Evidence map›Paper›PMID 35624508›Full record

ArticleBMC psychiatry2022

The association between long-distance migration and PTSD prevalence in Syrian refugees.

Andreas Halgreen Eiset, Michaelangelo P Aoun, Monica Stougaard, Annemarie Graa Gottlieb, Ramzi S Haddad, Morten Frydenberg, Wadih J Naja

Abstract read
In one paragraph

Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Review
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Andreas Halgreen EisetDepartment of Affective Disorders, Aarhus University Hospital-Psychiatry, Palle Juul Jensens Boulevard 175, 8200 Aarhus N, Aarhus, Denmark. eiset@clin.au.dk.
Michaelangelo P AounFaculty of Medical Sciences, Lebanese University, P.O. Box 6573/14, Badaro, Museum, Beirut, Lebanon.
Monica StougaardDepartment of Affective Disorders, Aarhus University Hospital-Psychiatry, Palle Juul Jensens Boulevard 175, 8200 Aarhus N, Aarhus, Denmark.
Annemarie Graa GottliebDepartment of Affective Disorders, Aarhus University Hospital-Psychiatry, Palle Juul Jensens Boulevard 175, 8200 Aarhus N, Aarhus, Denmark.
Ramzi S HaddadFaculty of Medical Sciences, Lebanese University, P.O. Box 6573/14, Badaro, Museum, Beirut, Lebanon.
Morten FrydenbergConsultant Biostatistician, Høgemosevej 19A, Olsted, 8380, Trige, Denmark.
Wadih J NajaFaculty of Medical Sciences, Lebanese University, P.O. Box 6573/14, Badaro, Museum, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRefugees are forced migrants but there is a large variation in the distance that refugees cover and there is a paucity in the evidence of how this may affect refugees' health and health care needs.

objectiveWe investigated the association between long-distance migration and post-traumatic stress disorder (PTSD), a serious psychiatric disorder associated with deteriorating mental and somatic health.

methodsIncluded from 2016-2019 were adult Syrian refugees in Lebanon and Denmark that arrived up to 12 months prior to inclusion. PTSD was assessed using the Harvard Trauma Questionnaire and the estimate of association was obtained by multiply imputing missing data and adjusting for confounding by propensity score-weighting with covariates age, sex, socioeconomic status, trauma experience and general mental well-being, reporting the bootstrap 95-percentile confidence interval (95% CI). Additionally, a number of sensitivity analyses were performed.

resultsIncluded were 599 participants in Lebanon (mean age 35 years old, 73% being female) and 133 participants in Denmark (mean age 30 years old, 47% being female). After multiply imputing missing data and propensity score-weighted adjustment for confounding, migration to Denmark instead of Lebanon was associated with an increase in PTSD prevalence of 9 percentage point (95% CI [-1; 19] percentage point).

conclusionsLong-distance migration may be associated with an increase in PTSD prevalence in refugees. The migration could be an important factor to consider when assessing refugees' and asylum seekers' health. Practitioners should consider "long-distance migration" in refugee health screenings and in particular when assessing the risk of post-traumatic stress disorder. Future research should be designed to ultimately lead to studies of relevant interventions to lower the risk of post-traumatic stress disorder in refugees.

Indexed as

RefugeesStress Disorders, Post-TraumaticAdultFemaleHumansMaleMental HealthPrevalenceSyriaCross-sectional studiesEmigration and immigrationHuman migrationPost-traumatic stress disorderPropensity scorePTSDRefugees

Identifiers

PMID35624508
PMCPMC9137139

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.