Transcultural differences of psychologically traumatised children and adolescents.

Diferenças transculturais em crianças e adolescentes psicologicamente traumatizados.

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ID: 30523
2019
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Ranked #7 of 52 articles by views in neuropsychiatrie : klinik, diagnostik, therapie und rehabilitation : organ der gesellschaft osterreichischer nervenarzte und psychiater

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Abstract
The symptoms following a traumatic event as well as the coping strategies can be culture specific. The objective of the present study was to analyse the transcultural differences of psychologically traumatized children and adolescents with and without migration background.The medical files of 199 psychologically traumatized children and adolescents (99 native Austrian, 100 Turkish-speaking) who were treated at the Department of Child and Adolescent Psychiatry in Vienna were retrospectively analysed.The most frequently observed causes of trauma in patients with Turkish migration background were intra-familial conflicts, forced separation from parent(s), and conforming to a new environment. In native Austrian patients, forced separation from parent(s) and divorce or separation of parents were the leading causes of trauma. Trauma-related symptoms like changed mood, cognitive and perceptual disturbance, social withdrawal, sleeping problems, somatisation and behavioural problems were similarly observed in both groups; "sleeping problems" were more often observed in Austrian patients, and "behavioural problems" were more often observed in Turkish patients. More Austrian patients (32.7%) obtained psychiatric and psychotherapeutic treatment. Turkish-speaking patients mostly obtained psychiatric treatment only. Patients with migration background were more compliant compared to indigenous patients.Both study groups differed in type, causes and symptoms of trauma, and in preferred therapy. Turkish-speaking patients were more compliant with therapy, as they received culture and language-sensitive medical advice and treatment in their mother tongue. Considering the cultural background of patients can optimize service delivery and therapy outcomes among children and adolescents with stressful and traumatic experiences.
Os sintomas decorrentes de um evento traumático, bem como as estratégias de enfrentamento, podem ser culturalmente específicos. O objetivo do presente estudo foi analisar as diferenças transculturais de crianças e adolescentes psicologicamente traumatizados com e sem histórico de migração. Os prontuários médicos de 199 crianças e adolescentes psicologicamente traumatizados (99 austríacos nativos, 100 de língua turca) atendidos no Departamento de Psiquiatria da Infância e Adolescência em Viena foram analisados retrospectivamente. As causas de trauma observadas com maior frequência em pacientes com histórico de migração turca foram conflitos intrafamiliares, separação forçada dos pais e adaptação a um novo ambiente. Nos pacientes austríacos nativos, a separação forçada dos pais e o divórcio ou separação dos pais foram as principais causas de trauma. Sintomas relacionados ao trauma, como alteração de humor, perturbações cognitivas e perceptivas, isolamento social, problemas de sono, somatização e problemas comportamentais, foram observados de forma semelhante em ambos os grupos; "problemas de sono" foram observados com maior frequência em pacientes austríacos, e "problemas comportamentais" foram mais frequentes em pacientes turcos. Mais pacientes austríacos (32,7%) receberam tratamento psiquiátrico e psicoterapêutico. Os pacientes de língua turca, em sua maioria, receberam apenas tratamento psiquiátrico. Pacientes com histórico de migração apresentaram maior adesão terapêutica em comparação com pacientes nativos. Ambos os grupos de estudo diferiram quanto ao tipo, às causas e aos sintomas de trauma, bem como quanto à terapia preferencial. Os pacientes de língua turca demonstraram maior adesão à terapia, visto que receberam orientação médica e tratamento sensíveis à cultura e ao idioma em sua língua materna. Considerar o contexto cultural dos pacientes pode otimizar a prestação de serviços e os desfechos terapêuticos entre crianças e adolescentes com experiências estressantes e traumáticas.
Reference Key
shrestha2019transculturalneuropsychiatrie Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Shrestha, Amesh K;Özlü-Erkilic, Zeliha;Popow, Christian;Ohmann, Susanne;Akkaya-Kalayci, Türkan;
Journal neuropsychiatrie : klinik, diagnostik, therapie und rehabilitation : organ der gesellschaft osterreichischer nervenarzte und psychiater
Year 2019
DOI
10.1007/s40211-019-0300-y
URL
Keywords Keywords not found

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