ArticleTranslational psychiatry2019
Functional impairment as a proxy measure indicating high rates of trauma exposure, post-migration living difficulties, common mental disorders, and poor health amongst Rohingya refugees in Malaysia.
Article in Translational psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.
- Global prevalence of anxiety and PTSD in immigrants: a systematic review and meta-analysis.Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2022Pooled it
- Pooled it
- A Systematic Review of Autobiographical Memory and Mental Health Research on Refugees and Asylum Seekers.Frontiers in psychiatry · 2021Pooled it
- Self-perceived problems of Afghan asylum seekers and refugees and their experiences with a short psychological intervention.BMC public health · 2023Trial
- Group problem management plus (PM+) to decrease psychological distress among Syrian refugees in Turkey: a pilot randomised controlled trial.BMC psychiatry · 2022Trial
- An Integrative Adapt Therapy for common mental health symptoms and adaptive stress amongst Rohingya, Chin, and Kachin refugees living in Malaysia: A randomized controlled trial.PLoS medicine · 2020Trial
- Mental Health and Wellbeing of Rohingya Refugees: A Scoping Review.Journal of racial and ethnic health disparities · 2026Review
- Prevalence and determinants of quality of life among Rohingya older adults residing in the refugee camp in Bangladesh.BMC geriatrics · 2025Article
- Stress and Trauma Symptoms in Young Palestine Refugee Children Following the May 2021 Escalation in Gaza.JAACAP open · 2025Article
- Article
- A qualitative study of cultural concepts of distress among Rohingya refugees in Cox's Bazar, Bangladesh.Conflict and health · 2024Article
- Attachment, emotion regulation, and their roles in refugee post-traumatic stress and post-migration living difficulties.European journal of psychotraumatology · 2024Article
- Comparing implementation strategies for training and supervising nonspecialists in Group Problem Management Plus: A hybrid effectiveness-implementation trial in Colombia.Global mental health (Cambridge, England) · 2024Article
- [The Konstanz model project for refugees with mental disorders : Coordinated psychotherapeutic treatment involving trained peer support (KOBEG)].Der Nervenarzt · 2023Article
- A multi-country study of the associations between HIV vulnerability status, perception of COVID-19 related stigma and post-traumatic stress symptoms during the first wave of the pandemic.BMC public health · 2023Article
- Impairments in psychological functioning in refugees and asylum seekers.Frontiers in psychology · 2023Article
- Article
- Prevalence and correlates of DSM-IV and DSM-5 Intermittent Explosive Disorder amongst Myanmar refugees living in Malaysia: a population-based study.Epidemiology and psychiatric sciences · 2022Article
- Associations among past trauma, post-displacement stressors, and mental health outcomes in Rohingya refugees in Bangladesh: A secondary cross-sectional analysis.Frontiers in public health · 2022Article
- A Naturalistic Evaluation of Group Integrative Adapt Therapy (IAT-G) with Rohingya Refugees During the Emergency Phase of a Mass Humanitarian Crisis in Cox's Bazar, Bangladesh.EClinicalMedicine · 2021Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 4 countries.
Funding
Abstract
A major challenge in the refugee field is to ensure that scarce mental health resources are directed to those in greatest need. Based on data from an epidemiological survey of 959 adult Rohingya refugees in Malaysia (response rate: 83%), we examine whether a brief screening instrument of functional impairment, the WHO Disability Assessment Schedule (WHODAS), prove useful as a proxy measure to identify refugees who typically attend community mental health services. Based on estimates of mental disorder requiring interventions from analyses of epidemiological studies conducted worldwide, we selected a WHODAS cutoff that identified the top one-fifth of refugees according to severity of functional impairment, the remainder being distributed to moderate and lower impairment groupings, respectively. Compared to the lower impairment grouping, the severe impairment category comprised more boat arrivals (AOR: 5.96 [95% CI 1.34-26.43); stateless persons (A20·11 [95% CI 7.14-10); those with high exposure to pre-migration traumas (AOR: 4.76 [95% CI 1.64-13.73), peri-migration stressors (AOR: 1.26 [95% CI 1.14-1.39]) and postmigration living difficulties (AOR: 1.43 [95% CI 1.32-1.55); persons with single (AOR: 7.48 [95% CI 4.25-13.17]) and comorbid (AOR: 13.54 [95% CI 6.22-29.45]) common mental disorders; and those reporting poorer general health (AOR: 2.23 [95% CI 1-5.02]). In addition, half of the severe impairment grouping (50.6%) expressed suicidal ideas compared to one in six (16.2 percent) of the lower impairment grouping (OR: 2.39 [95% CI 1.94-2.93]). Differences between the severe and moderate impairment groups were similar but less extreme. In settings where large-scale epidemiological studies are not feasible, the WHODAS may serve as readily administered and brief public health screening tool that assists in stratifying the population according to urgency of mental health needs.
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