Vol 7, No 1 (2022)
Research paper
Published online: 2022-03-18

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Humanitarian disaster: mental health disorders at primary healthcare clinic

Siti Salmiah Awang1, Shaza Eva Mohamad1, S. Maria Awaluddin2
Disaster Emerg Med J 2022;7(1):1-10.

Abstract

INTRODUCTION: Little is known about the mental health of Rohingya refugees attending the Malaysian Field Hospital primary health clinic after arriving in Bangladesh. The objectives of this study were to assess the prevalence of mental health disorders, somatic symptoms and to ascertain the determinants of mental health disorders among the Rohingya refugee community attending the primary health clinic.
MATERIAL AND METHODS: A cross-sectional, face-to-face interview using the DASS-21 Questionnaire was conducted among 180 random samples of patients from the Rohingya community. Symptoms of illnesses were recorded before giving the appropriate treatment. Data was collected to obtain the prevalence of mental health disorders, including anxiety, depression, somatic symptoms, and to study the association and predictors of mental health disorders.
RESULTS: 70.6% of respondents reported having mental health disorders. 70% presented with anxiety and 51.6% had depression. Among the respondents with mental health disorders, 70.8% presented with somatic symptoms. Mental health disorders were associated with female gender, older age, formal education, unemployment, high number of households, being in Bangladesh one year or less, and presence of somatic symptoms. Being in Bangladesh one year or less (AOR, 11.73; 95% CI 3.38–40.71) and presence of somatic symptoms (AOR, 12.1; 95% CI: 4.02 to 36.44) were significant predictors of mental health disorders.
CONCLUSIONS: The prevalence of mental health disorders among Rohingya refugees attending the primary health care clinic was high, and they presented with somatic symptoms.

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References

  1. Lo S, Chan E, Chan G, et al. Health emergency and disaster risk management (health-edrm): developing the research field within the sendai framework paradigm. International Journal of Disaster Risk Science. 2017; 8(2): 145–149.
  2. World Health Organization. Disaster risk management for health fact sheets: disaster risk management for health overview [Internet]. 2011. https://www.who.int/hac/events/drm_fact_sheet_overview.pdf (20.09.2021).
  3. Fernald JP, Clawson EA. The mobile army surgical hospital humanitarian assistance mission in Pakistan: the primary care experience. Mil Med. 2007; 172(5): 471–477.
  4. Ventevogel P, Tarannum S, Elshazly M, et al. Integrating mental health into primary health care in Rohingya refugee settings in Bangladesh: experiences of UNHCR. Intervention. 2019; 17(2): 130.
  5. World Health Organization. Mental health promotion and mental health care in refugees and migrants (Technical guidance on refugee and migrant health) [Internet]. 2018. http://www.euro.who.int/__data/assets/pdf_file/0004/386563/mental-health-eng.pdf. (20.09.2021).
  6. Miller KE, Rasmussen A. The mental health of civilians displaced by armed conflict: an ecological model of refugee distress. Epidemiol Psychiatr Sci. 2017; 26(2): 129–138.
  7. Kane JC, Ventevogel P, Spiegel P, et al. Mental, neurological, and substance use problems among refugees in primary health care: analysis of the Health Information System in 90 refugee camps. BMC Med. 2014; 12: 228.
  8. Toft T, Fink P, Oernboel E, et al. Mental disorders in primary care: prevalence and co-morbidity among disorders. results from the functional illness in primary care (FIP) study. Psychol Med. 2005; 35(8): 1175–1184.
  9. Bogic M, Ajdukovic D, Bremner S, et al. Factors associated with mental disorders in long-settled war refugees: refugees from the former Yugoslavia in Germany, Italy and the UK. Br J Psychiatry. 2012; 200(3): 216–223.
  10. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995; 33(3): 335–343.
  11. 2B IBM SPSS Statistics Processes for Mac. IBM SPSS Statistics 25 Step by Step. 2018: 40–56.
  12. Kaur K, Sulaiman AH, Yoon CK, et al. Elucidating Mental Health Disorders among Rohingya Refugees: A Malaysian Perspective. Int J Environ Res Public Health. 2020; 17(18).
  13. Obaidi AAl, Atallah S. Iraqi refugees in Egypt: an exploration of their mental health and psychosocial status. Intervention. 2009; 7(2): 145–151.
  14. Riley A, Varner A, Ventevogel P, et al. Daily stressors, trauma exposure, and mental health among stateless Rohingya refugees in Bangladesh. Transcult Psychiatry. 2017; 54(3): 304–331.
  15. Cardozo B, Talley L, Burton A, et al. Karenni refugees living in Thai–Burmese border camps: traumatic experiences, mental health outcomes, and social functioning. Social Science & Medicine. 2004; 58(12): 2637–2644.
  16. Gerritsen AAM, Bramsen I, Devillé W, et al. Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2006; 41(1): 18–26.
  17. Mussell M, Kroenke K, Spitzer RL, et al. Gastrointestinal symptoms in primary care: prevalence and association with depression and anxiety. J Psychosom Res. 2008; 64(6): 605–612.
  18. Hinton DE, Reis R, de Jong J. The "thinking a lot" idiom of distress and PTSD: an examination of their relationship among traumatized cambodian refugees using the "thinking a lot" questionnaire. Med Anthropol Q. 2015; 29(3): 357–380.
  19. Acarturk C, McGrath M, Roberts B, et al. STRENGTHS consortium. Prevalence and predictors of common mental disorders among Syrian refugees in Istanbul, Turkey: a cross-sectional study. Soc Psychiatry Psychiatr Epidemiol. 2021; 56(3): 475–484.
  20. Rometsch-Ogioun El Sount C, Denkinger JK, Windthorst P, et al. Psychological burden in female, Iraqi refugees who suffered extreme violence by the "islamic state": the perspective of care providers. Front Psychiatry. 2018; 9: 562.
  21. Shannon P, Vinson G, Wieling E, et al. Torture, war trauma, and mental health symptoms of newly arrived Karen refugees. Journal of Loss and Trauma. 2015; 20(6): 577–590.
  22. Adeniyi AF, Okafor NC, Adeniyi CY. Depression and physical activity in a sample of nigerian adolescents: levels, relationships and predictors. Child Adolesc Psychiatry Ment Health. 2011; 5: 16.
  23. Feyera F, Mihretie G, Bedaso A, et al. Prevalence of depression and associated factors among Somali refugee at Melkadida camp, Southeast Ethiopia: a cross-sectional study. BMC Psychiatry. 2015; 15: 171.
  24. Cummings JR, Case BG, Ji Xu, et al. Racial/ethnic differences in mental health service use among adolescents with major depression. J Am Acad Child Adolesc Psychiatry. 2011; 50(2): 160–170.
  25. Miller KE, Rasmussen A. War exposure, daily stressors, and mental health in conflict and post-conflict settings: bridging the divide between trauma-focused and psychosocial frameworks. Soc Sci Med. 2010; 70(1): 7–16.
  26. Hocking DC, Kennedy GA, Sundram S. Mental disorders in asylum seekers: the role of the refugee determination process and employment. J Nerv Ment Dis. 2015; 203(1): 28–32.
  27. Priebe S, Gavrilovic J, Bremner S, et al. Course of post-traumatic stress disorder following war in the Balkans: 1-year follow-up study. Psychol Med. 2013; 43(9): 1837–1847.
  28. Porter M, Haslam N. Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA. 2005; 294(5): 602–612.
  29. Wood N, Charlwood G, Zecchin C, et al. Qualitative exploration of the impact of employment and volunteering upon the health and wellbeing of African refugees settled in regional Australia: a refugee perspective. BMC Public Health. 2019; 19(1): 143.
  30. Hosseini LJ, Samadi AH, Woldemichael A, et al. Household overcrowding in iran, a low-middle-income country: how major of a public health concern is it? J Prev Med Public Health. 2021; 54(1): 73–80.
  31. World Health Organization. WHO housing and health guidelines [Internet]. World Health Organization; 2018. http://apps.who.int/iris/bitstream/handle/10665/276001/9789241550376-eng.pdf (20.09.2021).
  32. UN-HABITAT SDG. Indicator 11.1.1 Training Module: Adequate Housing and Slum Upgrading. United Nations Human Settlement Programme (UN-Habitat). Nairobi; 2018. 2018; 20.
  33. Araya DR. Historical narratives and civic subjectification in post-conflict times. Encuentros Uruguayos. 2019; 12(1): 49–83.
  34. García-Sierra R, Fernández-Cano MI, Manresa-Domínguez JM, et al. Psychological distress and somatization in immigrants in primary health care practices. Healthcare (Basel). 2020; 8(4).
  35. Lanzara R, Scipioni M, Conti C. A clinical-psychological perspective on somatization among immigrants: a systematic review. Front Psychol. 2018; 9: 2792.
  36. Mostafaei S, Kabir K, Kazemnejad A, et al. Explanation of somatic symptoms by mental health and personality traits: application of Bayesian regularized quantile regression in a large population study. BMC Psychiatry. 2019; 19(1): 207.
  37. Rohlof HG, Knipscheer JW, Kleber RJ. Somatization in refugees: a review. Soc Psychiatry Psychiatr Epidemiol. 2014; 49(11): 1793–1804.



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