Understanding the mental health consequences of family separation for refugees: Implications for policy and practice.
Understanding the mental health consequences of family separation for refugees: Implications for policy and practice.
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DOI：
10.1037/ort0000272
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Goodkind JR
中科院分区：
文献类型：
--
作者：
Miller A;Hess JM;Bybee D;Goodkind JR
有一致的证据表明，家庭分离对难民心理健康的负面影响，以及对远方家庭成员福利的关切，以及希望与家庭成员团聚是难民移徙后的优先事项。关于难民对其家庭分离经历的主要看法，人们知之甚少。使用基于社区的心理健康干预研究的混合方法数据，我们发现家庭分离是难民痛苦的主要来源，并以一系列方式经历：对家庭的恐惧仍然处于危险之中，作为一种无助感，作为一种文化破坏，作为重新安置以来最大的痛苦来源，以及促成围绕重新安置的复杂情绪。除了这些定性的发现，我们还使用定量数据来检验家庭分离对难民的抑郁/焦虑症状、创伤后应激障碍症状和心理生活质量的相对贡献。与家庭成员的分离与所有三项心理健康指标都显著相关，这解释了即使在考虑参与者总体创伤暴露水平后，所有三项指标的显著额外差异。相对于26种其他类型的创伤暴露，家庭分离是仅有的两种创伤经历之一，可以解释所有三种心理健康指标的额外差异。鉴于目前的全球难民危机，以及需要制定政策来解决这一日益扩大的大问题，这项研究强调了考虑家庭分离对难民心理健康的影响以及有助于缓解这一持续压力的政策和做法的重要性。
Consistent evidence documents the negative impacts of family separation on refugee mental health and concerns for the welfare of distant family members and desire to reunite with family members as priorities for refugees post-migration. Less is known about refugees’ emic perspectives on their experiences of family separation. Using mixed methods data from a community-based mental health intervention study, we found that family separation was a major source of distress for refugees and that it was experienced in a range of ways: as fear for family still in harm’s way, as a feeling of helplessness, as cultural disruption, as the greatest source of distress since resettlement, and contributing to mixed emotions around resettlement. In addition to these qualitative findings, we used quantitative data to test the relative contribution of family separation to refugees’ depression/anxiety symptoms, PTSD symptoms, and psychological quality of life. Separation from a family member was significantly related to all three measures of mental health, and it explained significant additional variance in all three measures even after accounting for participants’ overall level of trauma exposure. Relative to 26 other types of trauma exposure, family separation was one of only two traumatic experiences that explained additional variance in all three measures of mental health. Given the current global refugee crisis and the need for policies to address this large and growing issue, this research highlights the importance of considering the ways in which family separation impacts refugee mental health and policies and practices that could help ameliorate this ongoing stressor.
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DOI：
10.1002/bs.3830190102
发表时间：
1974-01-01
期刊：
BEHAVIORAL SCIENCE
影响因子：
--
作者：
DEROGATIS, LR;LIPMAN, RS;COVI, L
通讯作者：
COVI, L
影响因子：
4.1
作者：
Cepeda-Benito, A;Gleaves, DH;Reynoso, J
通讯作者：
Reynoso, J
影响因子：
2.6
作者：
Knipscheer, JeroenW.;Sleijpen, Marieke;van der Aa, Niels
通讯作者：
van der Aa, Niels
DOI：
10.1177/0020764008105699
发表时间：
2011-03-01
期刊：
The International journal of social psychiatry
影响因子：
--
作者：
Carswell, Kenneth;Blackburn, Pennie;Barker, Chris
通讯作者：
Barker, Chris
影响因子：
10.5
作者：
Gorst-Unsworth, C;Goldenberg, E
通讯作者：
Goldenberg, E