Polytraumatization in young male refugees from the Middle East and its association with internalizing and externalizing symptoms

EL-Awad, Usama; Reinelt, Tilman; Braig, Johanna; Nilles, Hannah; Kerkhoff, Denise; Schmees, Pia; Rueth, Jana-Elisa; Fathi, Atefeh; Vasileva, Mira; Petermann, Franz; Eschenbeck, Heike; Lohaus, Arnold

doi:10.1186/s13034-021-00428-9

Child and Adolescent Psychiatry and Mental Health

Table 3 Hierarchical regression analysis for significant potentially traumatic event types (derived from SLESQ) predicting mental health outcomes (HSCL-37A)

From: Polytraumatization in young male refugees from the Middle East and its association with internalizing and externalizing symptoms

Variable	B	SE B	β	BCa 95% CI^a	p	Adj. R²	ΔR²
Model 3: internalizing symptoms
Step 1						0.19
Age	0.19	0.48	0.03	[− 0.73, 1.14]	0.695
Length of stay	− 0.91	0.86	− 0.09	[− 2.52, 1.05]	0.281
Post-migration stress	1.26	0.29	0.44	[0.71, 1.80]	< 0.001
Step 2						0.25	0.07
Age	0.11	0.48	0.02	[− 0.90, 1.09]	0.834
Length of stay	− 1.07	0.77	− 0.10	[− 2.54, 0.66]	0.166
Post-migration stress	1.11	0.31	0.39	[0.55, 1.67]	< 0.001
PTE 2 (family separation)	6.64	2.46	0.20	[1.56, 11.71]	0.009
PTE 4 (medical problem)	5.00	2.32	0.16	[0.49, 9.59]	0.038
Step 3						0.29	0.05
Age	− 0.05	0.49	− 0.01	[− 1.03, 0.92]	0.915
Length of stay	− 0.70	0.78	− 0.07	[− 2.20, 1.05]	0.356
Post-migration stress	0.96	0.33	0.34	[0.40, 1.56]	0.003
Unaccompanied status	2.36	3.09	0.08	[− 4.10, 8.84]	0.447
PTE 2 (family separation)	5.08	3.19	0.15	[− 1.20, 11.28]	0.110
PTE 4 (medical problem)	1.50	2.56	0.05	[− 3.83, 6.78]	0.550
PTE 2 × Unacc. Status	1.03	4.48	0.02	[− 8.46, 10.06]	0.812
PTE 4 × Unacc. Status	11.62	4.18	0.22	[3.20, 19.19]	0.006
Model 4: externalizing symptoms
Step 1						0.12
Age	− 0.08	0.20	− 0.03	[− 0.47, 0.33]	0.675
Length of stay	− 0.25	0.32	− 0.06	[− 0.91, 0.51]	0.403
Post-migration stress	0.41	0.15	0.37	[0.15, 0.72]	0.008
Step 2						0.14	0.04
Age	− 0.10	0.20	− 0.04	[− 0.46, 0.29]	0.622
Length of stay	− 0.29	0.30	− 0.07	[− 0.92, 0.40]	0.316
Post-migration stress	0.37	0.16	0.34	[0.10, 0.70]	0.022
PTE 2 (family separation)	1.75	1.17	0.14	[− 0.78, 3.98]	0.139
PTE 4 (medical problem)	1.59	1.07	0.13	[− 0.24, 3.43]	0.139
Step 3						0.19	0.07
Age	− 0.13	0.17	− 0.06	[− 0.46, 0.20]	0.448
Length of stay	− 0.14	0.32	− 0.03	[− 0.78, 0.55]	0.660
Post-migration stress	0.32	0.17	0.29	[0.05, 0.68]	0.049
Unaccompanied status	0.74	1.28	0.07	[− 1.94, 3.05]	0.567
PTE 2 (family separation)	2.06	1.43	0.16	[− 0.95, 4.79]	0.162
PTE 4 (medical problem)	− 0.11	0.96	− 0.01	[− 2.02, 1.67]	0.915
PTE 2 × Unacc. Status	− 1.79	2.21	− 0.10	[− 6.05, 2.75]	0.420
PTE 4 × Unacc. Status	5.92	2.43	0.29	[0.98, 10.77]	0.023

N = 148. **p < 0.01. ***p < 0.001. Model 1, Step 1: F(3, 145) = 12.79, p < 0.001. Model 1, Step 2: F(5, 143) = 10.85, p < 0.001; and ΔF(2, 143) = 6.50, p = 0.002. Model 1, Step 3: F(8, 140) = 8.52, p < 0.001; and ΔF(3, 140) = 3.63, p = 0.015. Model 2, Step 1: F(3, 145) = 7.45, p < 0.001. Model 2 Step 2: F(5, 143) = 5.94, p < 0.001; and ΔF(2, 143) = 3.17, p = 0.045. Model 2, Step 3: F(8, 140) = 5.43, p < 0.001; and ΔF(3, 140) = 3.96, p = 0.010. Model 1, VIF (maximum) = 2.36; Model 2, VIF (maximum) = 2.36
^aBias-corrected and accelerated bootstrap (BCa) confidence intervals (CI) based on 5000 resamples

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ISSN: 1753-2000

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