The relationship between trauma, post-migration problems and the psychological well-being of refugees and asylum seekers.
The relationship between trauma, post-migration problems and the psychological well-being of refugees and asylum seekers.
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DOI：
10.1177/0020764008105699
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发表时间：
2011-03-01
期刊：
影响因子：
--
通讯作者：
Barker, Chris
中科院分区：
文献类型：
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作者：
Carswell, Kenneth;Blackburn, Pennie;Barker, Chris
背景：越来越多的证据表明移民后因素对难民心理健康的影响。迄今为止，在英国进行的相关研究很少。目的：研究难民和寻求庇护者的创伤、移民后问题、社会支持与心理健康之间的关系。方法：难民和寻求庇护者（n = 47）主要从临床机构招募。关于移徙后问题、心理健康问题和社会支持的自我报告措施在一次访谈中完成。结果：确定了症状增加与创伤次数、适应困难、文化和支持以及知己支持的丧失之间的双变量关联。在多变量分析中，移民后问题与创伤后应激障碍症状和情绪困扰显著相关。症状与创伤或社会支持的数量没有明显的联系。结论：研究结果表明，临床服务应在与难民和寻求庇护者合作时提供分阶段的整体干预措施。在政策层面，研究结果表明，需要制定庇护政策，减少移民后问题，并为难民和寻求庇护者提供支持。
BACKGROUND: There is growing evidence of the impact of post-migration factors on the mental health of refugees. To date, few UK studies have been conducted.AIMS: The study investigated the relationship between trauma, post-migration problems, social support and the mental health of refugees and asylum seekers.METHODS: Refugees and asylum seekers (n = 47) were recruited mainly from clinical settings. Self-report measures of post-migration problems, mental health problems and social support were completed in an interview.RESULTS: Bivariate associations were identified between increased symptoms and number of traumas, adaptation difficulties, loss of culture and support and confidant support. In multivariate analyses post-migration problems were significantly associated with post-traumatic stress disorder symptoms and emotional distress. There was no significant association of symptoms and number of traumas or social support.CONCLUSIONS: The results suggest that clinical services should provide holistic interventions within a phased approach when working with refugees and asylum seekers. At a policy level, the results suggest the need for asylum policies that reduce post-migration problems and provide support for refugees and asylum seekers.