Nearly all refugee teens with PTSD face multiple mental health crises simultaneously
A study of 269 adolescents in a Ugandan refugee settlement found that 97% of those with PTSD also had panic disorder, anxiety, or depression. The findings suggest aid organizations and health systems need integrated treatment approaches rather than single-disorder interventions to effectively serve trauma-exposed youth in low-resource settings.
Originaltitel: Psychiatric comorbidities of posttraumatic stress disorder among adolescent refugees in Uganda: A latent class analysis of patterns and covariates
Although psychiatric comorbidities of PTSD are common among trauma-exposed individuals, patterns and covariates of PTSD psychiatric comorbidities among the refugee adolescents in low-resource settings remain understudied. We aimed at identifying distinct patterns of PTSD psychiatric comorbidities and their associated factors among adolescent refugees with PTSD in Nakivale refugee settlement, Uganda. In this cross-sectional study, 325 refugee youth were assessed on various PTSD psychiatric comorbidities and covariates of (age, gender, war trauma, post-migration stressors) using MINI International Neuropsychiatric Interview 7.02 and standardized measures of war trauma and post-migration stressors. Latent class analysis (LCA) was used to identify patterns and covariates of comorbidity. Of 269 adolescents with PTSD, 97% had at least one comorbid disorder: panic disorder (88.9%), generalized anxiety disorder (84%), agoraphobia (75.1%), depressive disorder (62.8%), obsessive compulsive disorder (60.6%), attention deficit disorder (43.9%), oppositional defiant disorder (40.9%), conduct disorder (33.8%), and alcohol use disorder (10.8%). LCA revealed three classes: low-moderate comorbidity ( n = 66, 24.5%), high internalizing comorbidity ( n = 101, 37.5%) with high probabilities of depression and anxiety disorders, and high overall comorbidity ( n = 102, 37.9%) with relatively high probabilities of all disorders. The high overall comorbidity class had more girls than the other two classes. Both high comorbidity classes had higher war trauma and post-migration stressors than the low-moderate comorbidity class. Adolescent refugees with PTSD exhibit high psychiatric comorbidity that clusters in distinct patterns. These findings highlight the need for interventions that address the identified comorbidity patterns, consider gender disparities, and account for cumulative trauma and post-migration stressors to effectively support traumatized youth. • Almost all adolescent refugees with PTSD had at least one comorbid disorder. • Three classes: Low-moderate, high internalizing and high overall PTSD comorbidity. • High overall comorbidity had most girls and highest war trauma exposure. • Higher trauma & post-migration stressors in high internalizing vs. low-moderate class. • Both high comorbidity classes did not differ in post-migration stressors.