Trauma experiences, posttraumatic stress, dissociation, and depression in Cambodian refugees

Am J Psychiatry. 1991 Nov;148(11):1548-51. doi: 10.1176/ajp.148.11.1548.

Abstract

Objective: The authors' goal was to determine the levels of trauma and psychiatric symptoms in a randomly selected group of Cambodian refugees and to determine the relationship between the amount of trauma experienced and subsequent psychiatric symptoms.

Method: Data on traumatic experiences and symptoms of posttraumatic stress, dissociation, depression, and anxiety were collected on 50 randomly selected Cambodian refugees who had resettled in the United States.

Results: Subjects experienced multiple and severe traumas and showed high levels of all symptoms measured. Forty-three (86%) of the subjects met DSM-III-R criteria for posttraumatic stress disorder, 48 (96%) had high dissociation scores, and 40 (80%) could be classified as suffering from clinical depression. Correlations between trauma scores and symptom scores and among symptom scores were moderate to large.

Conclusions: These results indicate that a high proportion of Cambodian refugees who are not psychiatric patients suffer from severe psychiatric symptoms and that there is a relationship between the amount of trauma they experienced and the severity of these symptoms.

MeSH terms

  • Adult
  • Aged
  • Cambodia / ethnology
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / psychology
  • Dissociative Disorders / diagnosis*
  • Dissociative Disorders / psychology
  • Female
  • Humans
  • Life Change Events*
  • Male
  • Middle Aged
  • Personality Inventory
  • Refugees / psychology*
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / psychology