Do Chronic Diseases and Availability of Medications Predict Post-traumatic Stress Disorder (PTSD) among Syrian Refugees in Jordan?
DOI:
https://doi.org/10.3923/pjn.2016.936.941Keywords:
Availability of medications, chronic diseases, post-traumatic stress disorder, Syrian refugeesAbstract
Objectives: The primary objective of this study was to examine if previous Chronic Diseases (CDs), newly diagnosed CDs in Jordan and medication shortages can predict PTSD in a cohort of Syrian refugees residing in Jordan. Materials and Methods: A cross-sectional study design was used. Approximately, 765 Syrian refugees were recruited from six different cities in Jordan. Data were collected using a demographical data sheet and a PTSD scale. Logistic regression was used to examine the impact of factors that showed significant association with the PTSD category. Results: Descriptive analysis of PTSD categories showed that the majority (81%) had lower PTSD scores. Moreover, PTSD was comorbid with chronic diseases in more than half of participants. Logistic regression analysis indicated that job status and availability of medications were predictors of PTSD. Conclusion: Job status and availability of medications were shown to be important factors that may influence PTSD among refugees. Further studies of additional factors and screening for mental health diseases for residing and coming refugees are recommended.
References
UNHCR., 2015. Country operations profile. United Nations High Commissioner for Refugees, Jordan. http://www.unhcr.org/pages/49e486566.html/.
Murshidi, M.M., M.Q.B. Hijjawi, S. Jeriesat and A. Eltom, 2013. Syrian refugees and Jordan's health sector. Lancet, 382: 206-207.
El-Khatib, Z., D. Scales, J. Vearey and B.C. Forsberg, 2013. Syrian refugees, between rocky crisis in Syria and hard inaccessibility to healthcare services in Lebanon and Jordan. Conflict Health, Vol. 7.
Palinkas, L.A., S.M. Pickwell, K. Brandstein, T.J. Clark, L.L. Hill, R.J. Moser and A. Osman, 2003. The journey to wellness: Stages of refugee health promotion and disease prevention. J. Immigrant Health, 5: 19-28.
Doocy, S., A. Sirois, M. Tileva, J.D. Storey and G. Burnham, 2013. Chronic disease and disability among Iraqi populations displaced in Jordan and Syria. Int. J. Health Plann. Manage., 28: e1-e12.
Spiegel, P., A. Khalifa and F.J. Mateen, 2014. Cancer in refugees in Jordan and Syria between 2009 and 2012: Challenges and the way forward in humanitarian emergencies. Lancet Oncol., 15: e290-e297.
Mateen, F.J., M. Carone, H. Al-Saedy, S. Nyce, J. Ghosn, T. Mutuerandu and R.E. Black, 2012. Medical conditions among Iraqi refugees in Jordan: Data from the United Nations refugee assistance information system. Bull. World Health Organiz., 90: 444-451.
Dookeran, N.M., T. Battaglia, J. Cochran and P.L. Geltman, 2010. Chronic disease and its risk factors among refugees and asylees in Massachusetts, 2001-2005. Prev. Chronic Dis., Vol. 7.
Fazel, M., J. Wheeler and J. Danesh, 2005. Prevalence of serious mental disorder in 7000 refugees resettled in western countries: A systematic review. Lancet, 365: 1309-1314.
Yehuda, R., 2002. Post-traumatic stress disorder. New Engl. J. Med., 346: 108-114.
Nickerson, A., R.A. Bryant, D. Silove and Z. Steel, 2011. A critical review of psychological treatments of posttraumatic stress disorder in refugees. Clin. Psychol. Rev., 31: 399-417.
Nicholl, C. and A. Thompson, 2004. The psychological treatment of post traumatic stress disorder (PTSD) in adult refugees: A review of the current state of psychological therapies. J. Mental Health, 13: 351-362.
Palic, S. and A. Elklit, 2011. Psychosocial treatment of posttraumatic stress disorder in adult refugees: A systematic review of prospective treatment outcome studies and a critique. J. Affective Disord., 131: 8-23.
Otto, M.W., D. Hinton, N.B. Korbly, A. Chea, P. Ba, B.S. Gershuny and M.H. Pollack, 2003. Treatment of pharmacotherapy-refractory posttraumatic stress disorder among Cambodian refugees: A pilot study of combination treatment with cognitive-behavior therapy vs sertraline alone. Behav. Res. Therapy, 41: 1271-1276.
Sledjeski, E.M., B. Speisman and L.C. Dierker, 2008. Does number of lifetime traumas explain the relationship between PTSD and chronic medical conditions? Answers from the National Comorbidity Survey-Replication (NCS-R). J. Behav. Med., 31: 341-349.
Shakeeb, M., 2012. Guidelines to catastrophic events. December 7, 2012. http://www.arabpsynet.com/pass_download.asp?file=126/.
Mollica, R.F., K. McInnes, C. Poole and S. Tor, 1998. Dose-effect relationships of trauma to symptoms of depression and post-traumatic stress disorder among Cambodian survivors of mass violence. Br. J. Psychiatry, 173: 482-488.
Turner, S.W., C. Bowie, G. Dunn, L. Shapo and W. Yule, 2003. Mental health of Kosovan Albanian refugees in the UK. Br. J. Psychiatry, 182: 444-448.
Steel, Z., D. Silove, T. Phan and A. Bauman, 2002. Long-term effect of psychological trauma on the mental health of Vietnamese refugees resettled in Australia: A population-based study. Lancet, 360: 1056-1062.
Agyemang, C., S. Goosen, K. Anujuo and G. Ogedegbe, 2011. Relationship between post-traumatic stress disorder and diabetes among 105 180 asylum seekers in the Netherlands. Eur. J. Public Health.
Matheson, K., S. Jorden and H. Anisman, 2008. Relations between trauma experiences and psychological, physical and neuroendocrine functioning among Somali refugees: Mediating role of coping with acculturation stressors. J. Immigrant Minority Health, 10: 291-304.
Gammouh, O.S., A.M. Al-Smadi, L.I. Tawalbeh and L.S. Khoury, 2015. Chronic diseases, lack of medications and depression among Syrian refugees in Jordan, 2013-2014. Prev. Chronic Dis., Vol. 12.
Kearns, M.C., K.J. Ressler, D. Zatzick and B.O. Rothbaum, 2012. Early interventions for PTSD: A review. Depression Anxiety, 29: 833-842.
Parmentier, H., S. Golding, M. Ashworth and G. Rowlands, 2004. Community pharmacy treatment of minor ailments in refugees. J. Clin. Pharm. Ther., 29: 465-469.
Downloads
Published
Issue
Section
License
Copyright (c) 2016 The Author(s)

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.