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The Danish Trauma Database for Refugees (DTD) : A Multicenter Database Collaboration—Overcoming the Challenges and Enhancing Mental Health Treatment and Research for Refugees

Thøgersen, Marie Høgh ; Bager, Line ; Bangsgaard, Sofie Grimshave ; Palic, Sabina ; Auning-Hansen, Mikkel ; Møller, Stine Bjerrum ; Larsen, Kirstine Bruun ; Tækker, Louise ; Jensen, Bo Søndergaard and Bothe, Søren , et al. (2023) In International Journal of Environmental Research and Public Health 20(16).
Abstract

Mental health of trauma-affected refugees is an understudied area, resulting in inadequate and poorer treatment outcomes. To address this, more high-quality treatment studies that include predictive analyses, long-term evaluations, cultural adaptations, and take account for comorbidities, are needed. Moreover, given the complex intertwining of refugees’ health with post-migration stressors and other social factors, it is crucial to examine the social determinants of refugee mental health. The Danish Trauma Database for Refugees (DTD) is a multicenter research database uniting six national centers that provide outpatient treatment for trauma-affected refugees. Through the database, we collect clinical and sociodemographic data from... (More)

Mental health of trauma-affected refugees is an understudied area, resulting in inadequate and poorer treatment outcomes. To address this, more high-quality treatment studies that include predictive analyses, long-term evaluations, cultural adaptations, and take account for comorbidities, are needed. Moreover, given the complex intertwining of refugees’ health with post-migration stressors and other social factors, it is crucial to examine the social determinants of refugee mental health. The Danish Trauma Database for Refugees (DTD) is a multicenter research database uniting six national centers that provide outpatient treatment for trauma-affected refugees. Through the database, we collect clinical and sociodemographic data from approximately 1200 refugees annually and will merge the database with Danish population register data. The purpose of the DTD is two-fold; clinical and research. The DTD offers data-driven guidance for routine clinical treatment planning of the individual patient, as well as exceptional research opportunities for testing treatment interventions in clinical settings, with larger sample sizes, and more representative heterogeneity of the population. Complex analyses of risk and protective factors, barriers, access to treatment, and societal and transgenerational aspects of trauma are possible with the DTD. This conceptual paper introduces the DTD, the historical background, the development process and implementation strategy, and the associated challenges with developing and running a multicenter database. Most importantly, it highlights the clinical and research potential of the DTD for advancing the understanding and treatment of trauma-affected refugees.

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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
database, DTD, migration, multicenter research, PTSD, refugees, trauma, treatment
in
International Journal of Environmental Research and Public Health
volume
20
issue
16
article number
6611
publisher
MDPI AG
external identifiers
  • pmid:37623194
  • scopus:85168694928
ISSN
1661-7827
DOI
10.3390/ijerph20166611
language
English
LU publication?
yes
id
ef67f013-f690-4cba-9318-6955aad3fe9c
date added to LUP
2023-11-01 10:47:04
date last changed
2024-04-19 03:22:15
@article{ef67f013-f690-4cba-9318-6955aad3fe9c,
  abstract     = {{<p>Mental health of trauma-affected refugees is an understudied area, resulting in inadequate and poorer treatment outcomes. To address this, more high-quality treatment studies that include predictive analyses, long-term evaluations, cultural adaptations, and take account for comorbidities, are needed. Moreover, given the complex intertwining of refugees’ health with post-migration stressors and other social factors, it is crucial to examine the social determinants of refugee mental health. The Danish Trauma Database for Refugees (DTD) is a multicenter research database uniting six national centers that provide outpatient treatment for trauma-affected refugees. Through the database, we collect clinical and sociodemographic data from approximately 1200 refugees annually and will merge the database with Danish population register data. The purpose of the DTD is two-fold; clinical and research. The DTD offers data-driven guidance for routine clinical treatment planning of the individual patient, as well as exceptional research opportunities for testing treatment interventions in clinical settings, with larger sample sizes, and more representative heterogeneity of the population. Complex analyses of risk and protective factors, barriers, access to treatment, and societal and transgenerational aspects of trauma are possible with the DTD. This conceptual paper introduces the DTD, the historical background, the development process and implementation strategy, and the associated challenges with developing and running a multicenter database. Most importantly, it highlights the clinical and research potential of the DTD for advancing the understanding and treatment of trauma-affected refugees.</p>}},
  author       = {{Thøgersen, Marie Høgh and Bager, Line and Bangsgaard, Sofie Grimshave and Palic, Sabina and Auning-Hansen, Mikkel and Møller, Stine Bjerrum and Larsen, Kirstine Bruun and Tækker, Louise and Jensen, Bo Søndergaard and Bothe, Søren and Nordin, Linda}},
  issn         = {{1661-7827}},
  keywords     = {{database; DTD; migration; multicenter research; PTSD; refugees; trauma; treatment}},
  language     = {{eng}},
  number       = {{16}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{The Danish Trauma Database for Refugees (DTD) : A Multicenter Database Collaboration—Overcoming the Challenges and Enhancing Mental Health Treatment and Research for Refugees}},
  url          = {{http://dx.doi.org/10.3390/ijerph20166611}},
  doi          = {{10.3390/ijerph20166611}},
  volume       = {{20}},
  year         = {{2023}},
}