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The Capital Region of Denmark - a part of Copenhagen University Hospital
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PTSD with secondary psychotic features among trauma-affected refugees: The role of torture and depression

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

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  2. Associations between facial affect recognition and neurocognition in subjects at ultra-high risk for psychosis: A case-control study

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  1. A Rasch-based validity study of the Harvard Trauma Questionnaire

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

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Using the Cultural Formulation Interview in Denmark: Acceptability and clinical utility for medical doctors and migrant patients

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This cross-sectional study examined the prevalence of PTSD with secondary psychotic symptoms (PTSD-SP), its comorbidities, and its association with torture and depression in treatment-seeking refugees. Data were pooled from the Danish Database on Refugees with Trauma (DART). The sample represents approximately 90% of trauma-affected refugee-patients (N = 627) attending a Danish psychiatric outpatient clinic from 2008 to 2013. PTSD, secondary psychotic symptoms, and comorbidities were assessed with structured and routine clinical interviews. The association of PTSD-SP with torture and depression was investigated using hierarchical logistic regression. The prevalence of PTSD-SP in treatment-seeking refugees with PTSD was 30%. Among these, 44% fulfilled the criteria for Enduring Personality Change After Catastrophic Experience (EPCACE). Psychotic symptoms comprised hallucinations and persecutory delusions, often reflecting trauma-related themes. Comorbidity with depression was high (79%). Neither torture, nor other war-trauma (ex-combatant, imprisonment, civilian war trauma) predicted PTSD-SP, but comorbid depression did. Depression only explained a small amount of the total PTSD-SP variance. Results indicate that PTSD-SP is common in treatment-seeking refugees. However, its etiology is poorly understood. This highlights the need for further research to improve diagnosis and treatment for this patient group.
Original languageEnglish
JournalPsychiatry Research
Volume287
ISSN0165-1781
DOIs
Publication statusPublished - 2020

ID: 59533791