OBJECTIVE To investigate prevalence of internalized and externalized psychological symptoms and war-related adverse events among a representative secondary-school sample of Syrian refugee adolescents, and to compare levels of depression, anxiety, and stress between Syrian refugee adolescents and Turkish adolescents. METHODS Syrian refugee adolescents (n=70) and Turkish adolescents (n=70) were asked to complete the Depression, Anxiety, and Stress Scales (DASS-42) and Strengths and Difficulties Questionnaire (SDQ). RESULTS DASS and SDQ scores were significantly different between the two groups; scores in all problem areas were higher in refugees. Loss of a family member increased depression, stress, and total difficulty scored, whereas witnessing death increased anxiety and stress and experiencing multiple events increased depression, anxiety, and total difficulty scores. Maternal years of schooling correlated inversely with SDQ emotional symptoms, conduct problems, and hyperactivity/inattention problem scores. Both parents' years of schooling correlated inversely with SDQ total difficulties scores. CONCLUSION Syrian refugee adolescents had higher depression, anxiety, behavioral problems, peer relationship problems, and general difficulties than their Turkish peers. Facilitating refugees' access to mental health services, educating their parents, consulting, and monitoring at-risk children may contribute to reducing psychosocial problems in refugee children.

中文翻译：

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土耳其难民青少年精神症状的患病率：一项对照研究

目的 调查具有代表性的叙利亚难民青少年中学样本中内化和外化心理症状和战争相关不良事件的流行率，并比较叙利亚难民青少年和土耳其青少年之间的抑郁、焦虑和压力水平。方法 叙利亚难民青少年 (n=70) 和土耳其青少年 (n=70) 被要求完成抑郁、焦虑和压力量表 (DASS-42) 以及优势和困难问卷 (SDQ)。结果 两组间 DASS 和 SDQ 评分有显着差异；难民在所有问题领域的得分都较高。失去家庭成员会增加抑郁、压力和总困难得分，而目睹死亡会增加焦虑和压力，经历多重事件会增加抑郁、焦虑、和总难度分数。母亲受教育年限与 SDQ 情绪症状、行为问题和多动/注意力不集中问题得分呈负相关。父母双方的受教育年限与 SDQ 总困难分数呈负相关。结论 叙利亚难民青少年比土耳其同龄人有更高的抑郁、焦虑、行为问题、同伴关系问题和一般困难。促进难民获得心理健康服务、教育他们的父母、咨询和监测处于危险中的儿童可能有助于减少难民儿童的心理社会问题。受教育年限与 SDQ 总难度分数呈负相关。结论 叙利亚难民青少年比土耳其同龄人有更高的抑郁、焦虑、行为问题、同伴关系问题和一般困难。促进难民获得心理健康服务、教育他们的父母、咨询和监测处于危险中的儿童可能有助于减少难民儿童的心理社会问题。受教育年限与 SDQ 总难度分数呈负相关。结论 叙利亚难民青少年比土耳其同龄人有更高的抑郁、焦虑、行为问题、同伴关系问题和一般困难。促进难民获得心理健康服务、教育他们的父母、咨询和监测处于危险中的儿童可能有助于减少难民儿童的心理社会问题。