Cultural Identity and Trauma. Construction of meaning among Afghan and Iraqi refugees under treatment in Dutch mental health care

Cultural Identity and Trauma. Construction of meaning among Afghan and Iraqi refugees under treatment in Dutch mental health care - Cultural Identity and trauma

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

NL-OMON

Registry ID

NL-OMON41386

Enrollment

100

Registered

2013-09-13

Start date

2014-01-06

Completion date

Unknown

Last updated

2024-04-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Post traumatic stress disorder

Interventions

None listed

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Persons - are 18 years or older; - are born and raised in Afghanistan or Iraq; - speak and read Dari, Arabic, Dutch or Englishor may get help in reading from a close relative or a caretaker; - receive treatment in 'De Evenaar' OR - do NOT receive treatment in a Dutch mental health center - mentally competent to make decisions - written informed consent

Exclusion criteria

Exclusion criteria: - current addiction problems - fluid psychosis episodes

Design outcomes

Primary

Measure	Time frame
All patient will be interviewd with the"Cultural Interview". From the Harvard Trauma Questionnaire the questions about traumatic events will be included in the qualitative research. At the Evenaar the HTQ and HSCL-25 is already part of the standard assessment.	—

Secondary

Measure	Time frame
To measure the relation of shocking events with patients identity the Centrality of Events Scale (CES) will be used. The CES is a tool to measure the integration of trauma into ones identity and its relation to posttraumatic stress disorder symptoms (Berntsen & Rubin 2005). The CES can be used in a full 20-item version or on a short 7-item scale. A pilot study will be undertaken to evaluate the 20-item version together with the 7-item version. Post migration living problems will be gathered with an adaptation of the Post Migration Living Problems checklist (Silove et al. 1997). The Post-Migration Living Problems Checklist (PMLP-CL) is a tool to measure post-migration stressors. It contains items such as: fear of being sent home, unable to return home in an emergency, not being able to find work, delays in processing refugee application, no permission to work, worries about family back home, poor access to dental care, worried about not getting treatment for health problems, little government help with welfare, and separation from family. The items of post-migration stressors are made applicable for refugees situations in The Netherlands (Laban et al. 2005). Participants will be asked whether a living problem is applicable to them or not. If a living problem is applicable, then they will be asked how much this worries them on a five-point scale (1= not worried, 5=very much worried*). To measure the impact of shocking events, psychopathology, post-migration living problems on the treatment plans all the contributions of mental health professionals will be analyzed. To measure the impact of cultural identity on the treatment plan 14 indicators of previous study will be used (Groen & Laban 2011). These are: descent, ethnicity, acculturation, stage in life, self esteem, gender, position in the family, contact with family, social contacts, shame, stigma, insight into illness, illness explanation, and religion.	—

Measure

Time frame

To measure the relation of shocking events with patient*s identity the Centrality of Events Scale (CES) will be used. The CES is a tool to measure the integration of trauma into one*s identity and its relation to posttraumatic stress disorder symptoms (Berntsen & Rubin 2005). The CES can be used in a full 20-item version or on a short 7-item scale. A pilot study will be undertaken to evaluate the 20-item version together with the 7-item version. Post migration living problems will be gathered with an adaptation of the Post Migration Living Problems checklist (Silove et al. 1997). The Post-Migration Living Problems Checklist (PMLP-CL) is a tool to measure post-migration stressors. It contains items such as: fear of being sent home, unable to return home in an emergency, not being able to find work, delays in processing refugee application, no permission to work, worries about family back home, poor access to dental care, worried about not getting treatment for health problems, little government help with welfare, and separation from family. The items of post-migration stressors are made applicable for refugee*s situations in The Netherlands (Laban et al. 2005). Participants will be asked whether a living problem is applicable to them or not. If a living problem is applicable, then they will be asked how much this worries them on a five-point scale (1= *not worried*, 5=*very much worried*). To measure the impact of shocking events, psychopathology, post-migration living problems on the treatment plans all the contributions of mental health professionals will be analyzed. To measure the impact of cultural identity on the treatment plan 14 indicators of previous study will be used (Groen & Laban 2011). These are: descent, ethnicity, acculturation, stage in life, self esteem, gender, position in the family, contact with family, social contacts, shame, stigma, insight into illness, illness explanation, and religion.

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Countries

Netherlands

Outcome results