work migrants and 47,704 asylum-seekers and work-migrants arrived in Israel. These populations are at high-risk for depression, anxiety and posttraumatic stress disorder (PTSD). The Open Clinic of Physicians for Human Rights (PHR) delivers free medical and mental health services to these individuals.
To evaluate exposure to traumatic events, and compare the prevalence and risk for PTSD, depression and anxiety symptoms between work-migrants and asylum-seekers.
An analytical cross-sectional study of adults visiting the Open Clinic was conducted. Participants completed self-report questionnaires including information on demographics and exposure to traumas, depression, anxiety and PTSD. Statistical models were constructed to predict outcome variables of PTSD, depression and anxiety as dichotomist variables using a logistic regression, and association odds ratio (OR) and confidence interval (CI) on 95% level.
There were 241 participants; 165 asylum-seekers, 76 work-migrants. Work-migrants were exposed to more traumatic events. A total of 17-31% met PTSD criteria. Significantly more asylum-seekers met PTSD criteria. A total of 43%-50% met criteria for depression and/or anxiety, with no between-group differences. Significant association was found between immigration status and PTSD risk. Exposure to traumatic events was significantly associated with the prediction of PTSD, depression and anxiety.
Exposure to traumatic events was high among the Open Clinic service users, specifically work-migrants. Prevalence and risk for post-traumatic symptoms were significantly higher among asylum-seekers. It is important to conduct further research, in order to characterize risk and resilience factors in this excluded population, and to plan language and culture-competent mental health services.
2012年，183896名工作移民以及47704名寻求庇护者和工作移民抵达以色列。这些人群患抑郁症、焦虑症和创伤后应激障碍（PTSD）的风险很高。人权医师开放诊所为这些人提供免费的医疗和心理健康服务。
评估创伤事件暴露情况，并比较工作移民和寻求庇护者中PTSD、抑郁和焦虑症状的患病率及风险。
对到开放诊所就诊的成年人进行了一项分析性横断面研究。参与者完成了自我报告问卷，包括人口统计学信息以及创伤暴露、抑郁、焦虑和PTSD方面的信息。构建统计模型，使用逻辑回归将PTSD、抑郁和焦虑的结果变量预测为二分变量，并计算95%水平的关联优势比（OR）和置信区间（CI）。
共有241名参与者，其中165名寻求庇护者，76名工作移民。工作移民暴露于更多的创伤事件。共有17% - 31%的人符合PTSD标准。符合PTSD标准的寻求庇护者明显更多。共有43% - 50%的人符合抑郁和/或焦虑标准，组间无差异。发现移民身份与PTSD风险之间存在显著关联。创伤事件暴露与PTSD、抑郁和焦虑的预测显著相关。
开放诊所服务使用者中创伤事件暴露率很高，尤其是工作移民。寻求庇护者中创伤后症状的患病率和风险明显更高。开展进一步研究很重要，以便确定这一被排斥人群中的风险和恢复力因素，并规划适合语言和文化的心理健康服务。
