İlkay Doğan, Gülçin Elboğa, Mazlum Serdar Akaltun, Abdurrahman Altındağ, Ali Gür, Özlem Altındağ, Şengül Kocamer Şahin, Selahaddin Elçiçek

Mülteci Üniversitesi Öğrencilerinde Travmatik Yaşantilarin Depresyon, Yalnizlik, Anksiyete, Travma Sonrasi Gelişim ve Ağri ile İlişkisi

Amaç: Bu çalışmanın amacı, mülteci üniversite öğrencilerinde travmatik deneyimlerin oranını ve travmalar ile anksiyete, yalnızlık, depresyon, travma sonrası gelişim ve ağrı arasındaki ilişkiyi araştırmaktır. Gereç ve Yöntemler: Bu çalışma Eylül 2017 ve Eylül 2018 tarihleri arasında XXX Üniversitesinde gerçekleştirilmiştir. Değerlendirme için UCLA (California Üniversitesi, Los Angeles) Yalnızlık Ölçeği, Travma Sonrası Büyüme Envanteri (TSBE), Beck Depresyon Envanteri (BDE), Beck Anksiyete Envanteri (BAE), Travmatik Yaşantilar Kontrol Listesi (TYKL) kullanılmıştır. Bulgular: Çalışmaya toplam 71 öğrenci dahil edildi. UCLA ve BDE, TYKL arasında pozitif, UCLA ve TSBE arasında negatif korelasyon vardı. BDI, BAE ve TYKL arasında pozitif korelasyon vardı. TSBE ve BDE ile TYKL arasında negatif bir korelasyon saptandı. Bir gün içinde hissedilen ortalama ağrı süresi ile TYKL, BDE arasında anlamlı ve pozitif bir korelasyon ve ağrı süresi ile TSBE arasında negatif korelasyon gözlendi. Sonuç: Mülteci öğrencilerde travmatik yaşantıların fazla olması depresyon ile pozitif, travmatik büyüme ile negatif ilişkiliydi. Gün içinde hissedilen ortalama ağrı süresi, depresif belirtilerin fazlalığı ve travmatik olayların fazlalılığı ile pozitif ilişkilidir, ancak ağrının varlığı / ağrının lokalizasyonu ve değerlendirme ölçekleri arasında bir ilişki saptanmamıştır..

The relations of traumatic life events with depression, loneliness, anxiety, posttraumatic growth and pain in refugee university students

Aim: The purpose of this study was to investigate the rate of traumatic experiences and the relationship between traumas and anxiety, loneliness, depression, posttraumatic growth and pain, in refugee university students. Materials and Methods: This study was conducted at the Gaziantep University between September 2017 and September 2018. UCLA (University of California, Los Angeles) Loneliness Scale, Posttraumatic Growth Inventory (PTGI), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Traumatic Events Checklist (T.E.C) were used for assessment purposes. Results: A total of 71 students were included in our study. There was a positive correlation between UCLA and BDI, T.E.C and a negative correlation between UCLA and PTGE. There was a positive correlation between BDI and BAI, T.E.C. A negative correlation was determined between PTGE and BDI and also T.E.C. A significant and positive correlation was observed between duration of pain felt during a day and T.E.C, BDI, and a negative correlation between duration of pain and PTGE. Conclusion: Excessive traumatic experiences were positively related with depression and negatively related with traumatic growth. The duration of pain felt during a day was positively related with the excess of depressive symptoms and traumatic events, however there was no relationship between the presence of pain/ localization of pain and assessment scales.

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1. Pai, Anushka, Alina M. Suris, and Carol S. North. "Posttraumatic stress disorder in the DSM-5: Controversy, change, and conceptual considerations." Behavioral Sciences 2017; 7:7 doi: 10.3390/bs7010007
2. Harvey SB, Milligan-Saville JS, Paterson HM, Harkness EL, Marsh AM, Dobson M et al. The mental health of fire-fighters: An examination of the impact of repeated trauma exposure. Aust N Z J Psychiatry. 2016;50(7):649-658. doi: 10.1177/0004867415615217
3. Kirmayer LJ, Narasiah L, Munoz M, Rashid M, Ryder AG, Guzder J et al. Common mental health problems in immigrants and refugees: general approach in primary care. CMAJ. 2011;183(12):E959-E967. doi: 10.1503/cmaj.090292
4. Feingold D, Goor-Aryeh I, Bril S, Delayahu Y, Lev-Ran S. Problematic use of prescription opioids and medicinal cannabis among patients suffering from chronic pain. Pain Med. 2017;18(2):294-306. doi: 10.1093/pm/pnw134.
5. Report from UN High Commissioner for Refugees. UNHCR Turkey Factsheet 2018.
6. Refugees RfUHCf. Report from UN High Commissioner for Refugees. 2018.
7. The regional conference on higher education in crisis situations. The regional conference on higher education in crisis situations. Sharm El-Sheikh – Egypt 2017.
8. Westphal M, Bonanno GA. Posttraumatic growth and resilience to trauma: Different sides of the same coin or different coins? Applied Psychology. 2007;56(3):417-427. doi: 10.1111/j.1464-0597.2007.00298.x
9. Zeligman M, Bialo JA, Brack JL, Kearney MA. Loneliness as moderator between trauma and posttraumatic growth. Journal of Counseling & Development. 2017;95(4):435-444. doi: 10.1002/jcad.12158
10. Ibrahim H, Hassan CQ. Post-traumatic stress disorder symptoms resulting from torture and other traumatic events among Syrian Kurdish refugees in Kurdistan Region, Iraq. Frontiers in psychology. 2017;8:241. doi: 10.3389/fpsyg.2017.00241
11. Taylor BE, Chekaluk E, Bennett J. Post-Traumatic Stress Disorder, Depression and Anxiety among North Korean Refugees: A Meta-Analysis. Psychiatry investigation. 2017;14(5):550. Taylor, Benjamin Eric et al. “Post-Traumatic Stress Disorder, Depression and Anxiety among North Korean Refugees: A Meta-Analysis.” Psychiatry investigation vol. 14,5 (2017): 550-561. doi:10.4306/pi.2017.14.5.550
12. Russell D, Peplau LA, Cutrona CE. The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. Journal of personality and social psychology. 1980;39(3):472. doi: 10.1037//0022-3514.39.3.472
13. Demir A. The validity and reliability of UCLA loneliness scale. Turkish Journal of Psychology. 1989;7(23):14-18.
14. Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: Measuring the positive legacy of trauma. Journal of traumatic stress. 1996;9(3):455-471.
15. Kağan M, Güleç M, Boysan M, Çavuş H. Travma Sonrası Büyüme Envanteri'nin Türkçe Versiyonunun Normal Toplumda Hiyerarşik Faktör Yapısı. TAF Preventive Medicine Bulletin. 2012;11(5).
16. Hisli N. The validity and reliability of the Beck Depression Inventory among university students. Turkish Journal of Psychology. 1989;7(23):3-13.
17. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893. doi: 10.1037//0022-006x.56.6.893
18. Ulusoy M, Sahin NH, Erkmen H. the Beck Anxiety Inventory: Psychometric Properties. Journal of cognitive psychotherapy. 1998;12(2):163-172.
19. Rousseau C, Guzder J. School-based prevention programs for refugee children. Child Adolesc Psychiatr Clinics N Am. 2008;17(3):533-549. doi: 10.1016/j. chc.2008.02.002
20. Cacioppo JT, Hughes ME, Waite LJ, Hawkley LC, Thisted RA. Loneliness as a specific risk factor for depressive symptoms: cross-sectional and longitudinal analyses. Psychol Aging. 2006;21(1):140. doi: 10.1037/0882-7974.21.1.140
21.Ward KP, Shaw SA, Chang M, El-Bassel N. Social support moderates the association between traumatic life events and depression among migrant and nonmigrant men in Almaty, Kazakhstan. J Trauma Stress. 2018;31(5):698-707. doi: 10.1002/ jts.22324
22.Adigüzel V, Özdemir N, Şahin ŞK. Childhood traumas in euthymic bipolar disorder patients in Eastern Turkey and its relations with suicide risk and aggression. Nord J Psychiatry. 2019:1-7. doi: 10.1080/08039488.2019.1655589
23.Fishbain DA, Pulikal A, Lewis JE, Gao J. Chronic pain types differ in their reported prevalence of post-traumatic stress disorder (PTSD) and there is consistent evidence that chronic pain is associated with PTSD: an evidence-based structured systematic review. Pain Med. 2017;18(4):711-735. doi: 10.1093/pm/pnw065.
24.McCutcheon VV, Sartor CE, Pommer NE, Bucholz KK, Nelson EC, Madden PA et al. Age at trauma exposure and PTSD risk in young adult women. J Trauma Stress. 2010;23(6):811- 814. doi: 10.1002/jts.20577.