Late-Onset PTSD in Unaccompanied Refugee Minors: Exploring the Predictive Utility of Depression and Anxiety Symptoms

Autor/inn/en	Smid, Geert E.; Lensvelt-Mulders, Gerty J. L. M.; Knipscheer, Jeroen W.; Gersons, Berthold P. R.; Kleber, Rolf J.
Titel	Late-Onset PTSD in Unaccompanied Refugee Minors: Exploring the Predictive Utility of Depression and Anxiety Symptoms
Quelle	In: Journal of Clinical Child and Adolescent Psychology, 40 (2011) 5, S.742-755 (14 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1537-4416
DOI	10.1080/15374416.2011.597083
Schlagwörter	Posttraumatic Stress Disorder; Land Settlement; Path Analysis; Depression (Psychology); Refugees; Anxiety; Children; Adolescents; Individual Differences; Foreign Countries; Symptoms (Individual Disorders); Evaluation Methods; Data Analysis; Regression (Statistics); Elementary Secondary Education; Afghanistan; Angola; China; Guinea; Netherlands; Sierra Leone + Suchen Sie Ihr Suchwort? Siedlungsraum; Pfadanalyse; Flüchtling; Angst; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Individueller Unterschied; Ausland; Psychiatrische Symptomatik; Auswertung; Regression; Regressionsanalyse; Niederlande
Abstract	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. Of the children and adolescents (ages 12-18) completing both assessments (N = 554), 223 (40%) met criteria for PTSD at T1, and 88 (16%) endorsed late-onset PTSD. Late-onset PTSD was associated with traumatic event exposure, older age, and low education. In the late-onset PTSD group, the predictive effects of traumatic event exposure on symptom severity at T2 were fully mediated by depression and anxiety symptoms at T1. These results suggest that late-onset PTSD is a clinically relevant problem among URM that may be heralded by early depression and anxiety symptoms. (Contains 4 tables and 2 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10