Trajectories of psychosocial symptoms and wellbeing in asylum seekers and refugees exposed to traumatic events and resettled in Western Europe, Turkey, and Uganda.

Autor: Purgato M; WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Section of Psychiatry, University of Verona, Verona, Italy.; Cochrane Global Mental Health, University of Verona, Verona, Italy., Tedeschi F; WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Section of Psychiatry, University of Verona, Verona, Italy., Turrini G; WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Section of Psychiatry, University of Verona, Verona, Italy.; Cochrane Global Mental Health, University of Verona, Verona, Italy., Acartürk C; Department of Psychology, Koc University, Istanbul, Turkey., Anttila M; Faculty of Medicine, Department of Nursing Science, University of Turku, Turku, Finland., Augustinavicious J; School of Population and Global Health, McGill University, Montréal, Canada., Baumgartner J; Clinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria., Bryant R; School of Psychology, University of New South Wales, Sydney, Australia., Churchill R; Centre for Reviews and Dissemination, University of York, York, UK., Ilkkursun Z; Department of Psychology, Koc University, Istanbul, Turkey., Karyotaki E; Department of Clinical, Neuro, and Developmental Psychology, Amsterdam Public Health Institute, and WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Klein T; Department of Psychiatry II, Ulm University, Günzburg, Germany., Koesters M; Department of Psychiatry II, Ulm University, Günzburg, Germany., Lantta T; Faculty of Medicine, Department of Nursing Science, University of Turku, Turku, Finland., Leku MR; Health Right International, Kampala, Uganda., Nosè M; WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Section of Psychiatry, University of Verona, Verona, Italy.; Cochrane Global Mental Health, University of Verona, Verona, Italy., Ostuzzi G; WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Section of Psychiatry, University of Verona, Verona, Italy.; Cochrane Global Mental Health, University of Verona, Verona, Italy., Popa M; Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK., Prina E; WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Section of Psychiatry, University of Verona, Verona, Italy., Sijbrandij M; Department of Clinical, Neuro, and Developmental Psychology, Amsterdam Public Health Institute, and WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Uygun E; Trauma and Disaster, Mental Health, Bilgi University, Istanbul, Turkey., Välimäki M; Faculty of Medicine, Department of Nursing Science, University of Turku, Turku, Finland.; Central South University, Changsha, People's Republic of China., Walker L; Department of Health Sciences, University of York, York, UK., Wancata J; Clinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria., White RG; School of Psychology, Queen's University Belfast, Belfast, Northern Ireland., Cuijpers P; Department of Clinical, Neuro, and Developmental Psychology, Amsterdam Public Health Institute, and WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands., Tol W; Department of Public Health, University of Copenhagen, Copenhagen, Denmark., Barbui C; WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Section of Psychiatry, University of Verona, Verona, Italy.; Cochrane Global Mental Health, University of Verona, Verona, Italy.
Jazyk: angličtina
Zdroj: European journal of psychotraumatology [Eur J Psychotraumatol] 2022 Oct 07; Vol. 13 (2), pp. 2128270. Date of Electronic Publication: 2022 Oct 07 (Print Publication: 2022).
DOI: 10.1080/20008066.2022.2128270
Abstrakt: Background: Longitudinal studies examining mental health trajectories in refugees and asylum seekers are scarce. Objectives: To investigate trajectories of psychological symptoms and wellbeing in refugees and asylum seekers, and identify factors associated with these trajectories. Method: 912 asylum seekers and refugees from the control arm of three trials in Europe ( n  = 229), Turkey ( n  = 320), and Uganda ( n  = 363) were included. We described trajectories of psychological symptoms and wellbeing, and used trauma exposure, age, marital status, education, and individual trial as predictors. Then, we assessed the bidirectional interactions between wellbeing and psychological symptoms, and the effect of each predictor on each outcome controlling for baseline values. Results: Symptom improvement was identified in all trials, and for wellbeing in 64.7% of participants in Europe and Turkey, versus 31.5% in Uganda. In Europe and Turkey domestic violence predicted increased symptoms at post-intervention ( ß  = 1.36, 95% CI 0.17-2.56), whilst murder of family members at 6-month follow-up ( ß  = 1.23, 95% CI 0.27-2.19). Lower wellbeing was predicted by murder of family member ( ß  = -1.69, 95% CI -3.06 to -0.32), having been kidnapped ( ß  = -1.67, 95% CI -3.19 to -0.15), close to death ( ß  =  -1.38, 95% CI -2.70 to -0.06), and being in the host country ≥2 years ( ß  =  -1.60, 95% CI -3.05 to -0.14). In Uganda at post-intervention, having been kidnapped predicted increased symptoms ( ß  = 2.11, 95% CI 0.58-3.65), and lack of shelter ( ß  = -2.51, 95% CI -4.44 to -0.58) and domestic violence predicted lower wellbeing ( ß  = -1.36, 95% CI -2.67 to -0.05). Conclusion: Many participants adapt to adversity, but contextual factors play a critical role in determining mental health trajectories.
Competing Interests: No potential conflict of interest was reported by the author(s).
(© 2022 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.)
Databáze: MEDLINE
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