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The British Journal of Psychiatry (2003) 182: 444-448
© 2003 The Royal College of Psychiatrists

Mental health of Kosovan Albanian refugees in the UK{dagger}

STUART W. TURNER, FRCPsych

Traumatic Stress Clinic, London

CAMERON BOWIE, MRCP, NHS Executive

London

GRAHAM DUNN, PhD

University of Manchester, Manchester, UK

LAIDON SHAPO, MD

Tirana Health Authority, Tirana, Albania

WILLIAM YULE, PhD

Institute of Psychiatry, London, UK

Correspondence: Dr Stuart W. Turner, Traumatic Stress Clinic, Camden and Islington Mental Health and Social Care Trust, 73 Charlotte Street, London WIT 4PL, UK. Tel: 020 7530 3666; fax: 020 7530 3677; e-mail: s.turner{at}traumaclinic.org.uk

Declaration of interest This work was undertaken with funding from the National Health Service (NHS) Executive London, Research and Development Programme. The views expressed in this publication are those of the authors and not necessarily those of the NHS Executive or the Department of Health.

{dagger} See editorial, pp. 376–378, this issue.

Background In 1999 the UK received 4346 refugees from Kosovo.

Aims To determine the prevalence of mental health problems in this group.

Method A sample of 842 adults was surveyed. All were asked to complete self-report questionnaires (translated into Kosovan Albanian). A subset of 120 participants were later interviewed in Albanian using the Clinician Administered PTSD (post-traumatic stress disorder) Scale and a depression interview.

Results The study yielded estimates of prevalence of PTSD and depression. Self-report measures appear to overestimate the prevalence of these disorders. Just under half of the group surveyed had a diagnosis of PTSD and less than one-fifth had a major depressive disorder.

Conclusions These results may be taken as a sign of the resilience of many who survived this conflict but they also imply that there is still a substantial need for good health and social care in a significant proportion. Psychosocial interventions are likely to be an important part of the treatment programme.


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