Rzepka Irja, Gebhardt Nadja, Kindermann David, Stengel Andreas, Zipfel Stephan, Friederich Hans-Christoph, Nikendei Christoph
Abteilung für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Deutschland.
Abteilung für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2023 Dec;182-183:32-37. doi: 10.1016/j.zefq.2023.08.003. Epub 2023 Oct 13.
Millions of people are fleeing the war in Ukraine. Stressors associated with flight can have a massive impact on mental health. The aim of the present study was to perform a low-threshold screening for mental distress symptoms among Ukrainian refugees in an initial reception center in Baden-Württemberg.
At the initial reception center in Heidelberg Ukrainian refugees were interviewed about psychological distress during consultations with medical care providers, using four screening questionnaires (PC-PTSD-5, PHQ-9, GAD-7, stress thermometer) in Ukrainian or Russian language, and further sociodemographic data and data about the refugees' background were collected.
More than 90% of the N = 36 respondents reported that they had experienced war, 55.6% reached the cut-off score for post-traumatic stress disorder. One fourth of the participants reached cut-off scores for depression and more than 30% for generalized anxiety disorder. The majority of respondents had relatives living in embattled cities, and in over 36% close relatives were currently deployed in war. In the group comparison there was no significant correlation of symptom burden with the family background situation.
In line with the existing literature, many of the participants showed signs of mental distress. Potentially affected persons can be identified using low-threshold screening questionnaires. Adequate care for mentally stressed refugees according to their needs should be established to facilitate integration.
Due to the known high prevalence of mental distress, refugees should be screened for mental distress symptoms at a low-threshold level to identify affected individuals. The psychosocial situation of Ukrainian refugees should be considered at an early stage in medical care.
数百万民众正逃离乌克兰的战争。与逃亡相关的压力源会对心理健康产生巨大影响。本研究的目的是在巴登-符腾堡州的一个初始接待中心,对乌克兰难民中的心理困扰症状进行低门槛筛查。
在海德堡的初始接待中心,乌克兰难民在与医疗服务提供者咨询期间接受了关于心理困扰的访谈,使用乌克兰语或俄语的四份筛查问卷(PC-PTSD-5、PHQ-9、GAD-7、压力温度计),并收集了更多社会人口学数据以及有关难民背景的数据。
在N = 36名受访者中,超过90%的人报告称他们经历过战争,55.6%的人达到创伤后应激障碍的临界分数。四分之一的参与者达到了抑郁症的临界分数,超过30%的人达到了广泛性焦虑症的临界分数。大多数受访者有亲属生活在交战城市,超过36%的近亲目前正在战争中服役。在组间比较中,症状负担与家庭背景情况没有显著相关性。
与现有文献一致,许多参与者表现出心理困扰的迹象。使用低门槛筛查问卷可以识别潜在受影响的人群。应根据有心理压力的难民的需求提供适当护理,以促进融合。
鉴于已知心理困扰的高患病率,应在低门槛水平对难民进行心理困扰症状筛查,以识别受影响的个体。在医疗护理中应尽早考虑乌克兰难民的心理社会状况。