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Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors

Background: Multidisciplinary treatment approaches are commonly used in specialized psychosocial centres for the treatment of traumatized refugees, but empirical evidence for their efficacy is inconsistent. Objective: In order to obtain more evidence on the development of mental health and well-bein...

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Autores principales: Stammel, Nadine, Knaevelsrud, Christine, Schock, Katrin, Walther, Lena C. S., Wenk-Ansohn, Mechthild, Böttche, Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5687793/
https://www.ncbi.nlm.nih.gov/pubmed/29163866
http://dx.doi.org/10.1080/20008198.2017.1377552
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author Stammel, Nadine
Knaevelsrud, Christine
Schock, Katrin
Walther, Lena C. S.
Wenk-Ansohn, Mechthild
Böttche, Maria
author_facet Stammel, Nadine
Knaevelsrud, Christine
Schock, Katrin
Walther, Lena C. S.
Wenk-Ansohn, Mechthild
Böttche, Maria
author_sort Stammel, Nadine
collection PubMed
description Background: Multidisciplinary treatment approaches are commonly used in specialized psychosocial centres for the treatment of traumatized refugees, but empirical evidence for their efficacy is inconsistent. Objective: In order to obtain more evidence on the development of mental health and well-being of traumatized refugees who receive multidisciplinary treatment, symptom courses of posttraumatic stress disorder (PTSD), anxiety, depression and somatoform symptoms as well as in the subjective quality of life were investigated in the course of a multidisciplinary treatment. In addition, it was analysed if sociodemographic variables were predictors for possible changes in symptomatology and quality of life. Method: N = 76 patients of the outpatient clinic of a psychosocial centre for traumatized refugees receiving regular multidisciplinary treatment were surveyed using standardized questionnaires at three measurement points (at the beginning of treatment, and after an average of 7 and 14 months of treatment) in a single-group design. Results: Multilevel analysis showed significant improvements of symptoms of PTSD (p < .001), depression (p < .001), anxiety (p < .001), and somatoform symptoms (p = .002) as well as of the subjective quality of life (p < .001) over time. Among the tested predictors (gender, age, country of origin), age was a significant predictor for the course of somatoform symptoms (p < .05). Younger patients showed greater improvements in symptomatology over time than older ones. Conclusions: The results suggest that the received multidisciplinary treatment had a positive effect on trauma-related symptoms as well as on quality of life of traumatized refugees. There was no indication that sociodemographic characteristics predicted the symptom courses of the patients, except for somatoform symptoms. Younger patients benefitted more from multidisciplinary treatment than older ones.
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spelling pubmed-56877932017-11-21 Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors Stammel, Nadine Knaevelsrud, Christine Schock, Katrin Walther, Lena C. S. Wenk-Ansohn, Mechthild Böttche, Maria Eur J Psychotraumatol Clinical Research Article Background: Multidisciplinary treatment approaches are commonly used in specialized psychosocial centres for the treatment of traumatized refugees, but empirical evidence for their efficacy is inconsistent. Objective: In order to obtain more evidence on the development of mental health and well-being of traumatized refugees who receive multidisciplinary treatment, symptom courses of posttraumatic stress disorder (PTSD), anxiety, depression and somatoform symptoms as well as in the subjective quality of life were investigated in the course of a multidisciplinary treatment. In addition, it was analysed if sociodemographic variables were predictors for possible changes in symptomatology and quality of life. Method: N = 76 patients of the outpatient clinic of a psychosocial centre for traumatized refugees receiving regular multidisciplinary treatment were surveyed using standardized questionnaires at three measurement points (at the beginning of treatment, and after an average of 7 and 14 months of treatment) in a single-group design. Results: Multilevel analysis showed significant improvements of symptoms of PTSD (p < .001), depression (p < .001), anxiety (p < .001), and somatoform symptoms (p = .002) as well as of the subjective quality of life (p < .001) over time. Among the tested predictors (gender, age, country of origin), age was a significant predictor for the course of somatoform symptoms (p < .05). Younger patients showed greater improvements in symptomatology over time than older ones. Conclusions: The results suggest that the received multidisciplinary treatment had a positive effect on trauma-related symptoms as well as on quality of life of traumatized refugees. There was no indication that sociodemographic characteristics predicted the symptom courses of the patients, except for somatoform symptoms. Younger patients benefitted more from multidisciplinary treatment than older ones. Taylor & Francis 2017-10-10 /pmc/articles/PMC5687793/ /pubmed/29163866 http://dx.doi.org/10.1080/20008198.2017.1377552 Text en © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Research Article
Stammel, Nadine
Knaevelsrud, Christine
Schock, Katrin
Walther, Lena C. S.
Wenk-Ansohn, Mechthild
Böttche, Maria
Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors
title Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors
title_full Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors
title_fullStr Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors
title_full_unstemmed Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors
title_short Multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors
title_sort multidisciplinary treatment for traumatized refugees in a naturalistic setting: symptom courses and predictors
topic Clinical Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5687793/
https://www.ncbi.nlm.nih.gov/pubmed/29163866
http://dx.doi.org/10.1080/20008198.2017.1377552
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