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Effects of acculturative stress on PTSD, depressive, and anxiety symptoms among refugees resettled in Australia and Austria

机译:在澳大利亚和奥地利定居的难民中,适应性压力对PTSD,抑郁和焦虑症状的影响

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BackgroundResearch indicates that exposure to war-related traumatic events impacts on the mental health of refugees and leads to higher rates of posttraumatic stress disorder (PTSD), depression, and anxiety symptoms. Furthermore, stress associated with the migration process has also been shown to impact negatively on refugees' mental health, but the extent of these experiences is highly debatable as the relationships between traumatic events, migration, and mental health outcomes are complex and poorly understood.ObjectiveThis study aimed to examine the influence of trauma-related and post-migratory factors on symptoms of PTSD, depression, and anxiety in two samples of Bosnian refugees that have resettled in two different host nations—Austria and Australia.MethodUsing multiple recruitment methods, 138 participants were recruited to complete self-report measures assessing acculturative stress, PTSD, depressive, and anxiety symptoms.ResultsHierarchical regressions indicated that after controlling for age, sex, and exposure to traumatic events, acculturative stress associated with post-migratory experiences predicted severity of PTSD and anxiety symptoms, while depressive symptoms were only predicted by exposure to traumatic events. This model, however, was only significant for Bosnian refugees resettled in Austria, as PTSD, depressive, and anxiety symptoms were only predicted by traumatic exposure in the Bosnian refugees resettled in Australia.ConclusionThese findings point toward the importance of assessing both psychological and social stressors when assessing mental health of refugees. Furthermore, these results draw attention to the influence of the host society on post-migratory adaptation and mental health of refugees. Further research is needed to replicate these findings among other refugee samples in other host nations.
机译:背景研究表明,暴露于战争相关的创伤事件会影响难民的心理健康,并导致更高的创伤后应激障碍(PTSD),抑郁和焦虑症状的发生率。此外,与迁徙过程有关的压力也已显示出对难民的心理健康产生负面影响,但是由于创伤事件,迁徙和心理健康结果之间的关系是复杂且了解甚少的,因此这些经验的程度值得商de。这项研究旨在研究创伤相关的因素和迁移后因素对在两个不同的收容国-奥地利和澳大利亚定居的两个波斯尼亚难民样本中创伤后应激障碍,抑郁和焦虑症状的影响。方法使用多种招募方法,有138名参与者结果是分层回归分析表明,在控制了年龄,性别和外伤事件的暴露之后,与迁徙后经历相关的适应性应激预测了PTSD和PTSD的严重程度。焦虑症状,而抑郁症状仅可预测通过暴露于创伤事件。然而,该模型仅对在奥地利定居的波斯尼亚难民有意义,因为创伤后应激障碍,抑郁和焦虑症状只能通过在澳大利亚定居的波斯尼亚难民的创伤暴露来预测。结论这些发现表明评估心理和社会压力因素的重要性在评估难民的心理健康时。此外,这些结果提请注意东道国社会对难民的迁移后适应和心理健康的影响。需要做进一步的研究以在其他收容国的其他难民样本中复制这些发现。

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