Prevalence of complex post-traumatic stress disorder in survivors of human trafficking and modern slavery: a systematic review

IF 2.5 4区 医学 Q2 PSYCHIATRY
Harriet Evans , Shanu Sadhwani , Dr Neil Singh , Dr Katy Robjant , Professor Cornelius Katona
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引用次数: 5

Abstract

Background and objectives

The human rights violation of human trafficking and modern slavery could be described as multiple and prolonged traumatisation. This corresponds to the type of trauma identified as most likely to be associated with ‘complex post-traumatic stress disorder’ (CPTSD) as identified in the new 11th edition of the International Classification of Diseases (ICD-11). This review aims to collate the evidence of complex post-traumatic stress disorder in populations that have been trafficked, with the intention to highlight important considerations to be made in terms of managing survivor's health care needs and minimising further traumatisation.

Methods

Five databases were searched using key terms related to human trafficking, modern slavery, and complex post-traumatic stress disorder.

Results

Five studies reporting on a total of 342 participants were included in the review. These studies indicated that an average of 41% of survivors of modern slavery and human trafficking had CPTSD. This was higher than the 14% diagnosed with PTSD. Post-trafficking stress, endured whilst living in refugee camps, was higher in individuals with CPTSD than in those living with PTSD. Healthcare was more difficult to access by populations with PTSD and CPTSD compared to those with no diagnosis.

Conclusion

There is a high prevalence of CPTSD in modern slavery and trafficking survivors therefore a need for identification and specialised treatment. Consideration should be given to consequent biopsychosocial needs, particularly access to healthcare and minimisation of post-trafficking stress.

人口贩运和现代奴役幸存者中复杂创伤后应激障碍的患病率:系统综述
背景和目的贩卖人口和现代奴隶制侵犯人权的行为可以被描述为多重和长期的创伤。这与新的第11版《国际疾病分类》(ICD-11)中确定的最有可能与“复杂创伤后应激障碍”(CPTSD)相关的创伤类型相对应。这项审查旨在整理被贩运人口中复杂创伤后应激障碍的证据,目的是强调在管理幸存者的医疗保健需求和尽量减少进一步创伤方面需要考虑的重要因素。方法使用与人口贩运、现代奴隶制和复杂创伤后应激障碍相关的关键术语检索五个数据库。结果共有5项研究纳入综述,共342名参与者。这些研究表明,现代奴隶制和人口贩运的幸存者中,平均有41%患有CPTSD。这一比例高于被诊断为创伤后应激障碍的14%。在难民营生活期间承受的贩卖后压力,患有CPTSD的人比患有创伤后应激障碍的人更高。与没有诊断的人群相比,患有创伤后应激障碍和CPTSD的人群更难获得医疗保健。结论现代奴隶制和贩卖人口幸存者中CPTSD的患病率很高,因此需要进行识别和专门治疗。应考虑随之而来的生物心理社会需求,特别是获得医疗保健和最大限度地减少贩运后的压力。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
40
审稿时长
43 days
期刊介绍: The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.
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