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首页> 外文期刊>Social psychiatry and psychiatric epidemiology >Traumatic exposure, acculturative stress and cultural orientation: the influence on PTSD, depressive and anxiety symptoms among refugees
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Traumatic exposure, acculturative stress and cultural orientation: the influence on PTSD, depressive and anxiety symptoms among refugees

机译：创伤性暴露，适应性应力和文化定位：难民中应激障碍，抑郁和焦虑症状的影响

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Objective Acculturation studies conducted with refugees have predominantly concentrated on investigating the impact of acculturative stress on mental health, and have neglected to investigate the impact of cultural orientations towards the host and ethnic cultures. Furthermore, exposure to traumas is highly prevalent in refugees and strongly associated with mental health outcomes, however, rarely included in investigations of acculturative process of refugees. Method Using structural equation modelling, this study tested an integrated model of the relationship between traumatic exposure, acculturative stress, host and ethnic cultural orientations and posttraumatic stress disorder (PTSD), depression and anxiety symptoms among 138 Bosnian refugees resettled in Australia and Austria. Results The model showed an overall good fit and noteworthy amount of variance indicating that traumatic exposure is the strongest direct and indirect predictor of PTSD, depression and anxiety symptoms. Furthermore, acculturative stress was identified as a significant risk factor influencing host cultural orientation, mediating the effect of traumatic exposure on all mental health outcomes. Conclusion Acculturative stress and cultural and social stressors that are related to acculturation need to be addressed alongside provision of effective psychotherapy, especially since they are significant impediments to host cultural orientation and constructive engagement with mental health services in refugees.
机译：通过难民进行的客观报价研究主要集中在调查内容压力对心理健康的影响，忽视了调查文化取向对宿主和民族文化的影响。此外，暴露于创伤的难民普遍存在难民中，并且与心理健康结果强烈相关，很少包括在难民的适应性过程中的调查中。该研究采用结构方程建模，本研究检测了创伤性暴露，缩进压力，宿主和民族文化方向与近138名波斯尼亚难民中的抑郁和焦虑症状的关系的综合模型。结果模型表明，表明创伤性暴露是重症，抑郁和焦虑症状的最强直接和间接预测因子的整体良好良好的差异和值得注意的差异。此外，将缩醛胁迫被鉴定为影响宿主文化取向的显着风险因素，介导创伤性暴露对所有心理健康结果的影响。结论与报价有关的适应性压力和文化和社会压力，尤其是提供有效的心理治疗，特别是因为它们是举办文化导向和与难民心理健康服务的建设性接触的重要障碍。

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