Authors: Ingrid Kvestad; Tormod Bøe; Nawar Sayyad; Jens Christoffer Skogen; Sølve Randal; Stine Lehmann · Research

How Do Trauma and PTSD Symptoms Differ Between Refugee Minors and Foster Youth?

Research comparing trauma exposure and PTSD symptoms between unaccompanied refugee minors and youth in foster care.

Source: Kvestad, I., Bøe, T., Sayyad, N., Skogen, J. C., Randal, S., & Lehmann, S. (2021). Potential traumatic events and symptoms of post‑traumatic stress in unaccompanied refugee minors—a comparison with youth in foster care. European Child & Adolescent Psychiatry, 32, 439-449. https://doi.org/10.1007/s00787-021-01876-6

What you need to know

  • Unaccompanied refugee minors experience more traumatic events (average 6.4) compared to youth in foster care (average 3.4)
  • 43.9% of refugee minors show clinical levels of PTSD symptoms
  • Refugee minors experience more war-related trauma but less sexual abuse compared to foster youth

Understanding Trauma in Vulnerable Youth

When young people experience severe trauma, it can profoundly impact their mental health and development. Two particularly vulnerable groups are unaccompanied refugee minors (URMs) - children who flee their home countries without parents or guardians - and youth in foster care. While both groups face significant challenges, understanding how their traumatic experiences and symptoms differ is crucial for providing appropriate care and support.

Types of Trauma Exposure

The research reveals striking differences in the types of trauma experienced by these groups. URMs reported significantly more exposure to war, terrorism, and violence outside the family. About 77% had experienced terror or war, 78% had witnessed serious injury or death of loved ones, and 71% had seen others being physically attacked. In contrast, foster youth reported higher rates of sexual abuse and family-related trauma.

PTSD Symptoms and Patterns

When it comes to post-traumatic stress disorder (PTSD) symptoms, some interesting patterns emerged. While 43.9% of URMs showed clinical levels of PTSD symptoms compared to 52.9% of foster youth, the way these symptoms manifested differed. URMs tended to experience more “re-experiencing” symptoms - like intrusive memories, nightmares, and physical reactions to trauma reminders. Their symptoms also clustered more in the moderate range, while foster youth showed more polarized patterns of either very high or very low symptom levels.

Impact on Daily Life

The research examined how trauma symptoms affected various aspects of daily life, including relationships, school performance, and general happiness. Both groups showed significant impairment, though in slightly different ways. This highlights the importance of understanding each group’s unique challenges when designing support services.

What This Means for You

If you work with or care for either URMs or foster youth, these findings have important implications:

  • Recognize that while both groups face trauma, their experiences and needs may differ significantly
  • Be especially attentive to signs of re-experiencing symptoms in refugee youth
  • Understand that trauma responses may manifest differently between groups
  • Consider using targeted screening tools that account for different types of trauma exposure
  • Develop support strategies that address each group’s specific challenges and symptom patterns

Conclusions

  • Trauma experiences and PTSD symptoms manifest differently between refugee minors and foster youth
  • Specialized care approaches are needed for each group rather than one-size-fits-all solutions
  • Early screening and targeted interventions are crucial for supporting these vulnerable young people
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