TY - JOUR PY - 2007// TI - Asylum seekers seeking mental health services in the United States: clinical and legal implications JO - Journal of nervous and mental disease A1 - Piwowarczyk, Linda SP - 715 EP - 722 VL - 195 IS - 9 N2 - Asylum seekers flee their countries in search of safety due to persecution at home. Characteristics were assessed of 134 consecutive asylum seekers who sought mental health services at a program caring for survivors of torture and refugee trauma, using a chart review of patients seen between January 1999 and December 2002. Two-thirds of the sample were female, and 82% came from Africa. Eighty-four percent of the sample reported a history of torture, and one-half experienced rape or attempted rape. Most common diagnoses included posttraumatic stress disorder and depression. Predictors of torture included: posttraumatic stress disorder [odds ratio (OR) = 4.93, p = 0.03], rape (OR = 4.23, p = 0.035), and political persecution (OR = 9.28, p = 0.006). Most common self-reported health problems were headaches (29.9%), sexual dysfunction (26.1%), chronic pain (12.7%), and gastrointestinal symptoms (11.2%).

Language: en

LA - en SN - 0022-3018 UR - http://dx.doi.org/10.1097/NMD.0b013e318142ca0b ID - ref1 ER -