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Interrelations among PTSD, Complex PTSD, and depression in Syrian refugees

A network analysis

Bibliographic Data

ID9050798
AuthorsEmre Han Alpay (0000-0002-3479-2013, Mersin Üniversitesi, corresponding author)
Year2025
Publication date2025-12-04
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Orthopsychiatry (JOURNAL)
Journal identifiersISSN: 0002-9432 • E-ISSN: 1939-0025
PublisherAmerican Psychological Association (APA) (PUBLISHER)
DOI10.1037/ort0000894
PMID41343357
OpenAlexW4416995271
LanguageEN

10.95) who had migrated to Türkiye following the outbreak of the Syrian civil war in March 2011. PTSD, CPTSD, and depressive symptoms were assessed using the International Trauma Questionnaire and the Patient Health Questionnaire-9. Network analysis revealed a moderately dense symptom structure, highlighting strong associations between PTSD, CPTSD, and depression. Centrality analysis identified "avoiding external reminders," "feeling down, depressed, or hopeless," and "difficulty maintaining close relationships" as central symptoms driving the network. Bridge analysis further identified "struggling to calm down after distress" as a bridge symptom linking PTSD, depression, and CPTSD. These findings underscore that identifying central and bridge symptoms may be crucial for developing more effective and personalized interventions tailored to the complex symptom profiles observed in refugee populations. (PsycInfo Database Record (c) 2026 APA, all rights reserved)

Bridge (graph theory) · Centrality · Depression (economics) · Mental health · Posttraumatic stress · Psychological intervention · Refugee · Suicide prevention · Syrian refugees · Health, Environment, Cognitive Aging · Mental Health Research Topics · Posttraumatic Stress Disorder Research

Citation velocityhistorical
Highly citedNo

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