Sequenzielle Traumatisierungen, Traumafolgestörungen und psychotherapeutische Behandlungsansätze bei kriegstraumatisierten erwachsenen Flüchtlingen in Deutschland
Abstract
The impact of war and violence on the mental and physical health of the civilian population is immense. Traumatization is often experienced sequentially, which leads to a higher risk for developing trauma-related disorders (PTSD, depression, chronic pain).Refugees traumatized by war experience specific stressors related to their status of residence (e. g., application hearing, length of the asylum procedure). Together with limited access to health care, these constitute additional risk factors for developing somatic and psychological illnesses.Adequate treatment for this highly vulnerable group requires a multimodal approach facilitated by translators. According to the S3 guidelines (S3-Richtlinien), trauma-adapted psychotherapeutic treatment has to be complemented by the activities of social workers, by medical treatment, and by legal advice.
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Regional/local social security offices make individual decisions whether translator expenses can be refunded, and refunding cannot be guaranteed and can take extra time.
“Instead, regional/local social security offices make individual decisions whether translator expenses can be refunded. However, refunding cannot be guaranteed, and it can take an enormous amount of extra time until a decision is made [3].”
From HELP@APP: Development and evaluation of a self-help app for traumatized Syrian refugees in Germany- A study protocol of a randomized controlled trial (2019) · cites this paper as [3]
Access to psychosocial care for traumatized refugees in Germany is often restricted due to legal regulation, language barriers, and unclear cost coverage.
“Moreover, their access to psychosocial care is often restricted due to legal regulation, language barriers, and unclear cost coverage.”
From HELP@APP: Development and evaluation of a self-help app for traumatized Syrian refugees in Germany- A study protocol of a randomized controlled trial (2019) · cites this paper as [3]
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References 47 · Cited by 53
- Authors
- Böttche, M., Heeke, C., & Knaevelsrud, C.
- Affiliations
- Zentrum Überleben (DE)
- Freie Universität Berlin (DE)
- Corresponding author
- Böttche, Maria
- Venue
- Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
- Published
- 2016-04-12
- Volume
- 59
- Issue
- 5
- Pages
- 621-626
- ISSN
- 0007-5914 (ISSN-L)
- 1436-9990
- 1437-1588
- OpenAlex
- W2338044510
- Cited by
- 53
- References
- 47
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 8 · 2022: 3 · 2021: 8 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 2 · 2016: 15
- FWCI
- 12.07
- Type
- journal article
- Language
- de
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- war trauma, refugees, trauma-related disorders, post-traumatic stress disorder, depression, chronic pain, asylum procedure, health care access, S3 guideline, social work, legal advice, multimodal therapy
- MeSH terms
- Combat Disorders, Germany, Health Services Accessibility, Humans, Psychotherapy, Public Health Administration, Refugees, Stress Disorders, Post-Traumatic, Torture
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