Risk of childhood psychiatric disorders in children of refugee parents with post-traumatic stress disorder: a nationwide, register-based, cohort study

Nielsen, Maj Back; Carlsson, Jessica; Rimvall, Martin Køster; Petersen, Jørgen Holm; Nørredam, Marie

doi:10.1016/s2468-2667(19)30077-5

Cited by 32 publications

(34 citation statements)

References 25 publications

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“…Other research studies indicated that the odds of having difficult children is higher in parents with mental disorders. [ 25 ] Disorganization within the family system reduces the cohesion and efficiency of these families. Disorganized and poly-problematic families fail to meet their children's necessities.…”

Section: Discussionmentioning

confidence: 99%

Family problems associated with conduct disorder perceived by patients, families and professionals

Sajadi

Ghorbani

Maarefvand

et al. 2020

J Edu Health Promot

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INTRODUCTION: Conduct disorder is among the most serious and complex complications in school-aged children. Considering severe problems in the families of children with conduct disorder, this article aimed to investigate such problems in this group. SUBJECTS AND METHODS: This qualitative research was conducted on 23 participants in Tehran, Iran. The study participants were selected by purposive sampling technique. Interviewees consisted of children with conduct disorder (8–12 years old), their parents, teachers, and relevant experts. This study is a qualitative research which is a content analysis. The research tools included a checklist of questions approved by experts. The content analysis method was used with the help of MAXQDA software to analyze the obtained data. RESULTS: The findings comprised the studied families’ issues in five categories. These classes included the parents’ marital problems, helplessness, and inability of the family to improve conditions; inappropriate discipline approaches; the family's lack of interest in the treatment; and the family members’ mental harms. CONCLUSIONS: It is necessary to provide appropriate facilities and health-care centers for the families to reduce the burden of their problems. In addition, a specialist and experienced work team consisting of at least a child psychiatrist, a child psychologist, and a social worker is necessary to serving these families.

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Section: Discussionmentioning

confidence: 99%

Family problems associated with conduct disorder perceived by patients, families and professionals

Sajadi

Ghorbani

Maarefvand

et al. 2020

J Edu Health Promot

View full text Add to dashboard Cite

show abstract

“…Similarly, in the International Classification of Diseases 11th Revision (ICD-11), complex PTSD is described with similar core symptoms of re-experiencing, avoidance, and a sense of current threat alongside disturbances of self-organization which can include affect dysregulation, negative self-concept, and disturbances in relationships (5). These presenting features, in conjunction with primary caregivers often exposed to the same experiences (6)(7)(8), raise additional complexities in getting children with PTSD to enter and remain in treatment. For example, a core component of the disorder being treated is avoidance of any reminder of the original traumatic event.…”

Section: Introductionmentioning

confidence: 99%

Five Applications of Narrative Exposure Therapy for Children and Adolescents Presenting With Post-Traumatic Stress Disorders

et al. 2020

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Narrative exposure therapy (NET) is an individual therapeutic approach that has an emerging evidence base for children. It was initially trialed with refugee and asylum seeking populations, in low, middle and high-income settings, utilizing either lay or professional therapists. The results of treatment trials for PTSD in refugee children with NET (or the child "KIDNET" adaptation) demonstrates how this is an effective intervention, is scalable and culturally dexterous. This paper describes, in five cases from clinical practice settings, the applicability of NET into broader, routine practice. The cases outlined describe the use of NET with adolescents with: autism spectrum disorders, psychotic symptoms, and intellectual disabilities; histories of forced abduction into child soldiering; complex physical health problems needing multiple interventions; and victims of childhood sexual abuse. The cases are discussed with regards to how the NET lifeline facilitated engagement in treatment, practical adaptations for those with intellectual disabilities and how NET, with its relatively short training for health professionals, can be modified to different contexts and presentations. The importance of improving access to care is discussed to ensure that young people are supported with their most complex and disruptive memories.

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“…Children whose parents have been traumatized by war and torture are thus an especially vulnerable group. Having a parent with PTSD increases the risk of behavioural issues and mental health problems, among the offspring (19–23). Especially maternal PTSD and depression have been linked to child distress (19, 20, 24, 25).…”

Section: Introductionmentioning

confidence: 99%

“…Especially maternal PTSD and depression have been linked to child distress (19, 20, 24, 25). Yet significant correlations have been found between both maternal and paternal PTSD diagnosis and the child's risk of developing mental health problems (22, 23). Moreover, parental traumatic experiences in refugee families have been identified as a risk factor for violence (26), and a systematic review found that child abuse was consistently more prevalent in trauma‐exposed populations (27).…”

Section: Introductionmentioning

confidence: 99%

“…Nonetheless, the extent to which children of parents exposed to torture and war develop mental health disorders has not been widely investigated. The few available studies have typically been limited by small sample sizes (31, 32) or focusing on parental PTSD diagnosis rather than information about the traumatic event (23). It is therefore of interest to investigate whether children of traumatized, but not necessarily diagnosed, parents are at increased risk of mental health issues.…”

Section: Introductionmentioning

confidence: 99%

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Risk of psychiatric diagnoses in children and adolescents of parents with torture trauma and war trauma

Bager

Agerbo

Skipper

et al. 2020

Acta Psychiatr Scand

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TM. Risk of psychiatric diagnoses in children and adolescents of parents with torture trauma and war trauma. Objective: Evidence point to intergenerational effects of trauma in refugee populations. This study estimates the risk of psychiatric diagnoses in children of severely traumatized refugees. The unique clinical sample consisted of refugee parents treated for torture trauma and war trauma, and outcomes were investigated using population-level data. Method: A nationwide register study, following all children residing in Denmark. The exposure was parental torture trauma and war trauma, and outcomes were any psychiatric disorder, mood, neurotic, behavioural and emotional disorders and disorders of psychological development. Children's hazard of being diagnosed was estimated using Cox proportional hazards regression. Study participants were followed from the date of birth or immigration to their 18th birthday. Results: The cohort included 3 346 993 children of which 19 294 were identified as offspring to traumatized refugees. During the study period, 205 610 children were diagnosed with a psychiatric disorder. Children with parents from the Middle East and Northern Africa had a hazard ratio of 0.78 (95% CI: 0.72, 0.84) for those treated for parental trauma and 0.79 (95% CI: 0.76, 0.81) for those not treated compared with children of non-traumatized Danish-born parents. For children of parents from former Yugoslavia, the corresponding estimates were 0.69 (95% CI: 0.58, 0.81) and 0.69 (95% CI: 0.65, 0.73). Conclusion: The results suggest that children of parents with and without registered torture trauma and war trauma have a lower risk of being diagnosed with a psychiatric disorder compared to children of Danish-born parents. These findings contradict research done on the transmission of trauma but supports evidence suggesting mental health services underutilization by refugee and ethnic minority populations.

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Risk of childhood psychiatric disorders in children of refugee parents with post-traumatic stress disorder: a nationwide, register-based, cohort study

Cited by 32 publications

References 25 publications

Family problems associated with conduct disorder perceived by patients, families and professionals

Family problems associated with conduct disorder perceived by patients, families and professionals

Five Applications of Narrative Exposure Therapy for Children and Adolescents Presenting With Post-Traumatic Stress Disorders

Risk of psychiatric diagnoses in children and adolescents of parents with torture trauma and war trauma

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