Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees

Autor:	Ulrich Schnyder, Richard A. Bryant, Bina Knöpfli, Matthis Schick, Naser Morina, Julia Müller, Angela Nickerson, Andre Zumwald
Přispěvatelé:	Parrotia Foundation, Swiss Federal Office for Migration (3a-12-0495), Swiss Federal Office for Health (12.005187), National Health and Medical Research Council Clinical Early Career Fellowship (1037091) and Project Grant, University of Zurich, Schick, Matthis
Rok vydání:	2016
Předmět:	medicine.medical_specialty lcsh:RC435-571 Refugee Integration Financial independence 610 Medicine & health migration 2738 Psychiatry and Mental Health 03 medical and health sciences 0302 clinical medicine Global mental health Social integration lcsh:Psychiatry medicine Outpatient clinic 030212 general & internal medicine 10. No inequality Psychiatry Clinical Research Article post-migration living difficulties PTSD mental health posttraumatic stress refugees Mental health 3. Good health 030227 psychiatry Global mental health: Trauma and adversity among populations in transition 10057 Klinik für Konsiliarpsychiatrie und Psychosomatik Residence Citation Psychology Clinical psychology
Zdroj:	European Journal of Psychotraumatology; Vol 7 (2016): incl Supplements European Journal of Psychotraumatology, Vol 7, Iss 0, Pp 1-9 (2016) European Journal of Psychotraumatology
ISSN:	2000-8066 2000-8198
DOI:	10.3402/ejpt.v7.28057
Popis:	Background : 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. Methods : 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. Results : 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. Conclusions : 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. Keywords: Integration; mental health; migration; posttraumatic stress; post-migration living difficulties; PTSD; refugees (Published: 12 February 2016) Responsible Editor: Brian Hall, University of Macau, Macau (SAR), People’s Republic of China. For the abstract or full text in other languages, please see Supplementary files in the column to the right (under ‘Article Tools’) This paper is part of the Special Issue: Global mental health: trauma and adversity among populations in transition. More papers from this issue can be found at www.ejpt.net Citation: European Journal of Psychotraumatology 2016, 7 : 28057 - http://dx.doi.org/10.3402/ejpt.v7.28057
Databáze:	OpenAIRE
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