Impact of asylum interviews on the mental health of traumatized asylum seekers.
Impact of asylum interviews on the mental health of traumatized asylum seekers.
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DOI：
10.3402/ejpt.v6.26286
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发表时间：
2015
影响因子：
5
通讯作者：
Knaevelsrud C
中科院分区：
文献类型：
--
作者：
Schock K;Rosner R;Knaevelsrud C
庇护程序中的庇护面谈与受到创伤的寻求庇护者的心理压力有关。本研究调查了40名受创伤的寻求庇护者的心理健康样本的庇护面试的影响。对照组由未被邀请参加庇护面谈的难民（N=10）组成。此外，与审判相关的变量，如审判的公正性，提供证词的压力，并强调等待庇护面试的调节作用进行了研究。参与者在庇护面谈前10天（t1）和面谈后16天（t2）进行评估。采用卡方检验对两组的描述性统计量进行比较。为了研究从t1到t2的症状变化，计算配对t检验。通过科恩效应量d测量组内效应的大小。分层回归分析进行人口统计学和试验变量预测创伤后入侵，回避和过度觉醒。数据显示，从t1到t2，创伤后侵扰显著增加，创伤后回避和过度觉醒症状显著减少。在对照组中，没有发现创伤后应激障碍子量表的显着症状变化。分层回归分析的结果显示，知觉公平的采访，预测增加的入侵和经历的创伤和证词压力的数量，预测创伤后回避。本研究结果强调了庇护面谈对受创伤难民的压力影响。他们指出，庇护面谈可能会减少创伤后回避，并引发创伤后侵扰，从而突出表明，必须确保在庇护面谈期间以同情心对待已经脆弱的受创伤难民群体。
Asylum interviews within the asylum procedure are associated with psychological stress for traumatized asylum seekers. This study investigates the impact of asylum interviews on the mental health in a sample of 40 traumatized asylum seekers. The comparison group consisted of refugees (N=10) that had not been invited to an asylum interview. Additionally, the moderating effects of trial-related variables such as perceived justice of the trial, stress of giving testimony, and stress of waiting for the asylum interview were examined. Participants were assessed on average 10 days before (t1) and 16 days after (t2) the asylum interview. Chi-square tests for dichotomous and categorical variables were used to compare the descriptive statistics of the two groups. To investigate symptom changes from t1 to t2, paired t-tests were calculated. The magnitude of effects was measured by Cohen's effect size d within groups. Hierarchical regression analyses were conducted for demographic and trial variables predicting posttraumatic intrusions, avoidance, and hyperarousal. Data showed a significant increase in posttraumatic intrusions and a significant decrease in posttraumatic avoidance and hyperarousal symptoms from t1 to t2. No significant symptom changes in the posttraumatic stress disorder subscales were found in the comparison group. The results of hierarchical regression analyses revealed perceived justice of the interview to predict the increase of intrusions and the number of experienced traumata and testimony stress to predict posttraumatic avoidance. The present findings underline the stressful impact of asylum interviews on traumatized refugees. They indicate that the asylum interview might decrease posttraumatic avoidance and trigger posttraumatic intrusions, thus highlight the importance of ensuring that the already vulnerable group of traumatized refugees needs to be treated with empathy during their asylum interview.