Activity of Daily Living Performance amongst Danish Asylum Seekers: A cross-sectional study

Anne-Le Morville, Lena-Karin Erlandsson, Mona Eklund, Bente Danneskiold-Samsøe, Robin Christensen, Kirstine Amris

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    Objective: The aim of this study was to
    evaluate the extent of Activities of Daily
    Living (ADL) ability impairment in newly
    arrived Danish asylum seekers. It was
    hypothesized that exposure to trauma and
    torture would negatively influence ADL
    performance and that measures of ADL
    ability would be lower in individuals exposed
    to torture as compared to the non-tortured.
    Subjects: Forty-three newly arrived asylum
    seekers aged 20-50 years, from Iran, Afghanistan
    and Syria, were consecutively included
    in the study.
    Method: ADL ability was assessed with the
    observation–based test Assessment of Motor
    and Process Skills (AMPS). Interviews were
    based on questionnaires about torture
    exposure, WHO-5 Wellbeing Index, Major
    Depression Inventory and Pain Detect
    Questionnaire. All participants were interviewed
    and tested using a linguistic interpreter.Results: Thirty three (77%) participants
    reported exposure to torture. The tortured
    did not differ significantly from the nontortured
    on measures of ADL ability
    (two-sample t-tests: Motor, p= 0.36; Process,
    p= 0.82). ADL performance impairment was
    observed in the overall study sample. Twelve
    had motor and 15 process ability measures
    below age norms and 2 below both AMPS
    motor and process cut-offs for effortless and
    efficient ADL performance. There were
    statistically significant - weak to moderate
    - correlations between self-reported psychological
    distress, VAS average pain, pain
    distribution and the AMPS measures.
    Conclusion: The study results supported
    significant ADL ability impairment in
    tortured as well as non-tortured newly
    arrived asylum seekers. Implementation of
    performance-based evaluation of ADL ability
    as part of the initial medical screening of this
    particular population should be considered.
    Translated title of the contributionADL evne hos asyl ansøgere i Danmark: Et tværsnitsstudie
    Original languageEnglish
    JournalTorture (on-line udgave af Torture Journal)
    Issue number1
    Pages (from-to)49-64
    Number of pages16
    Publication statusPublished - 2014


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