ArticleEuropean child & adolescent psychiatry2023
Prevalences of mental distress and its associated factors in unaccompanied refugee minors in Germany.
Article in European child & adolescent psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Experiences of everyday health support and healthcare among settled young people who arrived as unaccompanied refugees in Norway.International journal of qualitative studies on health and well-being · 2026Article
- Coping among Afghan Former Unaccompanied Refugee Children in the UK: A Qualitative Study Exploring Barriers and Influences Over Time.Transcultural psychiatry · 2026Article
- Can we protect refugee children from mental health problems?- a scoping review of modifiable factors to inform preventive interventions.BMC medicine · 2026Article
- Mental health problems, traumatic experiences and subjective treatment goals of treatment-seeking refugee minors.European journal of psychotraumatology · 2025Article
- Trajectories of mental health problems in unaccompanied young refugees in Germany and the impact of post-migration factors - a longitudinal study.European child & adolescent psychiatry · 2025Article
- Protective factors associated with resilience among unaccompanied refugee minors after settling in Norway: a matched cross-sectional study.European child & adolescent psychiatry · 2024Article
- Depression among refugee youth in an outpatient healthcare center-prevalence and associated factors.Frontiers in psychiatry · 2024Article
- Experiences and needs of unaccompanied irregular migrant minors who arrive in Spain on small boats: A qualitative study.Global mental health (Cambridge, England) · 2024Article
- Association between uncertainty regarding right-to-stay and mental health in unaccompanied and separated migrant children (UASC) reaching adulthood: findings from France.Social psychiatry and psychiatric epidemiology · 2023Article
- Mental health problems in unaccompanied young refugees and the impact of post-flight factors on PTSS, depression and anxiety-A secondary analysis of the Better Care study.Frontiers in psychology · 2023Article
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6 authors.
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Abstract
Prevalences for mental disorders within minor refugees are comparatively high and heterogeneous. To reduce heterogeneity and identify high-risk subgroups, we compared unaccompanied refugee minors (URM) to accompanied refugee minors (ARM) regarding depressive symptoms and mental distress. Furthermore, we examined associative factors of mental distress in URM on a broad scale. We conducted a survey with a cross-sectional design in four German University hospitals. The sample consisted of n = 172 URM and n = 52 ARM aged 14-21. Depressive symptoms were assessed via the Patient Health Questionnaire (PHQ-9). Mental distress was assessed by the Refugee Health Screener (RHS-15). Mann-Whitney test was used to examine differences between URM and ARM. Associated factors of mental distress were evaluated via a stepwise multiple regression analysis. URM showed significantly higher mean scores for PHQ-9 (p < .001) and RHS-15 (p < .001) compared to ARM indicating medium effect sizes. Furthermore, URM were significantly more likely to surpass the cut-off for depression (61.6% vs. 30.8%) and overall mental distress (81.4% vs. 53.8%) compared to ARM. The factors Number of stressful life events (SLE), Female gender, and Fear of deportation were found to be associated with an increased mental distress in URM, whereas Weekly contact to a family member, School attendance, and German language skills were accompanied with lower distress scores. All six factors accounted for 32% of the variance of mental distress in URM (p < .001). Within minor refugees, URM are a highly vulnerable subgroup, which should receive particular attention and more targeted measures by health authorities. Our results indicate that these measures should comprise a rapid promotion of family contact, school attendance, language acquisition, and the fast processing of asylum applications. However, the cross-sectional design limits the interpretability of the results.
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