PDF(Pubmed)
Abstract：
OBJECTIVE: Although Syrian refugees have high rates of mental health problems due to war trauma, little is known on their degree of need for and contact with mental health services. Using a population sample of Syrian refugees living in Ankara, we assessed the perceived need for and contact with mental health services, as well as the barriers to access these services.
METHODS: This was a cross-sectional mixed-method study of 420 Syrian refugees living in Ankara city center, using face to face interviews administered at the respondents\' home by trained, Arabic-speaking interviewers. PTSD and depression were assessed using Harvard Trauma Questionnaire and Beck Depression Inventory, respectively.
RESULTS: Of all the refugees in our sample, 14,8% (N=62) stated that they felt the need for mental healthcare since arriving in Turkey. The actual number contacting any mental health service was very low (1,4%, N=6). The most important barriers to accessing mental health services were reported by the respondents to be language problems and lack of information on available mental health services. Service providers and policymakers also reported similar topics as the most important barriers: low awareness about mental health problems, daily living difficulties, and language and cultural barriers. Multivariate analyses revealed that presence of medical or mental disorders and female gender predicted the perceived need for contacting services.
CONCLUSIONS: Our results show that, although refugees report high rates of mental health problems, the perceived need for and actual contact with services are very low. To address this treatment gap, and to provide adequate care for refugees with mental health problems, common barriers (language and awareness) should be identified and dealt with.
METHODS: This was a cross-sectional mixed-method study of 420 Syrian refugees living in Ankara city center, using face to face interviews administered at the respondents\' home by trained, Arabic-speaking interviewers. PTSD and depression were assessed using Harvard Trauma Questionnaire and Beck Depression Inventory, respectively.
RESULTS: Of all the refugees in our sample, 14,8% (N=62) stated that they felt the need for mental healthcare since arriving in Turkey. The actual number contacting any mental health service was very low (1,4%, N=6). The most important barriers to accessing mental health services were reported by the respondents to be language problems and lack of information on available mental health services. Service providers and policymakers also reported similar topics as the most important barriers: low awareness about mental health problems, daily living difficulties, and language and cultural barriers. Multivariate analyses revealed that presence of medical or mental disorders and female gender predicted the perceived need for contacting services.
CONCLUSIONS: Our results show that, although refugees report high rates of mental health problems, the perceived need for and actual contact with services are very low. To address this treatment gap, and to provide adequate care for refugees with mental health problems, common barriers (language and awareness) should be identified and dealt with.
摘要：
目标：尽管叙利亚难民由于战争创伤而有很高的心理健康问题，他们对精神卫生服务的需求和接触程度知之甚少。使用居住在安卡拉的叙利亚难民的人口样本，我们评估了对精神卫生服务的感知需求和联系，以及获得这些服务的障碍。
方法：这是一项对居住在安卡拉市中心的420名叙利亚难民进行的横断面混合方法研究，使用在受访者家中接受培训的面对面访谈，讲阿拉伯语的面试官。使用哈佛创伤问卷和贝克抑郁量表评估PTSD和抑郁，分别。
结果：在我们样本中的所有难民中，14.8％（N=62）表示，自抵达土耳其以来，他们认为需要精神保健。联系任何精神卫生服务的实际人数非常低(1.4%，N=6)。受访者报告说，获得精神卫生服务的最重要障碍是语言问题和缺乏有关现有精神卫生服务的信息。服务提供商和政策制定者还报告了类似的主题作为最重要的障碍：对心理健康问题的认识不足，日常生活困难,语言和文化障碍。多变量分析显示，存在医学或精神障碍以及女性性别可以预测对联系服务的需求。
结论：我们的结果表明，尽管难民报告精神健康问题的发生率很高，对服务的感知需求和实际联系非常低。为了解决这一治疗差距，并为有心理健康问题的难民提供足够的护理，应该识别和处理常见的障碍(语言和意识)。
方法：这是一项对居住在安卡拉市中心的420名叙利亚难民进行的横断面混合方法研究，使用在受访者家中接受培训的面对面访谈，讲阿拉伯语的面试官。使用哈佛创伤问卷和贝克抑郁量表评估PTSD和抑郁，分别。
结果：在我们样本中的所有难民中，14.8％（N=62）表示，自抵达土耳其以来，他们认为需要精神保健。联系任何精神卫生服务的实际人数非常低(1.4%，N=6)。受访者报告说，获得精神卫生服务的最重要障碍是语言问题和缺乏有关现有精神卫生服务的信息。服务提供商和政策制定者还报告了类似的主题作为最重要的障碍：对心理健康问题的认识不足，日常生活困难,语言和文化障碍。多变量分析显示，存在医学或精神障碍以及女性性别可以预测对联系服务的需求。
结论：我们的结果表明，尽管难民报告精神健康问题的发生率很高，对服务的感知需求和实际联系非常低。为了解决这一治疗差距，并为有心理健康问题的难民提供足够的护理，应该识别和处理常见的障碍(语言和意识)。
