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https://hdl.handle.net/2440/132104
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Type: | Journal article |
Title: | A population study of prolonged grief in refugees |
Author: | Bryant, R.A. Edwards, B. Creamer, M. O'Donnell, M. Forbes, D. Felmingham, K.L. Silove, D. Steel, Z. McFarlane, A.C. Van Hooff, M. Nickerson, A. Hadzi-Pavlovic, D. |
Citation: | Epidemiology and Psychiatric Sciences, 2021; 29:e44-1-e44-7 |
Publisher: | Cambridge Unniversity Press |
Issue Date: | 2021 |
ISSN: | 2045-7960 2045-7979 |
Statement of Responsibility: | R. A. Bryant, B. Edwards, M. Creamer, M. O'Donnell, D. Forbes, K. L. Felmingham ... et al. |
Abstract: | AIMS:Despite the frequency that refugees suffer bereavement, there is a dearth of research into the prevalence and predictors of problematic grief reactions in refugees. To address this gap, this study reports a nationally representative population-based study of refugees to determine the prevalence of probable prolonged grief disorder (PGD) and its associated problems. METHODS:This study recruited participants from the Building a New Life in Australia (BNLA) prospective cohort study of refugees admitted to Australia between October 2013 and February 2014. The current data were collected in 2015-2016, and comprised 1767 adults, as well as 411 children of the adult respondents. Adult refugees were assessed for trauma history, post-migration difficulties, probable PGD, post-traumatic stress disorder (PTSD) and mental illness. Children were administered the Strengths and Difficulties Questionnaire. RESULTS:In this cohort, 38.1% of refugees reported bereavement, of whom 15.8% reported probable PGD; this represents 6.0% of the entire cohort. Probable PGD was associated with a greater likelihood of mental illness, probable PTSD, severe mental illness, currently unemployed and reported disability. Children of refugees with probable PGD reported more psychological difficulties than those whose parents did not have probable PGD. Probable PGD was also associated with the history of imprisonment, torture and separation from family. Only 56.3% of refugees with probable PGD had received psychological assistance. CONCLUSIONS:Bereavement and probable PGD appear highly prevalent in refugees, and PGD seems to be associated with disability in the refugees and psychological problems in their children. The low rate of access to mental health assistance for these refugees highlights that there is a need to address this issue in refugee populations. |
Keywords: | Bereavement prevalence prolonged grief disorder refugees |
Description: | Published online by Cambridge University Press: 19 August 2019 |
Rights: | © The Author(s) 2019. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
DOI: | 10.1017/S2045796019000386 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1073041 |
Published version: | http://dx.doi.org/10.1017/s2045796019000386 |
Appears in Collections: | Psychiatry publications |
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