TY - JOUR PY - 2020// TI - Sex differences in trauma exposure and symptomatology in trauma-affected refugees JO - Psychiatry research A1 - Mundy, Sara Skriver A1 - Foss, Sara Louise Wilms A1 - Poulsen, Stig A1 - Hjorthøj, Carsten A1 - Carlsson, Jessica SP - e113445 EP - e113445 VL - 293 IS - N2 - The aim of this cross-sectional study was to examine associations between sex, exposure to potentially traumatic events and pre-treatment symptomatology in trauma-affected refugees. We analyzed pre-treatment self-report questionnaires and clinical interviews from 318 refugees with post-traumatic stress disorder (PTSD) in a specialized mental health clinic.

RESULTS show that twice as many females reported exposure to family violence (p = .001) and sexual abuse (p = .004), whereas men were at least three times as likely to report exposure to torture (p <0.001), imprisonment (p <.001), and combat (p <.001). Men reported exposure to more trauma types (p <.001). Women reported more depression (p = .001), anxiety (p = .008) and somatization (p = 0.001), whereas men were diagnosed significantly more with enduring personality change after catastrophic experience (p <.001). Additionally, trauma burden was significantly associated with PTSD (p = .001) and depression (p = .039) scores for women but not men, and imprisonment was associated with a higher PTSD score in women (p = 0.037) but not men. Our findings highlight sex differences in trauma exposure and symptomatology in trauma-affected refugees in host countries, that should be considered when developing mental health interventions for this underserved population.

Language: en

LA - en SN - 0165-1781 UR - http://dx.doi.org/10.1016/j.psychres.2020.113445 ID - ref1 ER -