Anxiety, depression and post-traumatic stress disorder in refugees resettling in high-income countries: systematic review and meta-analysis

BJPsych Open, Год журнала: 2020, Номер 6(4)

Опубликована: Июль 1, 2020

The number of refugees is at its highest since the Second World War and on rise. Many suffer from anxiety, depression post-traumatic stress disorder (PTSD), but exact up-to-date prevalence estimates are not available.To report pooled anxiety mood disorders PTSD in general refugee populations residing high-income countries to detect sources heterogeneity therein.Systematic review with meta-analyses meta-regression.Systematic searches (final search date 3 August 2019) yielded 66 eligible publications that reported 150 (total sample N = 14 882). Prevalence rates were 13 42% (95% CI 8-52%) for diagnosed self-reported 30 40% 23-48%) depression, 29 37% 22-45%) PTSD. These substantially higher relative those non-refugee over globe living conflict or war settings, both child/adolescent adult refugees. Estimates similar different home resettlement areas independent length residence.Our data indicate a challenging persisting disease burden due Knowing this relevant development public health policies host countries. Scalable interventions, tailored refugees, should become more readily available.

Язык: Английский

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Mental health outcomes and quality of life of Ukrainian refugees in Germany

Health and Quality of Life Outcomes, Год журнала: 2023, Номер 21(1)

Опубликована: Март 9, 2023

The war in Ukraine has generated an increase the number of refugees. As one top recipients refugees, Germany introduced policies to ease integration Ukrainians. current study explores mental health outcomes and their association with quality life among a sample Ukrainian refugees Germany. Cross-sectional data were collected from (n = 304) using standardised instruments. A t-test was used check for possible significant differences based on gender. Multiple regression analysis analyse potential associations between general (GHQ-12) depressive symptoms anxiety (PHQ-4), (EUROHIS-QOL 8 item). Female participants reported significantly higher psychological distress, anxiety. model (p < .001) males accounts 33.6% variance life. General distress (β - .240) .411) are associated decreased For female .001), explains 35.7% .402) .261) provides first knowledge prevalence problems findings further identify vulnerability women poorer outcomes. results also confirm that traumatic experiences context explain considerable bulk problems.

Язык: Английский

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Living Conditions and the Mental Health and Well-being of Refugees: Evidence from a Large-Scale German Survey

Journal of Immigrant and Minority Health, Год журнала: 2020, Номер 22(5), С. 903 - 913

Опубликована: Янв. 24, 2020

Refugees are at an increased risk of mental health problems and low subjective well-being. Living circumstances in the host country thought to play a vital role shaping these outcomes, which, turn, prerequisites for successful integration. Using data from representative survey 4325 adult refugees who arrived Germany between 2013 2016, we investigated how different living conditions, especially those subject integration policies, associated with psychological distress life satisfaction using linear regression models. Our findings show that uncertain legal status, separation family, refugee housing facilities related higher levels decreased satisfaction. Being employed, contact members society, better language skills, by contrast, reduced These associations should inform decision making highly contested policy area.

Язык: Английский

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The association between visa insecurity and mental health, disability and social engagement in refugees living in Australia

European journal of psychotraumatology, Год журнала: 2019, Номер 10(1)

Опубликована: Дек. 15, 2019

Background: The vast majority of the world's refugees and people seeking asylum live in a state sustained displacement. Little is known, however, about mental health impact prolonged insecurity. Objective: This study aimed to investigate association between insecure visa status health, suicidality, disability social engagement sample asylum-seekers living Australia Method: Participants were 1,085 with secure (i.e. permanent residency or Australian citizenship, n = 826, 76.1%) asylum-seeker claim, bridging visa, temporary 259, 23.9%) who had arrived since January 2011, from Arabic, Farsi, Tamil English-speaking backgrounds. completed an online survey assessing pre- post-migration experiences, engagement. Results: Results indicated that, after controlling for background factors, visas significantly greater PTSD symptoms, depression thoughts being better off dead suicidal intent compared those visas. There no group differences disability. Refugees received support more groups community than Further, low membership showed symptoms membership. Conclusion: Findings highlight negative consequences protracted uncertainty asylum, key role influencing amongst holders. also underscore importance designing implementing policies services that facilitate improved insecurity.Antecedentes: la mayoría de los refugiados del mundo y las personas que solicitan asilo viven en un estado desplazamiento sostenido. Sin embargo, se conoce muy poco sobre el impacto salud inseguridad prolongada.Objetivo: este estudio investiga asociación entre estatus inseguro mental, suicidalidad, discapacidad participación una gran muestra solicitantes Australia.Metodología: Los participantes fueron 1.085 refugiados. Un grupo tenía seguro (como por ejemplo residencia permanente o ciudadanía australiana n=826, otro su asilo, puente1, temporales, 23,9%). sujetos llegaron desde Enero eran origen árabe, farsi, tamil angloparlante. completaron cuestionario evaluaba experiencias pre post migración, social.Resultados: resultados indican después controlar factores contextuales importantes, con inseguras tuvieron síntomas TEPT significativamente mayores (β=0.15, 95%; intervalo confianza (IC) 0,05-0,26), depresivos (β=0.22, 95% CI=0.069-0.34), pensamientos estar mejor muerto (OR=1.9, CI=1.26-2.89) e intentos suicidas (OR=2.41, CI=1.03-5.62), comparados aquellos contaban seguras. No existen diferencias grupos para discapacidad. recibieron apoyo muchos más tenían seguras (Chi – cuadrado Wald= 33.01, p <.001). Además, baja pertenencia al mostraron depresión (B=0.17, t=3.85, <.001) (B=−1.25, OR=0.29, =0.006).Conclusión: destacan consecuencias negativas vivir incertidumbre prolongada papel clave influir titulares inseguras. también subrayan importancia diseñar implementar políticas servicios faciliten inseguras.背景：世界上大多数难民和寻求庇护者都处于持续流离失所的状态。然而，人们对于长期不安全感对精神健康的影响知之甚少。目标：本研究考查了大量居住在澳大利亚的难民和寻求庇护者的不安全签证身份与心理健康, 自杀, 残疾和社会参与之间的关系。方法：参与者为1,085名自2011年1月起从阿拉伯语, 波斯语, 泰米尔语或英语背景地区来到澳大利亚居住的难民，其中826名难民（76.1％）具有安全的签证身份（即永久居留权或澳大利亚公民身份），259名难民（23.9％）签证身份不安全（即寻求庇护者的申请, 过渡签证, 临时签证）。参与者完成了一项评估移民前后经历, 心理健康, 残疾和社会参与度的在线调查。结果：结果表明，在控制了重要的背景因素之后，相较于持有安全签证的难民，签证不安全的难民的PTSD症状（β= 0.15，95％置信区间（CI）= 0.05-0.26）, 抑郁症状（β= 0.22，95％CI 0.069 −0.34）, 有不如死掉更好的想法（OR 1.9，95％CI 1.26-2.89）和自杀意向（OR 2.41，95％CI 1.03-5.62）显著更高。残疾方面没有组别差异。持有不安全签证的难民明显比持有安全签证的难民得到更多团体的支持（Wald卡方（1）= 33.01，p <.001）。此外，团体成员少, 持有不安全签证身份的难民表现出的抑郁症状（B −1.25，t 3.85，t 3.85，p <.001）和自杀意向比团体成员少, 持有安全签证身份的难民更多（OR 0.29，p 0.006）。结论：调查结果突出表明了长期在不确定状态下生活对难民和寻求庇护者精神健康的负面影响，以及社会参与在影响持有不安全签证者心理健康的关键作用。结果还强调了设计, 实施有助于改善持有不安全签证者心理健康政策和服务的重要性。.

Язык: Английский

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Refugee entrepreneurship: systematic and thematic analyses and a research agenda

Small Business Economics, Год журнала: 2022, Номер 60(1), С. 315 - 350

Опубликована: Июнь 15, 2022

Abstract Refugee entrepreneurship has recently entailed increased scholarly mobilization and drastic growth in the volume of salient scientific research. However, this emerging research stream is marked by fragmentation incoherence, primarily due to multidisciplinary context-specific nature its extant findings. While process natural for fields, current state necessitates a comprehensive review, synthesis, organization subject matter. Hence, study systematically thematically explores landscape refugee intellectual territory across diverse disciplines take stock repository literature trace emergence, nature, development. By analyzing 131 publications, paper thus lays collective foundation building coherent theory, making incremental adjustments, forming ontological epistemological basis The also identifies gaps opens pathways future endeavors.

Язык: Английский

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Refugee mental health and the role of place in the Global North countries: A scoping review

Health & Place, Год журнала: 2023, Номер 79, С. 102964 - 102964

Опубликована: Янв. 1, 2023

Post-migration factors significantly influence refugee mental health. This scoping review looks at the role of place in We included 34 studies Global North high-income countries that elaborated on characteristics facilities, neighbourhoods, urban and rural areas, countries. While remains under-theorised, all reveal common support a strong relationship between residence, health wellbeing outcomes post-migration context. Given refugees often have little or no choice where they ultimately live, we suggest future research should focus how co-constitute risks, protections, outcomes.

Язык: Английский

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Psychological distress among refugees in Germany: a cross-sectional analysis of individual and contextual risk factors and potential consequences for integration using a nationally representative survey

BMJ Open, Год журнала: 2020, Номер 10(8), С. e033658 - e033658

Опубликована: Авг. 1, 2020

Objectives Responding to the mental health needs of refugees remains a pressing challenge worldwide. We estimated prevalence psychological distress in large refugee population Germany and assessed its association with host country factors amenable policy intervention integration indicators. Design A cross-sectional population-based secondary analysis 2017 wave IAB-BAMF-SOEP survey. Setting Germany. Participants 2639 adult who arrived between 2013 2016. Main outcome measures Psychological involving symptoms depression, anxiety post-traumatic stress disorder was measured using Refugee Health Screener-13. Results Almost half surveyed (41.2% (95% CI: 37.9% 44.6%)) affected by mild, moderate or severe levels distress. 10.9% (8.4% 13.5%) screened positive for indicative an urgent need care. Prevalence particularly high females (53.0% (47.2% 58.8%)), older (aged ≥55, 70.4% (58.5% 82.2%)) Afghans (61.5% (53.5% 69.5%)). Individuals under threat deportation were at greater risk than protection status holder (risk ratio: 1.55 1.14 2.10)), single males nuclear families living (1.34 (1.04 1.74)) those housing facilities private (1.21 (1.02 1.43)). Distressed had lower likelihood employment (0.67 (0.52 0.86)) reduced participation courses (0.90 (0.81 0.99)). trend educational programmes observed (0.42 (0.17 1.01)). Conclusion The finding that substantial minority exhibits calls expansion services this population. Service providers policy-makers should consider increased among female, Afghan refugees, as well males, residents deportation. associations processes such labour market, programme course also warrant consideration.

Язык: Английский

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A single case series using visuospatial task interference to reduce the number of visual intrusive memories of trauma with refugees

Clinical Psychology & Psychotherapy, Год журнала: 2020, Номер 28(1), С. 109 - 123

Опубликована: Июнь 11, 2020

The current worldwide so-called "refugee crisis" has led to an unprecedented increase in migration globally. Because of stigma and language barriers, mental health care for refugees is limited. There a need novel, scalable psychological interventions. We investigated whether brief behavioural intervention involving memory reminder cue Tetris gameplay on smartphone reduces intrusive memories using single case (N = 4) ABAB withdrawal design. baseline phase (A) included no-intervention week; the (B) in-person session with researchers, comprised followed by self-guided use daily life following week. All participants reported decrease after intervention, as well functional improvements (e.g., concentration). Importantly, rated feasible acceptable. As one was effective persistent intrusion reduction, proved not be optimal design intrusions did rebound phase. Findings are promising highlight further evaluation novel interventions problems refugees.

Язык: Английский

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Systematic review of factors associated with quality of life of asylum seekers and refugees in high-income countries

Conflict and Health, Год журнала: 2020, Номер 14(1)

Опубликована: Июль 20, 2020

The stressful experiences that many asylum seekers and refugees (AS&R) are exposed to during forced migration, resettlement in host countries, can have a profound impact on their mental health. Comparatively less research attention has been allocated exploring other indices of quality life (QoL) AS&R populations. This review aimed (i) synthesize the predictors correlates QoL populations high-income (ii) identify methodological strengths weaknesses this body research. Fourteen databases were systematically searched (Medline, PsychINFO, CINAHL, Cochrane Library, Health Technology Assessment, National Service Economic Evaluation, Educational Resource Index Abstracts, BiblioMap, Scopus, Social Sciences Citation Index, Evidence Aid, DARE, Web Science PubMed). Eligibility criteria included: adults seeking or refuge country, primary quantitative data, use measure based WHO's definition QoL, published peer-reviewed journal. A narrative synthesis approach was used, assessed using AXIS tool for cross-sectional studies CASP longitudinal studies. Of 13.656 papers identified, 23 met eligibility criteria. wide range factors found significant associations with QoL. Both positive negative largely dominated by social (e.g. networks) health depression). Although all over half criteria, only 12 75% more these For studies, but one study lacked statistical precision results cannot be applied local population. Key findings across various forms (overall, physical, psychological, environmental) having established networks integration associated higher whereas disorders (i.e. PTSD depression) strongly reduced More is needed into physical environmental used inform policies interventions at supporting promoting wellbeing

Язык: Английский

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School-based mental health screenings with Ukrainian adolescent refugees in Germany: Results from a pilot study

Frontiers in Psychology, Год журнала: 2023, Номер 14

Опубликована: Апрель 18, 2023

Since the Russian invasion of Ukraine in February 2022, high numbers Ukrainians, mostly women and children, have left country. As today, Germany has accepted more than one million refugees fleeing from including ~200,000 children adolescents registered German schools. refugee minors are typically affected by rates mental health issues, identification potential psychological problems at an early stage after arrival is essential order to make timely referrals for vulnerable youth diagnostic or treatment services possible. The aim present study was test feasibility a classroom-based screening procedure assess symptoms PTSD, depression, anxiety small sample who had fled Germany. Forty-two (n = 20 girls) took part study. Screening results showed that half elevated ratings Refugee Health Screener (RHS) about 45% reported clinically significant levels PTSD. Overall, amount both current worries related war significantly higher girls compared boys. In general, screenings were well received adolescents. findings this pilot point considerable level distress adolescent recent Ukraine. Brief within school setting might represent promising approach identifying disorders as possible newly arriving youth.

Язык: Английский

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