Trauma, factores postmigratorios y síndrome de Ulises en personas refugiadas en países de acogida
Resumen
Se analizaron factores post-migratorios relacionados con el trastorno de estrés postraumático (TEPT) y el síndrome de Ulises en 56 adultos refugiados (31.57 % mujeres). Se aplicaron el Post Migration Living Difficulties y el Harvard Trauma Questionnaire. Habían estado expuestos a 15,1 situaciones traumáticas y todas habían estado en peligro de muerte. El 32,1 % había sufrido episodios de tortura, y el 30,4 % presentaba TEPT, con una media de 4,18 síntomas postraumáticos. No se encontraron diferencias significativas en función del género, la nacionalidad o el país de acogida. Los episodios traumáticos y de tortura, la vida institucionalizada, el trabajo, la salud física y las relaciones sociales-familiares influyeron en la presencia de TEPT. Se detectó sufrimiento asociado a la separación familiar, el estatus social y los riesgos a la integridad física, sin que estos configuraran un diagnóstico de trastorno mental según el DSM-5, sino más bien un caso de duelo migratorio extremo o síndrome de Ulises.
Palabras clave
Refugiados, Factores post-migratorios, TEPT, Síndrome de UlisesCitas
Achotegui, Joseba. (2002). La depresión en los inmigrantes. Una perspectiva transcultural. Ed Mayo.
Achotegui, Joseba. (2005). El Síndrome del Inmigrante con estrés crónico y múltiple- Síndrome de Ulises. Voces de la Psiquiatría en España. Revista Vértex, 16(60), 105–114. https://raco.cat/index.php/RdM/article/view/339995
Achotegui, Joseba. (2009). Estrés límite y salud mental: el síndrome del inmigrante con estrés crónico y múltiple (Síndrome de Ulises). Gaceta Médica de Bilbao, 106(4), 122–133. https://www.gacetamedicabilbao.eus/index.php/gacetamedicabilbao/article/viewFile/278/284
Achotegui, Joseba. (2019). Migrants living in very hard situations: Extreme migratory mourning (the Ulysses syndrome). Psychoanalytic Dialogues, 29(3), 252–268. https://doi.org/10.1080/10481885.2019.1614826
Aitcheson, Rozanna J.; Abu-Bader, Soleman H.; Howell, Mary K.; Khalil, Deena, & Elbedour, Salman. (2017). Resilience in Palestinian adolescents living in Gaza. Psychological Trauma: Theory, Research, Practice, and Policy, 9(1), 36–43. https://doi.org/10.1037/tra0000153
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.).
Aragona, Massimiliano; Pucci, Daniela; Mazzetti, Marco, & Geraci, Salvatore. (2012). Post-migration living difficulties as a significant risk factor for PTSD in immigrants: a primary care study. Italian Journal of Public Health, 9(3), e7525. https://doi.org/10.2427/7525
Aragona, Massimiliano; Pucci, Daniela; Mazzetti, Marco; Maisano, Bianca, & Geraci, Salvatore. (2013). Traumatic events, post-migration living difficulties and post-traumatic symptoms in first generation immigrants: a primary care study. Annali dell’ Istituto Superiore di Sanita, 49, 169–175. https://doi.org/10.4415/ANN_13_02_08
Arnetz, Judith; Rofa, Yoasif; Arnetz, Bengt; Ventimiglia, Matthew, & Jamil, Hikmet. (2013). Resilience as a protective factor against the development of psychopathology among refugees. Journal of Nervous and Mental Disease, 201(3), 167–172. https://doi.org/10.1097%2FNMD.0b013e3182848afe
Basoglu, Metin; Jaranson, James M.; Mollica, Richard, & Kastrup, Marianne. (2001). Torture and Mental Health. In Ellen Gerrity, Farris Tuma, & Terence M. Keane (Eds.), The mental health consequences of torture (pp. 35–62). Kluwer Academic.
Beiser, Morton, & Hyman, Ilene. (1997). Refugees’ time perspective and mental health. American Journal of Psychiatry, 154(7), 996–1002. https://doi.org/10.1176/ajp.154.7.996
Beiser, Morton, & Wickrama, Kandauda. (2004). Trauma, time and mental health: A study of temporal reintegration and depressive disorder among Southeast Asian refugees. Psychological Medicine, 34(5), 899–910. https://doi.org/10.1017/S0033291703001703
Bianucci, Raffaella; Charlier, Philippe; Perciaccante, Antonio; Lippi, Donatella, & Appenzeller, Otto. (2017). The “Ulysses syndrome”: An eponym identifies a psychosomatic disorder in modern migrants. European Journal of Internal Medicine, 41, 30–32. https://doi.org/10.1016/j.ejim.2017.03.020
Bogic, Marija; Ajdukovic, Dean; Bremner, Stephen; Franciskovic, Tanja; Galeazzi, Gian M.; Kucukalic, Abdulah; Lecic-Tosevski, Dusica; Morina, Nexhmedin; Popovski, Mihajlo; Schützwohl, Matthias; Wang, Duolao, & Priebe, Stefan. (2012). Factors associated with mental disorders in long-settled war refugees: Refugees from the former Yugoslavia in Germany, Italy and the UK. The British Journal of Psychiatry, 200(3), 216–223. https://doi.org/10.1192/bjp.bp.110.084764
Bogic, Marija; Njoku, Anthony, & Priebe, Stefan. (2015). Long-term mental health of war-refugees: a systematic literature review. BMC International Health and Human Rights, 15, 29, 1–41. https://doi.org/10.1186/s12914-015-0064-9
Bonanno, George A. (2004). Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events?. American Psychologist, 59(1), 20–28. https://doi.org/10.1037/0003-066X.59.1.20
Bradley, Lloyd, & Tawfiq, Nouran. (2006). The physical and psychological effects of torture in Kurds seeking asylum in the United Kingdom. Torture, 16(1), 41–47. https://drive.reindex.net/RCT/101/TORT2006.1.5.pdf
Bustamante, Lineth H.; Cerqueira, Raphael O.; Leclerc, Emilie, & Brietzke, Elisa. (2018). Stress, trauma, and posttraumatic stress disorder in migrants: a comprehensive review. Brazilian Journal of Psychiatry, 40(2), 220–225. https://doi.org/10.1590/1516-4446-2017-2290
Chan, K. Jacky; Young, Marta Y., & Sharif, Noor. (2016). Well-being after trauma: A review of posttraumatic growth among refugees. Canadian Psychology/Psychologie Canadienne, 57(4), 291–299. https://doi.org/10.1037/cap0000065
Craig, Tom; Mac Jajua, Peter, & Warfa, Nasir. (2009). Mental health care needs of refugees. Psychiatry, 8(9), 351–354. https://doi.org/10.1016/j.mppsy.2009.06.007
De Jong, Joop T.; Komproe, Ivan H., & Van Ommeren, Mark. (2003). Common mental disorders in postconflict settings. The Lancet, 361(9375), 2128–2130. https://doi.org/10.1016/S0140-6736(03)13692-6
European Commission. (2022). First instance decisions on applications by citizenship, age and sex - annual aggregated data (rounded). https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Annual_asylum_statistics#Decisions_on_asylum_applications
Fazel, Mina; Wheeler, Jeremy, & Danesh, John. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review. The Lancet, 365(9467), 1309–1314. https://doi.org/10.1016/S0140-6736(05)61027-6
Giacco, Domenico, & Priebe, Stefan. (2018). Mental health care for adult refugees in high-income countries. Epidemiology and Psychiatric Sciences, 27(2), 109–116. https://doi.org/10.1017/S2045796017000609
Gootzeit, Joshua, & Markon, Kristian. (2011). Factors of PTSD: Differential specificity and external correlates. Clinical Psychology Review, 31(6), 993–1003. https://doi.org/10.1016/j.cpr.2011.06.005
Guarch-Rubio, Marta. (2023). Psicología de Fronteras. Prensas de la Universidad de Zaragoza.
Guarch-Rubio, Marta; Byrne, Steven, & Manzanero, Antonio L. (2020). Violence and torture against migrants and refugees attempting to reach the European Union through Western Balkans. Torture, 30(3), 67–83. https://doi.org/10.7146/torture.v30i3.120232
Guarch-Rubio, Marta, & Manzanero, Antonio L. (2017). Psychological disorders in women in long-term forced displacement in the Sahrawi refugee camps. Revista de Victimología/Journal of Victimology, 5, 151–170. https://doi.org/10.12827/RVJV.5.06
Guarch-Rubio, Marta, & Manzanero, Antonio L. (2020). Credibility and testimony in asylum procedures with unaccompanied refugee minors. European Journal of Migration and Law, 22(2), 257–271. https://doi.org/10.1163/15718166-12340076
Guarch-Rubio, Marta; Manzanero, Antonio L.; Delgado, F. Roy; Minescu, Anca, & Mohamed, Doumaha. (2025). Torture, trauma, and posttraumatic symptoms in Syrian women asylum seekers in the Greek border camp of Idomeni. Torture, 35(1), 12–25. https://doi.org/10.7146/torture.v35i1.140862
Hollander, Anna-Clara; Bruce, Daniel; Burström, Bo, & Ekblad, Solvig. (2011). Gender-related mental health differences between refugees and non-refugee immigrants-a cross-sectional register-based study. BMC Public Health, 11, 180. https://doi.org/10.1186/1471-2458-11-180
Ibrahim, Hawkar, & Hassan, Chiya Q. (2017). Post-traumatic stress disorder symptoms resulting from torture and other traumatic events among Syrian Kurdish refugees in Kurdistan Region, Iraq. Frontiers in Psychology, 8, 241-249. https://doi.org/10.3389/fpsyg.2017.00241
Keller, Allen S.; Rosenfeld, Barry; Trinh-Shevrin, Chau; Meserve, Chris; Sachs, Emily; Leviss, Jonathan A.; Singer, Elizabeth; Smith, Hawthorne; Wilkinson, John; Kim, Glen; Allden, Kathleen, & Ford, Douglas. (2003). Mental health of detained asylum seekers. The Lancet, 362(9397), 1721–1723. https://doi.org/10.1016/S0140-6736(03)14846-5
Levine, Stephen Z.; Laufer, Avital; Stein, Einat; Hamama-Raz, Yaira, & Solomon, Zahava. (2009). Examining the relationship between resilience and posttraumatic growth. Journal of Traumatic Stress, 22(4), 282–286. https://doi.org/10.1002/jts.20409
Lund, Crick; Brooke-Sumner, Carrie; Baingana, Florence; Baron, Emily C.; Breuer, Erica; Chandra, Prabha; Haushofer, Johannes; Herrman, Helen; Jordans, Mark; Kieling, Christian; Medina-Mora, M. Elena; Philm, Ellen M.; Omigbodun, Olayinka; Tol, Wietse; Patel, Vikram, & Saxena, Shekhar. (2018). Social determinants of mental disorders and the Sustainable Development Goals: a systematic review of reviews. The Lancet Psychiatry, 5(4), 357–369. https://doi.org/10.1016/S2215-0366(18)30060-9
Manzanero, Antonio L.; Aroztegui, Javier; Fernández, Javier; Guarch-Rubio, Marta; Álvarez, Miguel A.; El-Astal, Sofian, & Hemaid, Fairouz. (2024). War, torture and trauma in preadolescents from Gaza Strip. Two different modalities of PTSD. Anuario de Psicología Jurídica, 34, 1–12. https://doi.org/10.5093/apj2024a6
Manzanero, Antonio L.; Crespo, María; Barón, Susana; Scott, M. Teresa; El-Astal, Sofian, & Hemaid, Fairouz. (2021). Traumatic events exposure and psychological trauma in children victims of war in the Gaza Strip. Journal of Interpersonal Violence, 36(3-4), 1568–1587. https://doi.org/10.1177/0886260517742911
Manzanero, Antonio L.; Fernández, Juan; Gómez-Gutiérrez, M. Mar; Álvarez, Miguel A.; El-Astal, Sofian; Hemaid, Fairouz, & Veronese, Guido. (2020). Between happiness and sorrow: Phenomenal characteristics of autobiographical memories concerning war episodes and positive events in the Gaza Strip. Memory Studies, 13(6), 917–931. https://doi.org/10.1177/1750698018818221
Manzanero, Antonio L.; Guarch-Rubio, Marta; Vallet, Rocío, & Vara, Alba. (2025). On post-traumatic stress disorder and the accessibility of memories: Traumatic memories in refugees and asylum seekers. Psychiatry, Psychology and Law, 1–14. https://doi.org/10.1080/13218719.2025.2510227
Mollica, Richard F.; Caspi-Yavin, Yael; Bollini, Paola; Truong, Toan; Tor, Svang, & Lavelle, James. (1992). The Harvard Trauma Questionnaire: Validating a crosscultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. The Journal of Nervous and Mental Disease, 180(2), 111–116. https://doi.org/10.1097/00005053-199202000-00008
Najjarkakhaki, Ardalan, & Ghane, Samrad. (2021). The role of migration processes and cultural factors in the classification of personality disorders. Transcultural Psychiatry, 60(1), 99–113. https://doi.org/10.1177/13634615211036408
Priebe, Stefan; Gavrilovic, Jelena J.; Bremner, Stephen; Ajdukovic, Dean; Franciskovic, Tanja; Galeazzi, Gian M.; Kucukalic, Abdulah; Lecic-Tosevski, Dusica; Morina, Nexhmedin; Popovski, Mihajlo; Schützwohl, Matthias, & Bogic, Marija. (2013). Psychological symptoms as long-term consequences of war experiences. Psychopathology, 46(1), 45–54. https://doi.org/10.1159/000338640
Rasmussen, Andrew; Verkuilen, Jay; Ho, Emily, & Fan, Yuyu. (2015). Posttraumatic stress disorder among refugees: Measurement invariance of Harvard Trauma Questionnaire scores across global regions and response patterns. Psychological Assessment, 27(4), 1160–1170. https://doi.org/10.1037/pas0000115
Robjant, Katy; Hassan, Rita, & Katona, Cornelius. (2009). Mental health implications of detaining asylum seekers: systematic review. The British Journal of Psychiatry, 194, 306–312. https://doi.org/10.1192/bjp.bp.108.053223
Rodolico, Alessandro; Vaccino, Noemi; Riso, Maria C.; Concerto, Carmen; Aguglia, Eugenio, & Signorelli, Maria S. (2019). Prevalence of Post-Traumatic Stress Disorder among asylum seekers in Italy: A Population-Based Survey in Sicily. Journal of Immigrant and Minority Health, 22(3), 634–638. https://doi.org/10.1007/s10903-019-00948-9
Schick, Matthis; Morina, Naser; Mistridis, Panagiota; Schnyder, Ulrich; Bryant, Richard A., & Nickerson, Angela. (2018). Changes in post-migration living difficulties predict treatment outcome in traumatized refugees. Frontiers in Psychiatry, 9, 476. https://doi.org/10.3389/fpsyt.2018.00476
Schick, Matthis; Zumwald, Andre; Knöpfli, Bina; Nickerson, Angela; Bryant, Richard A.; Schnyder, Ulrich; Müller, Julia, & Morina, Naser. (2016). Challenging future, challenging past: The relationship of social integration and psychological impairment in traumatized refugees. European Journal of Psychotraumatology, 7, 28057. https://doi.org/10.3402/ejpt.v7.28057
Schmidt, Martina; Kravic, Nera, & Ehlert, Ulrike. (2008). Adjustment to trauma exposure in refugee, displaced, and non-displaced Bosnian women. Archives of Women’s Mental Health, 11(4), 269–276. https://doi.org/10.1007/s00737-008-0018-5
Shoeb, Marwa; Weinstein, Harvey, & Mollica, Richard. (2007). The Harvard trauma questionnaire: adapting a cross-cultural instrument for measuring torture, trauma and posttraumatic stress disorder in Iraqi refugees. International Journal of Social Psychiatry, 53, 447–463. https://doi.org/10.1177%2F0020764007078362
Silove, Derrick; Sinnerbrink, Ingrid; Field, Annette; Manicavasagar, Vijaya, & Steel, Zachary. (1997). Anxiety, depression and PTSD in asylum-seekers: assocations with pre-migration trauma and post-migration stressors. The British Journal of Psychiatry, 170(4), 351–357. https://doi.org/10.1192/bjp.170.4.351
Steel, Zachary; Chey, Tien; Silove, Derrick; Marnane, Claire; Bryant, Richard, & Van Ommeren, Mark. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA, 302(5), 537–549. https://doi.org/10.1001/jama.2009.1132
Steel, Zachary; Silove, Derrick; Bird, Kevin; McGorry, Patrick, & Mohan, P. (1999). Pathways from war trauma to posttraumatic stress symptoms among Tamil asylum seekers, refugees, and immigrants. Journal of Traumatic Stress, 12(3), 421–435. https://doi.org/10.1023/A:1024710902534
Steel, Zachary; Silove, Derrick; Brooks, Robert; Momartin, Shakeh; Alzuhairi, Bushra, & Susljik, Ina. (2006). Impact of immigration detention and temporaly protection on the mental health of refugees. British Journal of Psychiatry, 188(1), 58–64. https://doi.org/10.1192/bjp.bp.104.007864
Uy, K. Kara, & Okubo, Yuki. (2018). Re-storying the trauma narrative: Fostering posttraumatic growth in Cambodian refugee women. Women & Therapy, 41(3-4), 219–236. https://doi.org/10.1080/02703149.2018.1425025
WHO. (2018). Mental health promotion and mental health care in refugees and migrants. https://www.euro.who.int/en/health-topics/health-determinants/migration-and-health/publications/2018/mental-health-promotion-and-mental-health-care-in-refugees-and-migrants-2018
Zimmerman, Cathy; Kiss, Ligia, & Hossain, Mazeda. (2011). Migration and health: A framework for 21st century policy-making. PLoS Medicine, 8(5), e1001034. https://doi.org/10.1371/journal.pmed.1001034
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