Psychological sequelae of torture and organised violence suffered by refugees from Iraq
- 3 January 1998
- journal article
- Published by Royal College of Psychiatrists in The British Journal of Psychiatry
- Vol. 172 (1), 90-94
- https://doi.org/10.1192/bjp.172.1.90
Abstract
Background: Refugees who have suffered traumatic events present complex therapeutic challenges to health professionals. There is little research into post-exile factors that may be amenable to change, and therefore reduce morbidity. We examined the importance of social factors in exile and of trauma factors in producing the different elements of psychological sequelae of severe trauma.Method: Eighty-four male Iraqi refugees were interviewed. Adverse events and level of social support were measured. Various measures of psychological morbidity were applied, all of which have been used in previous trauma research.Results: Social factors in exile, particularly the level of ‘affective’ social support, proved important in determining the severity of both post-traumatic stress disorder and depressive reactions, particularly when combined with a severe level of trauma/torture. Poor social support is a stronger predictor of depressive morbidity than trauma factors.Conclusions: Some of the most important factors in producing psychological morbidity in refugees may be alleviated by planned, integrated rehabilitation programmes and attention to social support and family reunion.Keywords
This publication has 18 references indexed in Scilit:
- Conflict between current knowledge about posttraumatic stress disorder and its original conceptual basisAmerican Journal of Psychiatry, 1995
- Post‐traumatic stress and associated disorders among Vietnam veterans: The significance of combat exposure and social supportJournal of Traumatic Stress, 1995
- Organised Violence and the Stress of ExileThe British Journal of Psychiatry, 1995
- Social Support, Negative Life Events and Mental HealthThe British Journal of Psychiatry, 1995
- Psychological effects of torture: a comparison of tortured with nontortured political activists in TurkeyAmerican Journal of Psychiatry, 1994
- The Harvard Trauma QuestionnaireThe Journal of Nervous and Mental Disease, 1992
- Detention of British citizens as hostages in the Gulf--health, psychological, and family consequences.BMJ, 1991
- Psychological Sequelae of TortureThe British Journal of Psychiatry, 1990
- The stressors and the post‐traumatic stress syndrome after an industrial disasterActa Psychiatrica Scandinavica, 1989
- The Duke???UNC Functional Social Support QuestionnaireMedical Care, 1988