{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:23:24Z","timestamp":1730870604714,"version":"3.28.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Ziel der Studie Ziel der Studie war das Inanspruchnahmeverhalten von\n                    Versorgungsangeboten im Bereich psychischer Gesundheit in Leipzig durch\n                    Iraker*innen und Afghan*innen bei Vorliegen psychischer Belastungen zu\n                    untersuchen und vor allem Zugangsh\u00fcrden in der Versorgung zu identifizieren.<\/jats:p><jats:p>\n          Methodik Alle vollj\u00e4hrigen, in Leipzig lebenden Personen mit irakischer\n                    oder afghanischer Staatsangeh\u00f6rigkeit, die nicht in Deutschland geboren waren,\n                    wurden kontaktiert. Es wurden verschiedene Instrumente (PHQ-9, GAD-7, SSS-8,\n                    PCL-5\/LEC-5) zur objektiven Erfassung psychischer Belastungen und ein Item zur\n                    Erfassung subjektiver psychischer Belastung genutzt. Lag ein Behandlungsbedarf\n                    vor, wurde die Inanspruchnahme von psychosozialen Versorgungsangeboten erfragt.\n                    Wenn trotz des nachgewiesenen Bedarfs Hilfsangebote nicht in Anspruch genommen\n                    worden waren, wurden m\u00f6gliche H\u00fcrden erfragt.<\/jats:p><jats:p>\n          Ergebnisse 51.4% der befragten Personen zeigten subjektiven und objektiven\n                    Behandlungsbedarf, 38.2% dieser Personen mit Behandlungsbedarf nahmen keine\n                    Hilfe in Anspruch. H\u00e4ufige Gr\u00fcnde daf\u00fcr waren, das Problem allein l\u00f6sen zu\n                    wollen oder das Problem nicht als sehr st\u00f6rend zu empfinden. Au\u00dferdem wurden\n                    mangelndes Vertrauen in das Gesundheitssystem, sowie Angst vor Diskriminierung\n                    und Stigmatisierung als H\u00fcrden benannt.<\/jats:p><jats:p>\n          Diskussion Die Studie zeigt einen hohen Behandlungsbedarf in den\n                    untersuchten Gruppen. Dies k\u00f6nnte auf die hohe Anzahl an traumatischen\n                    Ereignissen, sowie Postmigrationsstressoren zur\u00fcckzuf\u00fchren sein. Mehr als die\n                    H\u00e4lfte der Personen haben Hilfsangebote in Anspruch genommen. Eine l\u00e4ngere\n                    Aufenthaltsdauer in Deutschland und der durch die Krankenversicherungskarte\n                    vereinfachte Zugang zum \u00f6ffentlichen Gesundheitssystem k\u00f6nnten die\n                    Inanspruchnahme gef\u00f6rdert haben. H\u00fcrden wie mangelndes Wissen und Vertrauen in\n                    Bezug auf das deutsche Gesundheitssystem oder Angst vor Stigmatisierung und\n                    Diskriminierung erschweren den Zugang zu Versorgung.<\/jats:p><jats:p>\n          Schlussfolgerung Es sollten mehr Informationen \u00fcber Versorgungsstrukturen\n                    verbreitet, sowie mehr niedrigschwellige Angebote implementiert werden. Diese\n                    sollten interdisziplin\u00e4r organisiert sein und den Fokus auf eine kultur- und\n                    rassismussensible Betreuung legen. Sie d\u00fcrfen vor allem im Hinblick auf den\n                    hohen Bedarf an psychosozialer Hilfe keinesfalls weiter beschr\u00e4nkt werden.<\/jats:p>","DOI":"10.1055\/a-2311-4717","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T22:30:23Z","timestamp":1718231423000},"page":"224-231","source":"Crossref","is-referenced-by-count":0,"title":["Zugangsh\u00fcrden zu psychosozialen Versorgungsangeboten Leipziger\n                    B\u00fcrger*innen afghanischer und irakischer Staatsangeh\u00f6rigkeit"],"prefix":"10.1055","volume":"74","author":[{"given":"Klara","family":"Koch","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Medizinische Psychologie und Medizinische Soziologie,\n                    Universit\u00e4t Leipzig"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuriy","family":"Nesterko","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Medizinische Psychologie und Medizinische 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