A Study on the Relationship Between Post-Traumatic Stress Disorder, Depression and Anxiety Symptoms and the Quality of Life of Syrian Refugees: Case Study for the Province of Kayseri.

Emrah Gokkaya, Mehmet Hanefi Topal, Özgür Demirtas
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Abstract

The aim of this study is to investigate the factors related to post-traumatic stress disorder (PTSD), depression and anxiety mental disorders, as well as the quality of life of Syrian refugees and to examine the relationships between mental health disorders and the quality of life of Syrian refugees. Data were collected via face-to-face surveys with 613 adult Syrian refugees in an urban setting. Brislin's methodology was used for translating scale items, involving initial translation, back-translation and review by another professional translator. The study utilised the PTSD Scale, Beck Anxiety Scale, Depression Scale and Quality of Life Scale (QOLS). Descriptive, correlational and multivariate regression analysis were applied. Findings of correlational analysis indicate that PTSD levels among Syrian refugees are significantly related to gender, income level and employment. Depression levels are significantly associated with trauma history, healthcare service use, marital status and employment. Anxiety levels are significantly related to gender, trauma history, healthcare service use, employment and income. According to the findings of the regression analyses, the relationships between depression, quality of life and PTSD are complex. Meanwhile, anxiety decreases quality of life and increases PTSD. Quality of life moderates the relationship between depression and PTSD, as well as between anxiety and PTSD. The study concludes that the mental disorder levels of Syrian refugees, in terms of PTSD, depression and anxiety, are linked to their socio-demographic characteristics. These results highlight the importance of social, economic and cultural factors, healthcare and social services and the socio-demographic characteristics of the region where refugees have settled after displacement.

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创伤后应激障碍、抑郁和焦虑症状与叙利亚难民生活质量之间关系的研究:开塞利省案例研究》。
本研究旨在调查与创伤后应激障碍(PTSD)、抑郁和焦虑心理障碍以及叙利亚难民生活质量有关的因素,并研究心理健康障碍与叙利亚难民生活质量之间的关系。数据是通过对城市环境中的 613 名成年叙利亚难民进行面对面调查收集的。在翻译量表项目时,采用了布里斯林方法,包括初译、回译和由另一位专业翻译人员审阅。研究采用了创伤后应激障碍量表、贝克焦虑量表、抑郁量表和生活质量量表(QOLS)。研究采用了描述性分析、相关分析和多元回归分析。相关分析结果表明,叙利亚难民的创伤后应激障碍水平与性别、收入水平和就业有明显关系。抑郁水平与创伤史、医疗服务使用情况、婚姻状况和就业有明显关系。焦虑水平与性别、创伤史、医疗服务使用情况、就业和收入有明显关系。根据回归分析的结果,抑郁、生活质量和创伤后应激障碍之间的关系十分复杂。同时,焦虑会降低生活质量,增加创伤后应激障碍。生活质量调节抑郁与创伤后应激障碍之间的关系,以及焦虑与创伤后应激障碍之间的关系。研究得出结论,叙利亚难民在创伤后应激障碍、抑郁和焦虑方面的精神障碍水平与他们的社会人口特征有关。这些结果凸显了社会、经济和文化因素、医疗保健和社会服务以及难民流离失所后定居地区的社会人口特征的重要性。
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