Evidence map›Paper›PMID 39498626›Full record

ArticleEpidemiology and psychiatric sciences2024

Network analytical investigation of relationships between symptoms of common mental disorders among refugees and asylum seekers in Türkiye.

G Kurt, M Ekhtiari, A de Graaff, M Ersahin, P Specker, M Sijbrandij, A Nickerson, C Acartürk

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Article in Epidemiology and psychiatric sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

G KurtSchool of Psychology, University of New South Wales, Sydney, NSW, Australia.
M EkhtiariDepartment of Sociology, Koc University, Istanbul, Türkiye.
A de GraaffDepartment of Clinical, Neuro- and Developmental Psychology, WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-6686-4432
M ErsahinDepartment of Clinical Psychology, Erasmus University Rotterdam, Rotterdam, Netherlands.
P SpeckerSchool of Psychology, University of New South Wales, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0002-3969-2599
M SijbrandijDepartment of Clinical, Neuro- and Developmental Psychology, WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-5430-9810
A NickersonSchool of Psychology, University of New South Wales, Sydney, NSW, Australia.
C AcartürkDepartment of Psychology, Koc University, Istanbul, Türkiye.ORCID https://orcid.org/0000-0001-7093-1554

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsForcibly displaced people, such as refugees and asylum-seekers (RAS), are at higher risk of mental disorders, mainly post-traumatic stress disorder (PTSD), depression and anxiety. Little is known about the complex relationships between these mental disorders among culturally and linguistically diverse RAS. To investigate this, the present study applied a novel network analytical approach to examine and compare the central and bridge symptoms within and between PTSD, depression and anxiety among Afghan and Syrian RAS in Türkiye.

methodsA large-scale online survey study with 785 Afghan and 798 Syrian RAS in Türkiye was conducted in 2021. Symptoms of PTSD (the short form of Post-Traumatic Stress Disorders Checklist [PCL-5]), depression and anxiety (Hopkins Symptoms Checklist-25) [HSCL-25]) were measured via self-administrated validated instruments. We conducted network analysis to identify symptoms that are most strongly connected with other symptoms (central symptoms) and those that connect the symptoms of different disorders (bridge symptoms) in R Studio using the qgraph package.

resultsOverall, Afghans and Syrians differed in terms of network structure, but not in network strength. Results showed that feeling blue, feeling restless and spells of terror or panic were the most central symptoms maintaining the overall symptom structure of common mental disorders among Afghan participants. For Syrian participants, worrying too much, feeling blue and feeling tense were identified as the central symptoms. For both samples, anger and irritability and feeling low in energy acted as a bridge connecting the symptoms of PTSD, depression and anxiety.

conclusionThe current findings provide insights into the interconnectedness within and between the symptoms of common mental disorders and highlight the key symptoms that can be potential targets for psychological interventions for RAS. Addressing these symptoms may aid in tailoring existing evidence-based interventions and enhance their effectiveness. This contributes to reducing the overall mental health burden and improving well-being in this population.

Indexed as

AnxietyDepressionRefugeesStress Disorders, Post-TraumaticAdultAfghanistanFemaleHumansMaleMental DisordersMiddle AgedSurveys and QuestionnairesSyriaYoung Adultanxietycomorbiditydepressionmentalhealthnetwork analysisposttraumatic stress disorderrefugees

Identifiers

PMID39498626
PMCPMC11561678

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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.