POST TRAUMATIC STRESS DISORDER IN REFUGEES: UNDERSTANDING CHALLENGES IN THE DIAGNOSIS AND TREATMENT
INTRODUCTION: The number of refugees in the world is growing with each passing day. Along with the many negative experiences they face before, during and after the migration process, attention must be paid to the emergence of mental illness, especially Post-traumatic Stress Disorder (PTSD). Additionally, upon arriving at the host country, this population faces other problems such as prejudice, lack of information, language barriers and, mainly, lack of broad access to health. OBJECTIVES: To discuss the lack of professional health care to attend refugees related to Post-Traumatic Stress Disorder and analyse the challenges in its diagnosis and treatment. METHODS: A review of the literature was conducted using the Pubmed, Scielo and PSYCINFO databases in September 2019 to identify original research publications in Portuguese, English and Spanish from 2010 to present, as a major systematic review of PTSD in refugees. RESULTS AND DISCUSSION: PTSD is an abnormal reaction to an internal adversity associated to a situation that involves death threat, actual death, serious injury or threat of physical integrity. It involves many neurological changes, which culminates in symptoms like recurring dreams, event memories, psychological suffering and empty future feeling, affecting patients ?mental health, especially when added to a difficulty in diagnosis and treatment due to the barriers faced by refugees. The prevalence of specific types of mental health problems is influenced by the nature of the migration experience. Furthermore, the lack of health professional qualification and resources available in the public health contribute to the barriers that stand in the way of reaching the mental health of refugees, as there is a lack of preparation to receive this population. CONCLUSION: Therefore, all these challenges contribute to the difficulty in the diagnosis and treatment of PTSD in refugees, culminating in a worldwide problem affecting global health.
KEYWORDS (DESCRIPTORS):
In English: Mental Health; Refugees/psychology; Stress Disorders, Post-Traumatic/diagnosis; Stress Disorders, Post-Traumatic/therapy.
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