[Psychosomatics and psychotraumatology of refugees and migrants : A Challenge for the Internist].
Many refugees experience severely stressful events in their home countries, during migration and occasionally even after arrival in the country of destination. The individual reactions not only influence the mental health but also somatic well being. Traumatic events may have an essential impact on psychosocial functioning; moreover, the social circumstances during the integration process influence mental stability. Physicians play an important role in identifying possible traumatization and subsequently guiding towards adequate treatment; hence, the healthcare of refugees should regularly include psychosomatic and psychotraumatological aspects. Knowledge of screening instruments, trauma-informed care and interpreter-assisted communication are necessary to meet required standards.
Klinik und Poliklinik für Psychotherapie und Psychosomatik, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland. julia.schellong@uniklinikum-dresden.de.
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Schellong
Klinik und Poliklinik für Psychotherapie und Psychosomatik, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
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Epple
Klinik und Poliklinik für Psychotherapie und Psychosomatik, Universitätsklinikum Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland.
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Weidner
D003141:Communicable Diseases / Q000175:diagnosis*; D003144:Communication Barriers; D005858:Germany; D006297:Health Services Accessibility; D006801:Humans; D007388:Internal Medicine / Q000379:methods / Q000458:organization & administration; D018580:Mandatory Testing / Q000379:methods; D012036:Refugees / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D013315:Stress, Psychological / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy*; D014171:Transients and Migrants / Q000523:psychology*; D035862:Vulnerable Populations / Q000523:psychology
Mental disorders; Mental health; Migration; Posttraumatic stress disorder; Trauma-informed care