Leiler Anna, Meurling Jennifer, Rondung Elisabet, Shahnavaz Shervin, Andersson Gerhard, Bjärtå Anna
Mid Sweden University 831 25 Östersund, Sweden.
Karolinska institutet 171 77 Stockholm, Sweden.
J Migr Health. 2024 Oct 12;10:100274. doi: 10.1016/j.jmh.2024.100274. eCollection 2024.
Refugees often experience multiple losses. Despite this, and even though the loss is often due to unnatural causes and violent killings, the presence of Prolonged Grief (PG) among refugees may be obscured by other diagnoses such as depression and post-traumatic stress disorder (PTSD). In this cross-sectional study, we assessed the prevalence of PG and its comorbidity with depression and PTSD among 679 adult refugees in Sweden. Results showed that 401 (59.06 %) individuals had lost someone close to them, whom they were grieving intensely. Of these, 76 individuals (18.95 % of 401) fulfilled the criteria for PG. In the full sample, 304 individuals fulfilled the criteria for depression and 56 (18.42 % of 304) of these individuals also fulfilled the criteria for PG. Similarly, 315 fulfilled the criteria for PTSD. Among these individuals, 201 reported loss and 64 (20.32 % of 315) also fulfilled the criteria for PG. The results indicate that behind symptoms of depression and PTSD, there may be a layer of grief. This needs to be considered if we are to provide accurate and effective assessments and interventions for refugees.
难民常常经历多重损失。尽管如此，即便这些损失往往是由非自然原因和暴力杀戮导致的，但难民中存在的持续性悲伤（PG）可能会被诸如抑郁症和创伤后应激障碍（PTSD）等其他诊断所掩盖。在这项横断面研究中，我们评估了瑞典679名成年难民中PG的患病率及其与抑郁症和PTSD的共病情况。结果显示，401人（59.06%）失去了他们亲近的人，并且正在强烈地悲痛。其中，76人（占401人的18.95%）符合PG的标准。在整个样本中，304人符合抑郁症的标准，其中56人（占304人的18.42%）也符合PG的标准。同样，315人符合PTSD的标准。在这些人中，201人报告有过损失，64人（占315人的20.32%）也符合PG的标准。结果表明，在抑郁症和PTSD的症状背后，可能存在一层悲伤情绪。如果我们要为难民提供准确有效的评估和干预，就需要考虑到这一点。
