Mental health of forced migrants recently granted leave to remain in the United Kingdom.

Mental health of forced migrants recently granted leave to remain in the United Kingdom.
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DOI:
10.1177/0020764020939610
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发表时间:
2021-03
期刊:
The International journal of social psychiatry
影响因子:
--
通讯作者:
Katona C
Katona C
中科院分区:
其他
文献类型:
--
作者:
Walker S;von Werthern M;Brady F;Katona C

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获准留在联合王国的寻求庇护者必须迅速过渡到住房和福利福利。新难民在这一“过渡期”面临的挑战可能会影响他们的心理健康,但这一点尚未量化。评估过渡期对新难民获准留在联合王国后12个月内心理健康的影响。一项纵向调查设计被用来衡量30个新承认的难民在前6个月每月一次的心理健康,并再次在1年后获得休假留在英国。有五个结果措施的症状焦虑,抑郁,痛苦,创伤后应激障碍(PTSD),移民后生活困难(PMLD)和生活事件日历记录住房和福利的关键变化。结果显示,所有指标的评分轨迹都有波动,但总体而言,从基线到第12个月,评分都有所改善。抑郁和PMLD评分在第5个月时显示出显著改善,焦虑、抑郁、苦恼和PMLD评分在第12个月时显示出显著改善。PTSD评分在任何一个月都没有显着改善。在有大量压力生活事件的月份,参与者的PMLD和PTSD评分更差。心理健康的总体改善部分是由于获准留在联合王国的稳定性,但也可能是由于这些参与者得到了高水平的实际支持。对在过渡期间与客户打交道的人提出了建议。
Asylum seekers who are granted leave to remain in the United Kingdom are required to make a rapid transition to housing and welfare benefits. The challenges facing new refugees during this ‘transition period’ can affect their mental health, but this has not been quantified. To assess the impact of the transition period on new refugees’ mental health in the 12 months after being granted leave to remain in the United Kingdom. A longitudinal survey design was used to measure the mental health of 30 newly recognised refugees at monthly intervals in the first 6 months and again at 1 year after receiving leave to remain in the United Kingdom. There were five outcome measures for symptoms of anxiety, depression, distress, post-traumatic stress disorder (PTSD), post-migration living difficulties (PMLD) and a life events calendar to record key changes in housing and welfare. The results showed that the trajectory of scores across all measures fluctuates, but overall they all improve from baseline to Month 12. Scores for depression and PMLD showed significant improvement at Month 5, and scores for anxiety, depression, distress and PMLD showed significant improvement at Month 12. PTSD scores did not show significant improvement at any month. In months with a high number of stressful life events, participants had worse PMLD and PTSD scores. Overall improvement in mental health could partly be explained by the stability of being granted leave to remain in the United Kingdom, but may also be due to the high level of practical support these participants received. Recommendations are made for those working with clients during the transition period.
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