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A longitudinal study of PTSD in a sample of adult mass-evacuated Kosovars, some of whom returned to their home country.

Artikel i vetenskaplig tidskrift
Författare Göran Roth
Solvig Ekblad
Hans Ågren
Publicerad i European psychiatry : the journal of the Association of European Psychiatrists
Volym 21
Nummer/häfte 3
Sidor 152-9
ISSN 0924-9338
Publiceringsår 2006
Publicerad vid Institutionen för neurovetenskap och fysiologi, sektionen för psykiatri och neurokemi
Sidor 152-9
Språk en
Länkar dx.doi.org/10.1016/j.eurpsy.2005.11...
Ämnesord Adolescent, Adult, Aged, Emigration and Immigration, statistics & numerical data, Female, Follow-Up Studies, Humans, Hydrocortisone, metabolism, Interview, Psychological, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Psychiatric Status Rating Scales, Questionnaires, Refugees, psychology, statistics & numerical data, Saliva, metabolism, Severity of Illness Index, Stress Disorders, Post-Traumatic, diagnosis, epidemiology, psychology, Sweden, epidemiology, Yugoslavia, epidemiology, ethnology
Ämneskategorier Psykiatri

Sammanfattning

PTSD among a sample of mass-evacuated adults from Kosovo was studied using a prospective design with a baseline study and follow-ups at 3 and 6 months in Sweden, and with an additional follow-up after 1.5 years in both Sweden and Kosovo. Trauma events and PTSD-related symptoms were measured by the Harvard Trauma Questionnaire (HTQ). At the additional follow-up after 1.5 years the same measure (HTQ) was used as well as clinical diagnostic interviews with the SCID instrument and measurement of saliva cortisol levels. Thirty-seven percent had PTSD-related symptoms at baseline. Morbidity increased at the three follow-ups. About 80% of the participants had PTSD at the additional follow-up after 1.5 years. The HTQ results were confirmed by clinical diagnoses and the participants diagnosed with PTSD also had low saliva cortisol levels. The results are discussed in terms of trauma, time needed to develop PTSD, post-migration stress and selection mechanisms.

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