Challenges in treatment of posttraumatic stress disorder

Background: Research shows that trauma-focused therapy and multimodal interventions are the two most
often used strategies in treatment of refugees suffering from posttraumatic stress disorder (PTSD). While
preliminary evidence suggests that trauma-focused approaches may have some efficacy, this could not be
established for multimodal interventions. However, it may be that multimodal interventions have been studied
in more treatment-resistant refugees with very high levels of psychopathology, disability, and chronicity. In the

EMDR With Traumatized Refugees: From Experience-Based to Evidence-Based Practice

Many refugees resettled in Western countries suffer from an accumulation of traumatic and current stressors that contribute to mental health problems and may complicate trauma-focused treatment. Consequently, the acceptability, safety, and efficacy of trauma-focused treatment with refugees have been a matter of clinical and scientific interest. In recent years, the evidence has accumulated for narrative exposure therapy and culturally adapted cognitive behavioral therapy.

Developmental perspective on trauma

This book presents a new model on trauma. A new factor in this book is the impact of the child developmental stage itself on the perception of traumatic events. This concerns the way trauma influences the performance of the developmental tasks, a formative developmental perspective. A frame of...

Beyond Storms & Droughts: The Psychological Impacts of Climate Change [Eng]

Research and communications about the impacts of climate change have generally focused on physical impacts, like more extreme storms, rising sea levels, and increasingly severe droughts. Psychological impacts, on the other hand, have received comparatively little attention. The goal of this report is to summarize these and other impacts on human well-being, and provide climate communicators, planners, policymakers, public health officials, and other leaders the tools they need to both respond to these impacts and bolster public engagement around climate change.

Intimate Partner Violence in Rwanda: The Mental Health of Victims and Perpetrators

Exposure to intimate partner violence (IPV) is a common feature of women living in low- and middle-income countries. Several studies have shown a significant association between IPV against women and mental health in both developed and in low- and middle-income countries. In postconflict settings, the relationship between IPV and mental health is likely more complex, given the high levels of violence experienced by the population as a whole.

Bouncing forward of young refugees : a perspective on resilience research directions

War and persecution around the world force children and adolescents to leave their own country. In 2011, more than 876,000 people worldwide appealed for refugee status, 34% of whom were younger than 18 years (United Nations High Commissioner for Refugees, 2012). Many of these young refugees will grow up to be a part of Western society, shaping its future. Young refugees need to rapidly adapt to changing societal conditions.

Protect: Process of Recognition and Orientation of Torture Victims in European Countries to Facilitate Care and Treatment

According to Council Directive 2003/9/EC of January 27th 2003 laying down minimum standards for the reception of asylum seekers, the Member States have to take into account the specific situation of vulnerable persons among other applicants who have been subjected to torture, rape or other serious forms of psychological, physical or sexual violence. This provision shall apply only to applicants recognized as having special needs, after an individual assessment of their situation.

Ambiguous Expectations and Reduced Confidence: Experience of Somali Refugees Encountering Swedish Health Care

The purpose of this study was to explore Somali refugees' experience of their encounters with Swedish health care. Individual interviews with 20 Somalis were transcribed verbatim and interpreted according to a hermeneutic approach. The findings were expressed in three themes. The first theme, 'expectations when approaching health care', conveys an ambivalence regarding confidence and expectations of treatment and care.

Late-onset PTSD in unaccompanied refugee minors: Exploring the predictive utility of depression and anxiety symptoms

Following resettlement in Western countries, unaccompanied refugee minors (URM) are at risk of developing posttraumatic stress disorder (PTSD). It is unclear to what extent PTSD in this group may become manifest at later stages following resettlement and which factors are associated with late onset. We examined data from URM collected 1 (T1) and 2 years (T2) following resettlement for differences between groups with no PTSD, PTSD at T1, and late-onset PTSD (at T2 only) using multinomial regression and path analysis.