A network analysis of posttraumatic stress symptoms among help-seeking refugees in Kenya

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http://hdl.handle.net/10138/329324

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Kangaslampi , S , Garoff , F , Golden , S & Peltonen , K 2021 , ' A network analysis of posttraumatic stress symptoms among help-seeking refugees in Kenya ' , Journal of Anxiety Disorders , vol. 78 , 102358 . https://doi.org/10.1016/j.janxdis.2021.102358

Title: A network analysis of posttraumatic stress symptoms among help-seeking refugees in Kenya
Author: Kangaslampi, Samuli; Garoff, Ferdinand; Golden, Shannon; Peltonen, Kirsi
Other contributor: University of Helsinki, Faculty of Medicine
Date: 2021-03
Language: eng
Number of pages: 10
Belongs to series: Journal of Anxiety Disorders
ISSN: 0887-6185
DOI: https://doi.org/10.1016/j.janxdis.2021.102358
URI: http://hdl.handle.net/10138/329324
Abstract: We analyzed the network structure of DSM-IV PTSD symptoms among 2792 help-seeking Central and East African refugees in Kenya exposed to multiple, severe traumatic events and on-going stressors. To some extent, our results reproduced structures identified among clinical populations in Europe, including strong links within traditional symptom clusters, such as between avoidance of thoughts and situations, and hypervigilance and startling. However, we found substantial differences in most central symptoms, with detachment and disinterest far less and emotional numbing and concentration problems more central in our analyses. Our networks did not reproduce the common finding of particularly low centrality of amnesia. We further noted substantive similarities in network structure, but also differences, between refugees living in an urban environment and in refugee camps. Concentration problems were most central among mainly Somali refugees at a refugee camp, and associated with amnesia and sense of foreshortened future, while emotional numbing was the most central symptom among majority Congolese refugees in Nairobi. Our findings highlight the importance of contextual and cultural factors for PTSD symptomatology, and are informative for assessment and treatment among help-seeking refugees.
Subject: PTSD
Trauma
Refugeee
Network analysis
515 Psychology
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