Angela Nickerson|Matthis Schick|Ulrich Schnyder|Richard A. Bryant|Naser Morina
Comorbidity of Posttraumatic Stress Disorder and Depression in Tortured, Treatment?Seeking Refugees
UNSW Sydney|University Hospital of Zurich|University of Zurich|University Hospital of Zurich|University of Zurich|UNSW Sydney|University Hospital of Zurich|University of Zurich
comorbid posttraumatic stress disorder ptsd depression common refugee groups however little known predictors correlates comorbidity treatmentseeking refugees participants study 134 refugees resettled switzerland participants turkey iran sri lanka 927 exposed torture selfreport measures implemented assess ptsd depression mental physical healthrelated quality life qol well pre postmigration experiences findings indicated approximately half sample met criteria ptsd depression 336 met criteria depression 22 met criteria ptsd several variables emerged predictors comorbidity contrast diagnosis female gender odds ratio 017 age 093 time switzerland 116 trauma exposure 119 postmigration stress also associated greater likelihood comorbidity compared diagnosis 132 single diagnosis 114 dual diagnosis associated significantly poorer mental healthrelated physical healthrelated qol mental healthrelated qol dual diagnosis vs single diagnosis 052 dual diagnosis vs diagnosis 130 physical healthrelated qol dual diagnosis vs single diagnosis 073 dual diagnosis vs diagnosis 104 findings indicated comorbidity highly prevalent sample treatmentseeking refugees associated substantial impairment burden psychological interventions refugees consider dual impact ptsd depression symptoms optimally decrease distress improve qol vulnerable group