Trauma history and psychopathology in war-affected refugee children referred for trauma-related mental health services in the United States

Theresa S. Betancourt, Elizabeth A. Newnham, Christopher M. Layne, Soeun Kim, Alan M. Steinberg, Heidi Ellis, Dina Birman

Research output: Contribution to journalArticle

54 Citations (Scopus)

Abstract

There is an increasing need to deliver effective mental health services to refugee children and adolescents across the United States; however, the evidence base needed to guide the design and delivery of services is nascent. We investigated the trauma history profiles, psychopathology, and associated behavioral and functional indicators among war-affected refugee children presenting for psychological treatment. From the National Child Traumatic Stress Network's Core Data Set, 60 war-affected refugee children were identified (51.7% males, mean age = 13.1 years, SD = 4.13). Clinical assessments indicated high rates of probable posttraumatic stress disorder (30.4%), generalized anxiety (26.8%), somatization (26.8%), traumatic grief (21.4%), and general behavioral problems (21.4%). Exposure to war or political violence frequently co-occurred with forced displacement; traumatic loss; bereavement or separation; exposure to community violence; and exposure to domestic violence. Academic problems and behavioral difficulties were prevalent (53.6% and 44.6%, respectively); however, criminal activity, alcohol/drug use, and self-harm were rare (all <5.45%). These findings highlight the complex trauma profiles, comorbid conditions, and functional problems that are important to consider in providing mental health interventions for refugee children and adolescents. Given the difficulties associated with access to mental health services for refugees, both preventive and community-based interventions within family, school, and peer systems hold particular promise.

Original languageEnglish (US)
Pages (from-to)682-690
Number of pages9
JournalJournal of Traumatic Stress
Volume25
Issue number6
DOIs
StatePublished - Dec 2012
Externally publishedYes

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Refugees
Mental Health Services
Psychopathology
Wounds and Injuries
Bereavement
Domestic Violence
Grief
Post-Traumatic Stress Disorders
Violence
Mental Health
Anxiety
Alcohols
Warfare
Psychology
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Trauma history and psychopathology in war-affected refugee children referred for trauma-related mental health services in the United States. / Betancourt, Theresa S.; Newnham, Elizabeth A.; Layne, Christopher M.; Kim, Soeun; Steinberg, Alan M.; Ellis, Heidi; Birman, Dina.

In: Journal of Traumatic Stress, Vol. 25, No. 6, 12.2012, p. 682-690.

Research output: Contribution to journalArticle

Betancourt, Theresa S. ; Newnham, Elizabeth A. ; Layne, Christopher M. ; Kim, Soeun ; Steinberg, Alan M. ; Ellis, Heidi ; Birman, Dina. / Trauma history and psychopathology in war-affected refugee children referred for trauma-related mental health services in the United States. In: Journal of Traumatic Stress. 2012 ; Vol. 25, No. 6. pp. 682-690.
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