Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees.
Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees.
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DOI：
10.3402/ejpt.v7.28057
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发表时间：
2016
影响因子：
5
通讯作者：
Morina N
中科院分区：
文献类型：
--
作者：
Schick M;Zumwald A;Knöpfli B;Nickerson A;Bryant RA;Schnyder U;Müller J;Morina N
事实表明，难民中与创伤有关的精神障碍发病率很高。尽管他们有心理障碍，但在融入东道国社会和经济独立方面，他们应满足较高的功能要求。这项横断面研究探讨了心理健康问题，移民后生活困难（PMLD），并在瑞士的两个门诊诊所寻求治疗的严重创伤后应激障碍和共病症状的104名难民的样本社会融合的关系。尽管在瑞士的平均居住时间超过10年，但参与者的融合程度很差，而且PMLD的人数很多。融入困难与心理症状密切相关，但与教育或签证状况等社会人口参数无关。寻求治疗的受创伤难民的心理障碍与融合不良有关。为了促进社会融合，必须更好地了解和解决这一高度弱势群体的具体需求。
Refugees have been shown to present high prevalence rates of trauma-related mental disorders. Despite their psychological impairment, they are expected to meet high functional requirements in terms of social integration into, and financial independence from, the host society. This cross-sectional study examined the relationship of mental health problems, post-migration living difficulties (PMLD), and social integration in a sample of 104 refugees seeking treatment for severe posttraumatic stress and comorbid symptoms in two outpatient clinics in Switzerland. Despite an average time of residence in Switzerland of over 10 years, participants showed poor integration and a high number of PMLD. Integration difficulties were closely associated with psychological symptoms, but not with socio-demographic parameters such as education or visa status. Psychological impairment in treatment-seeking traumatized refugees is associated with poor integration. To foster social integration, it is crucial to better understand and address the specific needs of this highly vulnerable population.