Psychotic and Somatic Symptoms Are Frequent in Refugees With Posttraumatic Stress Disorder: A Narrative Review.

IF 1.3 4区医学 Q3 PSYCHIATRY

Journal of Psychiatric Practice Pub Date : 2024-03-01 DOI:10.1097/PRA.0000000000000772

Matthieu Gasnier, Anthony Aouizerat, Kenneth Chappell, Thierry Baubet, Emmanuelle Corruble

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引用次数: 0

Abstract

Objective: In 2021, 89.3 million refugees were vulnerable to posttraumatic stress disorder (PTSD) after exposure to multiple and repeated traumatic experiences. The recent war in Ukraine provoked 7 million refugees to flee their homes. Specific clinical presentations of PTSD in refugee populations may not be familiar to most physicians. The goal of this review is to describe the diagnosis and specific clinical features of PTSD in refugees.

Methods: This narrative review of 263 articles explores 3 PTSD diagnoses that are frequently described in refugee populations and that have been observed in our clinical practices: complex PTSD, PTSD with psychotic symptoms, and PTSD with somatic symptoms.

Results: While complex PTSD does not seem to be related to individuals' culture and origin, the other 2 diagnoses have been specifically described in refugee populations. PTSD with somatic manifestations appears to be the most frequently described and commonly acknowledged form in refugee populations, whereas PTSD with psychotic symptoms remains more controversial due to its clinical variability and association with comorbid disorders.

Conclusions: The difficulty of identifying PTSD with psychotic symptoms and PTSD with somatic symptoms in refugee populations may lead to misdiagnosis and explain the moderate effectiveness of care delivered to these populations. Appropriate diagnosis is essential to provide optimal psychiatric care to refugee populations.

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患有创伤后应激障碍的难民经常出现精神和躯体症状：叙述性综述。

目标：2021 年，8930 万难民在遭受多重、反复的创伤经历后容易患上创伤后应激障碍（PTSD）。最近的乌克兰战争导致 700 万难民逃离家园。大多数医生可能并不熟悉难民群体中创伤后应激障碍的具体临床表现。本综述旨在描述难民创伤后应激障碍的诊断和具体临床特征：这篇263篇文章的叙事性综述探讨了在难民人群中经常被描述的3种创伤后应激障碍诊断，这些诊断在我们的临床实践中也被观察到：复杂性创伤后应激障碍、伴有精神病性症状的创伤后应激障碍和伴有躯体症状的创伤后应激障碍：结果：复杂性创伤后应激障碍似乎与个人的文化和出身无关，但其他两种诊断在难民群体中有具体描述。具有躯体表现的创伤后应激障碍似乎是在难民群体中最常被描述和普遍承认的形式，而具有精神症状的创伤后应激障碍由于其临床变异性和与合并症的关联性，仍然存在较多争议：结论：在难民群体中，难以识别伴有精神症状的创伤后应激障碍和伴有躯体症状的创伤后应激障碍可能会导致误诊，这也是为这些群体提供的护理效果一般的原因。适当的诊断对于为难民提供最佳的精神治疗至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychiatric Practice PSYCHIATRY-

CiteScore

2.30

自引率

10.50%

发文量

159

审稿时长

>12 weeks

期刊介绍： Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.