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

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dc.contributor.author Kangaslampi, Samuli
dc.contributor.author Garoff, Ferdinand
dc.contributor.author Golden, Shannon
dc.contributor.author Peltonen, Kirsi
dc.date.accessioned 2021-04-23T11:30:05Z
dc.date.available 2021-04-23T11:30:05Z
dc.date.issued 2021-03
dc.identifier.citation 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
dc.identifier.other PURE: 162507358
dc.identifier.other PURE UUID: 24b593ad-d1ef-4db7-a37f-65501f5ca457
dc.identifier.other WOS: 000633443500011
dc.identifier.uri http://hdl.handle.net/10138/329324
dc.description.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. en
dc.format.extent 10
dc.language.iso eng
dc.relation.ispartof Journal of Anxiety Disorders
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject PTSD
dc.subject Trauma
dc.subject Refugeee
dc.subject Network analysis
dc.subject 515 Psychology
dc.title A network analysis of posttraumatic stress symptoms among help-seeking refugees in Kenya en
dc.type Article
dc.contributor.organization Faculty of Medicine
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1016/j.janxdis.2021.102358
dc.relation.issn 0887-6185
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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