PTSD with secondary psychotic features among trauma-affected refugees: The role of torture and depression
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PTSD with secondary psychotic features among trauma-affected refugees : The role of torture and depression. / Rathke, Hannah; Poulsen, Stig; Carlsson, Jessica; Palic, Sabina.
In: Psychiatry Research, Vol. 287, 112898, 05.2020.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - PTSD with secondary psychotic features among trauma-affected refugees
T2 - The role of torture and depression
AU - Rathke, Hannah
AU - Poulsen, Stig
AU - Carlsson, Jessica
AU - Palic, Sabina
PY - 2020/5
Y1 - 2020/5
N2 - This cross-sectional study examined the prevalence of PTSD with secondary psychotic symptoms (PTSD-SP), its comorbidities, and its association with torture and depression in treatment-seeking refugees. Data were pooled from the Danish Database on Refugees with Trauma (DART). The sample represents approximately 90% of trauma-affected refugee-patients (N = 627) attending a Danish psychiatric outpatient clinic from 2008 to 2013. PTSD, secondary psychotic symptoms, and comorbidities were assessed with structured and routine clinical interviews. The association of PTSD-SP with torture and depression was investigated using hierarchical logistic regression. The prevalence of PTSD-SP in treatment-seeking refugees with PTSD was 30%. Among these, 44% fulfilled the criteria for Enduring Personality Change After Catastrophic Experience (EPCACE). Psychotic symptoms comprised hallucinations and persecutory delusions, often reflecting trauma-related themes. Comorbidity with depression was high (79%). Neither torture, nor other war-trauma (ex-combatant, imprisonment, civilian war trauma) predicted PTSD-SP, but comorbid depression did. Depression only explained a small amount of the total PTSD-SP variance. Results indicate that PTSD-SP is common in treatment-seeking refugees. However, its etiology is poorly understood. This highlights the need for further research to improve diagnosis and treatment for this patient group.
AB - This cross-sectional study examined the prevalence of PTSD with secondary psychotic symptoms (PTSD-SP), its comorbidities, and its association with torture and depression in treatment-seeking refugees. Data were pooled from the Danish Database on Refugees with Trauma (DART). The sample represents approximately 90% of trauma-affected refugee-patients (N = 627) attending a Danish psychiatric outpatient clinic from 2008 to 2013. PTSD, secondary psychotic symptoms, and comorbidities were assessed with structured and routine clinical interviews. The association of PTSD-SP with torture and depression was investigated using hierarchical logistic regression. The prevalence of PTSD-SP in treatment-seeking refugees with PTSD was 30%. Among these, 44% fulfilled the criteria for Enduring Personality Change After Catastrophic Experience (EPCACE). Psychotic symptoms comprised hallucinations and persecutory delusions, often reflecting trauma-related themes. Comorbidity with depression was high (79%). Neither torture, nor other war-trauma (ex-combatant, imprisonment, civilian war trauma) predicted PTSD-SP, but comorbid depression did. Depression only explained a small amount of the total PTSD-SP variance. Results indicate that PTSD-SP is common in treatment-seeking refugees. However, its etiology is poorly understood. This highlights the need for further research to improve diagnosis and treatment for this patient group.
KW - Delusions
KW - Hallucinations
KW - Posttraumatic Stress Disorder
KW - Psychosis
U2 - 10.1016/j.psychres.2020.112898
DO - 10.1016/j.psychres.2020.112898
M3 - Journal article
C2 - 32179211
AN - SCOPUS:85081242736
VL - 287
JO - Psychiatry Research
JF - Psychiatry Research
SN - 0165-1781
M1 - 112898
ER -
ID: 243151748