Department of Psychiatry, University of Health Sciences, Ankara City Hospital, Ankara, Turkey.
Department of Psychiatry, Ankara University Faculty of Medicine, Ankara, Turkey.
J Immigr Minor Health. 2021 Jun;23(3):434-443. doi: 10.1007/s10903-020-01122-2. Epub 2020 Nov 22.
Turkey has witnessed an increase in migration of people belonging to neighboring countries due to civil war. Traumatic life events experienced by refugees bring along mental problems. Their psychological resilience enables them to cope with these difficulties. In this study, 101 Iraqi Turkoman refugees who migrated to Turkey following the increasing civil war events in their country were evaluated psychologically. Sociodemographic data form Resilience Scale for Adults (RSA) and Clinician-Administered Post-Traumatic Stress Disorder Scale (CAPS) were used for psychological evaluation. The prevalence of lifetime post-traumatic stress disorder (PTSD) among the refugees was 25.7%. There was no significant difference between the psychological resilience of the patients who developed PTSD and those who did not (p = 0.709). As the severity of trauma decreased, psychological resilience increased in the people who developed PTSD (p = 0.001, r = -0.622). Considering the psychological resilience of refugees, the area with the highest resilience is access to social resources, while the area with the lowest is the planned future. It was observed that the basic needs of refugees after migration could not be met clearly compared to the ones before migration. It was noteworthy that in cases diagnosed with PTSD, CAPS scores increased (p = 0.011, r: 0.251) and resilience decreased (p < 0.001, r: -0.376) as the inability to reach basic needs increased. Our study is very important in terms of defining how refugees are mentally affected after settling in another country and what determines their psychological resilience.
土耳其因内战目睹了邻国人民的移民潮增加。难民经历的创伤性生活事件带来了心理问题。他们的心理适应能力使他们能够应对这些困难。在这项研究中，对 101 名因国内冲突加剧而移民到土耳其的伊拉克土库曼难民进行了心理评估。使用社会人口统计学数据形式的成人韧性量表（RSA）和临床医生管理的创伤后应激障碍量表（CAPS）进行心理评估。难民终身创伤后应激障碍（PTSD）的患病率为 25.7%。在发生 PTSD 和未发生 PTSD 的患者之间，心理韧性没有显著差异（p=0.709）。随着创伤严重程度的降低，发生 PTSD 的患者的心理韧性增加（p=0.001，r=-0.622）。考虑到难民的心理韧性，韧性最高的地区是获得社会资源，而韧性最低的地区是规划未来。与移民前相比，很明显，难民在移民后的基本需求没有得到明确满足。值得注意的是，在诊断为 PTSD 的病例中，CAPS 评分增加（p=0.011，r：0.251），而无法满足基本需求时，心理韧性降低（p<0.001，r：-0.376）。我们的研究对于定义难民在另一个国家定居后如何在心理上受到影响以及是什么决定了他们的心理韧性非常重要。
