ArticleBMC psychiatry2017
Secondary psychotic features in refugees diagnosed with post-traumatic stress disorder: a retrospective cohort study.
Article in BMC psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.
- Salivary cortisol in post-traumatic stress disorder: a systematic review and meta-analysis.BMC psychiatry · 2018Pooled it
- PTSD and Audio Vestibular Symptoms: A Two-Way Street Driven by the Amygdala? A Speculative Hypothesis.Brain sciences · 2026Review
- A mediation model on how PTSD symptoms are related to psychotic experiences in survivors of the ongoing Gaza war 2023-2024.Conflict and health · 2025Article
- Are migrants diagnosed with a trauma-related disorder at risk of premature mortality? A register-based cohort study in Denmark.Journal of migration and health · 2023Article
- Psychologists' Perspectives on the Psychological Suffering of Refugee Patients in Brazil.Culture, medicine and psychiatry · 2022Article
- Ten years of tracking mental health in refugee primary health care settings: an updated analysis of data from UNHCR's Health Information System (2009-2018).BMC medicine · 2022Article
- Mental Health Training Programs for Non-Health Professionals and Volunteers Working with Asylum Seekers and Refugees: A Scoping Review Protocol.Nursing reports (Pavia, Italy) · 2022Article
- Reconceptualizing Psychosis: The Hearing Voices Movement and Social Approaches to Health.Health and human rights · 2020Article
- Associations of neural processing of reward with posttraumatic stress disorder and secondary psychotic symptoms in trauma-affected refugees.European journal of psychotraumatology · 2020Article
- Posttraumatic stress disorder with secondary psychotic features (PTSD-SP): Diagnostic and treatment challenges.Progress in neuro-psychopharmacology & biological psychiatry · 2019Review
- Assessing Voice Hearing in Trauma Spectrum Disorders: A Comparison of Two Measures and a Review of the Literature.Frontiers in psychiatry · 2019Article
- Addressing Mental Health Needs of Refugees.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2018Article
- The Neuropsychological Consequences of Armed Conflicts and Torture.Current neurology and neuroscience reports · 2018Review
- The Increased Vulnerability of Refugee Population to Mental Health Disorders.Kansas journal of medicine · 2018Review
- Mapping the evidence on pharmacological interventions for non-affective psychosis in humanitarian non-specialised settings: a UNHCR clinical guidance.BMC medicine · 2017Article
- The contemporary refugee crisis: an overview of mental health challenges.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2017Article
- Stress, trauma, and posttraumatic stress disorder in migrants: a comprehensive review.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA substantial amount of refugees (10-30%) suffer from Post-Traumatic Stress Disorder (PTSD). In Denmark there are different facilities specialised in psychiatric treatment of trauma-affected refugees. A previously published case report from such a facility in Denmark shows that some patients suffer from secondary psychotic symptoms alongside their PTSD. The aim of this study was to illustrate the characteristics and estimate the prevalence of psychotic features in a clinical population of trauma-affected refugees with PTSD.
methodsPsychiatric records from 220 consecutive patients at Competence Centre for Transcultural Psychiatry (CTP) were examined, and all the PTSD patients were divided into two groups; one group with secondary psychotic features (PTSD-SP group) and one without (PTSD group). A categorisation and description of the secondary psychotic features was undertaken.
resultsOne hundred eighty-one patients were diagnosed with PTSD among which psychotic symptoms were identified in 74 (40.9, 95% CI 33.7-48.1%). The majority of symptoms identified were auditory hallucinations (66.2%) and persecutory delusions (50.0%). There were significantly more patients diagnosed with enduring personality change after catastrophic experience in the PTSD-SP group than in the PTSD group (P = 0.009). Furthermore the PTSD-SP group included significantly more patients exposed to torture (P = 0.001) and imprisonment (P = 0.005).
conclusionThis study provides an estimation of PTSD-SP prevalence in a clinical refugee population with PTSD. The study points to the difficulties distinguishing psychotic features from flashbacks and the authors call for attention to psychotic features in PTSD patients in order to improve documentation and understanding of the disorder.
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