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Changes in Post-migration Living Difficulties Predict Treatment Outcome in Traumatized Refugees.

  • Schick M Department of Consultation Psychiatry and Psychosomatic Medicine, University Hospital Zurich, Zurich, Switzerland.
  • Morina N Department of Consultation Psychiatry and Psychosomatic Medicine, University Hospital Zurich, Zurich, Switzerland.
  • Mistridis P Department of Consultation Psychiatry and Psychosomatic Medicine, University Hospital Zurich, Zurich, Switzerland.
  • Schnyder U Faculty of Medicine, University of Zurich, Zurich, Switzerland.
  • Bryant RA School of Psychology, University of New South Wales, Sydney, NSW, Australia.
  • Nickerson A School of Psychology, University of New South Wales, Sydney, NSW, Australia.
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  • 2018-10-26
Published in:
  • Frontiers in psychiatry. - 2018
asylum seekers
post-migration living difficulties
posttraumatic stress disorder
psychosocial interventions
refugee mental health
refugees
social integration
English Background: Refugee mental health is affected by traumatic stressors as well as post-migration living difficulties (PMLD). However, their interaction and causal pathways are unclear, and so far, no distinct treatment recommendations regarding exile-related stressors exist. Methods: In a 3-year follow-up study, PMLD and symptoms of post-traumatic stress (PTS), depression and anxiety were examined in a clinical sample of severely traumatized refugees and asylum seekers (N = 71). Results: In regression analysis, reduction in PMLD predicted changes over time in depression/anxiety, but not in PTS. The opposite models with PMLD changes as outcome variable proved not significant for PTS, and significant, though less predictive, for depression/anxiety. Conclusions: In addition to well-established trauma-focused interventions for the treatment of PTS, psychosocial interventions focusing on PMLD might contribute to a favorable treatment response in traumatized refugees, particularly with regard to depression and anxiety.
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  • English
Open access status
gold
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Persistent URL
https://folia.unifr.ch/global/documents/26485
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