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Sex differences in trauma exposure and symptomatology in trauma-affected refugees

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@article{b11012fff2374c639237a5234ff69ee9,
title = "Sex differences in trauma exposure and symptomatology in trauma-affected refugees",
abstract = "The aim of this cross-sectional study was to examine associations between sex, exposure to potentially traumatic events and pre-treatment symptomatology in trauma-affected refugees. We analyzed pre-treatment self-report questionnaires and clinical interviews from 318 refugees with post-traumatic stress disorder (PTSD) in a specialized mental health clinic. Results show that twice as many females reported exposure to family violence (p = .001) and sexual abuse (p = .004), whereas men were at least three times as likely to report exposure to torture (p <0.001), imprisonment (p < .001), and combat (p < .001). Men reported exposure to more trauma types (p < .001). Women reported more depression (p = .001), anxiety (p = .008) and somatization (p = 0.001), whereas men were diagnosed significantly more with enduring personality change after catastrophic experience (p < .001). Additionally, trauma burden was significantly associated with PTSD (p = .001) and depression (p = .039) scores for women but not men, and imprisonment was associated with a higher PTSD score in women (p = 0.037) but not men. Our findings highlight sex differences in trauma exposure and symptomatology in trauma-affected refugees in host countries, that should be considered when developing mental health interventions for this underserved population.",
author = "Mundy, {Sara Skriver} and {Wilms Foss}, {Sara Louise} and Stig Poulsen and Carsten Hjorth{\o}j and Carlsson, {Jessica Mariana}",
year = "2020",
month = nov,
day = "1",
doi = "https://doi.org/10.1016/j.psychres.2020.113445",
language = "English",
volume = "293",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier Ireland Ltd",

}

RIS

TY - JOUR

T1 - Sex differences in trauma exposure and symptomatology in trauma-affected refugees

AU - Mundy, Sara Skriver

AU - Wilms Foss , Sara Louise

AU - Poulsen, Stig

AU - Hjorthøj, Carsten

AU - Carlsson, Jessica Mariana

PY - 2020/11/1

Y1 - 2020/11/1

N2 - The aim of this cross-sectional study was to examine associations between sex, exposure to potentially traumatic events and pre-treatment symptomatology in trauma-affected refugees. We analyzed pre-treatment self-report questionnaires and clinical interviews from 318 refugees with post-traumatic stress disorder (PTSD) in a specialized mental health clinic. Results show that twice as many females reported exposure to family violence (p = .001) and sexual abuse (p = .004), whereas men were at least three times as likely to report exposure to torture (p <0.001), imprisonment (p < .001), and combat (p < .001). Men reported exposure to more trauma types (p < .001). Women reported more depression (p = .001), anxiety (p = .008) and somatization (p = 0.001), whereas men were diagnosed significantly more with enduring personality change after catastrophic experience (p < .001). Additionally, trauma burden was significantly associated with PTSD (p = .001) and depression (p = .039) scores for women but not men, and imprisonment was associated with a higher PTSD score in women (p = 0.037) but not men. Our findings highlight sex differences in trauma exposure and symptomatology in trauma-affected refugees in host countries, that should be considered when developing mental health interventions for this underserved population.

AB - The aim of this cross-sectional study was to examine associations between sex, exposure to potentially traumatic events and pre-treatment symptomatology in trauma-affected refugees. We analyzed pre-treatment self-report questionnaires and clinical interviews from 318 refugees with post-traumatic stress disorder (PTSD) in a specialized mental health clinic. Results show that twice as many females reported exposure to family violence (p = .001) and sexual abuse (p = .004), whereas men were at least three times as likely to report exposure to torture (p <0.001), imprisonment (p < .001), and combat (p < .001). Men reported exposure to more trauma types (p < .001). Women reported more depression (p = .001), anxiety (p = .008) and somatization (p = 0.001), whereas men were diagnosed significantly more with enduring personality change after catastrophic experience (p < .001). Additionally, trauma burden was significantly associated with PTSD (p = .001) and depression (p = .039) scores for women but not men, and imprisonment was associated with a higher PTSD score in women (p = 0.037) but not men. Our findings highlight sex differences in trauma exposure and symptomatology in trauma-affected refugees in host countries, that should be considered when developing mental health interventions for this underserved population.

UR - http://www.scopus.com/inward/record.url?scp=85091235665&partnerID=8YFLogxK

U2 - https://doi.org/10.1016/j.psychres.2020.113445

DO - https://doi.org/10.1016/j.psychres.2020.113445

M3 - Journal article

VL - 293

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

M1 - 113445

ER -

ID: 60935462