Due to their likelihood for experiencing a number of traumatic events, refugee minors have an increased risk of developing post-traumatic stress disorder (PTSD). However, the prevalence of PTSD in refugee children varies widely between studies, and it remains somewhat unclear what factors increase children’s risk of PTSD. This study aimed to assess the prevalence of PTSD in a clinical outpatient sample of refugee minors, and to evaluate the association of different risk factors with a PTSD diagnosis. N = 417 refugee minors were recruited from an outpatient clinical center in Hamburg, Germany. The median age was 15.4 years and 74.6% of the minors were male. As part of the standard diagnostic process, their social history and a potential PTSD diagnosis using the Module K of the Mini-International Neuropsychiatric Interview for Children and Adolescents (MINI-KID) was assessed. The predictive value of age, gender, number of interpersonal traumatic events, un-/accompanied status, presence of family member in the host country, flight duration, residence status, and time since arrival in the host country were investigated using logistic regression analysis. The prevalence of PTSD among the young refugee patients was 61.6%. Significant predictors of a PTSD diagnosis were number of interpersonal traumatic life events, age, residence status, and time since arrival in the host country. The prediction model explained 33.8% of variance of the outcome with the number of interpersonal traumatic events having the largest contribution (20.8%). The high prevalence of PTSD among refugee minors in outpatient care emphasizes the need to establish appropriate care structures and train specialists in the treatment of PTSD.

由于他们可能经历过许多创伤事件，未成年难民患上创伤后应激障碍 (PTSD) 的风险增加。然而，难民儿童 PTSD 的患病率在不同研究中差异很大，目前尚不清楚哪些因素会增加儿童患 PTSD 的风险。本研究旨在评估临床门诊未成年人难民样本中 PTSD 的患病率，并评估不同风险因素与 PTSD 诊断的关联。否 = 417 名难民未成年人是从德国汉堡的门诊临床中心招募的。中位年龄为 15.4 岁，74.6% 的未成年人为男性。作为标准诊断过程的一部分，他们的社会史和潜在的 PTSD 诊断使用儿童和青少年迷你国际神经精神病学访谈 (MINI-KID) 的模块 K 进行了评估。使用逻辑回归分析调查了年龄、性别、人际创伤事件的数量、无人/陪伴状态、家庭成员在东道国的存在、飞行时间、居住状态和到达东道国后的时间的预测值。年轻难民患者的 PTSD 患病率为 61.6%。PTSD 诊断的重要预测因素是人际创伤性生活事件的数量、年龄、居住状况、到达东道国后的时间。预测模型解释了 33.8% 的结果方差，其中人际创伤事件的数量贡献最大 (20.8%)。门诊治疗的未成年人难民中 PTSD 的高患病率强调了建立适当的护理结构和培训 PTSD 治疗专家的必要性。