‘Only God can promise healing.’: help-seeking intentions and lay beliefs about cures for posttraumatic stress disorder among Sub-Saharan African asylum seekers in Germany

Autor(en)
Freyja Grupp, Marie Rose Moro, Urs Markus Nater, Sara M Skandrani, Ricarda Mewes
Abstrakt

Background: Epidemiological studies have reported high rates of post-traumatic stress disorder (PTSD) among asylum seekers from Sub-Saharan Africa. In order to provide appropriate and culturally sensitive mental health care for this group, further knowledge about treatment preferences might be necessary.

Objective: We aimed to provide insights into help-seeking intentions and lay beliefs about cures for PTSD held by asylum seekers from Sub-Saharan Africa living in Germany.

Methods: To address this objective, we used a quantitative and qualitative methodological triangulation strategy based on a vignette describing symptoms of PTSD. In the quantitative part of the study, asylum seekers (n = 119), predominantly from Eritrea (n = 41), Somalia (n = 36), and Cameroon (n = 25), and a German comparison sample without a migration background (n = 120) completed the General Help-Seeking Questionnaire (GHSQ). In the qualitative part, asylum seekers (n = 26) reviewed the results of the questionnaire survey within eight focus group discussions sampled from groups of the three main countries of origin.

Results: Asylum seekers showed a high intention to seek religious, medical, and psychological treatment for symptoms of PTSD. However, asylum seekers indicated a higher preference to seek help from religious authorities and general practitioners, as well as a lower preference to enlist psychological and traditional help sources than Germans without a migration background. Furthermore, asylum seekers addressed structural and cultural barriers to seeking medical and psychological treatment.

Conclusion: To facilitate access to local health care systems for asylum seekers and refugees, it might be crucial to develop public health campaigns in collaboration with religious communities. When treating asylum seekers and refugees from Sub-Saharan Africa, practitioners should explore different religious and cultural frameworks for healing and recovery in order to signal understanding and acceptance of varying cultural contexts.

Organisation(en)
Forschungs-, Lehr- und Praxisambulanz, Institut für Klinische und Gesundheitspsychologie
Externe Organisation(en)
Philipps Universität Marburg, Université Paris V - René Descartes, Université Paris-Nanterre
Journal
European Journal of Psychotraumatology
Band
10
Anzahl der Seiten
16
ISSN
2000-8066
DOI
https://doi.org/10.1080/20008198.2019.1684225
Publikationsdatum
2019
Peer-reviewed
Ja
ÖFOS 2012
501010 Klinische Psychologie
Schlagwörter
ASJC Scopus Sachgebiete
Psychiatry and Mental health
Sustainable Development Goals
SDG 16 – Frieden, Gerechtigkeit und starke Institutionen, SDG 3 – Gesundheit und Wohlergehen
Link zum Portal
https://ucrisportal.univie.ac.at/de/publications/01d26f86-a3e0-424f-8e8e-d24e6623a725