Department of Psychiatry, Campus Benjamin Franklin, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Department of Psychiatry, Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Front Public Health. 2021 Feb 1;9:635474. doi: 10.3389/fpubh.2021.635474. eCollection 2021.
To determine migration related distress pattern in refugees and feasibility of a established, central low-threshold outpatient clinic serving more than 80,000 newly arrived refugees in the metropole of Berlin. In an observational cohort study the relative prevalence of major psychiatric disorders by age, place of living within berlin, language and region of origin were assessed in a refugee cohort from 63 nationalities speaking 36 languages. Within 18 months, a total of 3,096 cases with a mean age of 29.7 years (11.7) have been referred from all 12 districts and 165 of 182 subdistricts of Berlin to the CCC. 33.7% of the patients were female. The three most frequent diagnoses were unipolar depression (40.4%), posttraumatic stress disorder (24.3%), and adjustment disorder (19.6%). The present data gives insight into the distribution of mental disorders in a large sample of refugees and provides evidence that a CCC is an effective service to quickly and broadly provide psychiatric consultations and thus to overcome classical barriers refugees usually experience in the host communities. In Berlin, Germany, and Europe treatment resources for this population should focus on stress and trauma related disorders.
为了确定难民中与移民相关的困扰模式，以及在柏林大都市为 8 万多名新抵达的难民设立一个已建立的、中央低门槛门诊的可行性。在一项观察性队列研究中，评估了来自 63 个国家、讲 36 种语言的难民队列中，按年龄、在柏林的居住地、语言和原籍地区划分的主要精神障碍的相对患病率。在 18 个月内，共有 3096 例平均年龄为 29.7 岁（11.7）的患者从柏林的 12 个区和 182 个分区中的 165 个区被转介到 CCC。其中 33.7%的患者为女性。最常见的三种诊断是单相抑郁症（40.4%）、创伤后应激障碍（24.3%）和适应障碍（19.6%）。目前的数据提供了对大量难民中精神障碍分布的深入了解，并为 CCC 是一种快速广泛提供精神病咨询的有效服务提供了证据，从而克服了难民在收容社区中通常面临的典型障碍。在德国柏林和欧洲，针对这一人群的治疗资源应侧重于与压力和创伤相关的障碍。
