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

Schick, Matthis; Morina, Naser; Mistridis, Panagiota; Schnyder, Ulrich; Bryant, Richard A.; Nickerson, Angela

doi:10.3389/fpsyt.2018.00476

Cited by 70 publications

(54 citation statements)

References 38 publications

(46 reference statements)

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“…Despite the preliminary evidence for the causal role of PMLD with regard to mental health in refugees and asylum seekers (49,(66)(67)(68) and despite the high amount of reported PMLD in our sample, no association was found between the number of PMLD and PGD severity. However, evidence regarding PMLD and PGD is scarce.…”

Section: Pgd and Post-migration Living Difficultiescontrasting

confidence: 89%

Prolonged Grief Disorder Among Refugees in Psychological Treatment—Association With Self-Efficacy and Emotion Regulation

et al. 2020

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Background: While Prolonged Grief Disorder (PGD) among refugees has recently started to attract scientific attention, knowledge regarding associated psychological factors remains limited. Given the multifactorial context of persecution, trauma, displacement, and exile-related difficulties, obtaining a better understanding of PGD in refugees is crucial because PGD may affect psychological well-being, level of functioning, and social integration. Methods: In a sample of refugees receiving psychological treatment in Switzerland (N = 88), we examined the relationship between severity of PGD and potentially associated factors such as emotion regulation, perceived self-efficacy, as well as potentially traumatic events and post-migration living difficulties. Results: In a regression analysis, difficulties in emotion regulation and lower perceived self-efficacy were associated with greater severity of PGD, while post-migration living difficulties and potentially traumatic events did not emerge as significant factors. Conclusion: These findings suggest that emotion regulation and perceived self-efficacy are associated with PGD in refugees in psychological treatment and are thus potential targets for treatment interventions.

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Section: Pgd and Post-migration Living Difficultiescontrasting

confidence: 89%

Prolonged Grief Disorder Among Refugees in Psychological Treatment—Association With Self-Efficacy and Emotion Regulation

et al. 2020

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“…Current prevalence information could be a powerful tool for advocacy and also assist host countries and humanitarian agencies to strengthen health services to provide the essential components of timely diagnosis and treatment for mental illnesses, in line with the priorities and objectives of the World Health Organization (WHO) Draft Global Action Plan 'Promoting the health of refugees and migrants' (2019-2023) [14]. Providing appropriate, early, and ongoing mental health care to refugees and asylum seekers benefits not only the individual but the host nation, as it improves the chances of successful reintegration, which has long-term benefits for the social and economic capital of that country, which will likely impact not only the displaced generation but the second generation as well [15]. Bringing together the global literature on the prevalence of mental illness in refugee and asylum-seeker populations would also enable the research community to move ahead and focus on different components of the mental health needs of this population, for example, on interventions, on less well-understood mental health conditions, or longitudinal mental health trajectories.…”

Section: Introductionmentioning

confidence: 99%

The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis

et al. 2020

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Background Globally, the number of refugees and asylum seekers has reached record highs. Past research in refugee mental health has reported wide variation in mental illness prevalence data, partially attributable to methodological limitations. This systematic review aims to summarise the current body of evidence for the prevalence of mental illness in global refugee populations and overcome methodological limitations of individual studies. Methods and findings A comprehensive search of electronic databases was undertaken from 1 January 2003 to 4 February 2020 (MEDLINE, MEDLINE In-Process, EBM Reviews, Embase, PsycINFO, CINAHL, PILOTS, Web of Science). Quantitative studies were included if diagnosis of mental illness involved a clinical interview and use of a validated assessment measure and reported at least 50 participants. Study quality was assessed using a descriptive approach based on a template according to study design (modified Newcastle-Ottawa Scale). Random-effects models, based on inverse variance weights, were conducted. Subgroup analyses were performed for sex, sample size, displacement duration, visa status, country of origin, current residence, type of interview (interpreter-assisted or native language), and diagnostic measure. The systematic review was registered with PROSPERO (CRD) 42016046349. The search yielded a result of 21,842 records. Twenty-six studies, which included one randomised controlled trial and 25 observational studies, provided results for 5,143 adult refugees and asylum seekers. Studies were undertaken across 15 countries: Australia (652 refugees), Austria (150), China (65), Germany (1,104), Italy (297), Lebanon (646), Nepal (574), Norway (64), South Korea (200), Sweden (86), Switzerland (164), Turkey (238), Uganda (77), United Kingdom (420), and the United States of America (406). The prevalence of posttraumatic stress disorder (PTSD) was 31.46% (95% CI 24.43-38.5), the

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“…Lastly, when financial and housing problems are present, the costs for the transportation or treatment may be too high for the refugee, and he/she may withdraw from treatment. To the best of our knowledge, the association of these post-migration stressors with treatment outcome in resettled refugees has been only partially investigated in two studies (25,26). Sonne et al (25) investigated the post-migration stressors "employment status" and "integration" and found that not being employed was significantly, albeit weakly, correlated with poorer treatment outcome.…”

Section: Introductionmentioning

confidence: 99%

Post-Migration Stressors and Their Association With Symptom Reduction and Non-Completion During Treatment for Traumatic Grief in Refugees

et al. 2020

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Background: Resettled refugees exposed to trauma and loss are at risk to develop mental disorders such as posttraumatic stress disorder (PTSD) and persistent complex bereavement disorder (PCBD). Post-migration stressors have been linked to poor mental health and smaller treatment effects. Aim: Our aim was to evaluate reductions in PTSD and PCBD symptoms and to explore the presence of post-migration stressors and their associations with symptom change and non-completion in a traumatic grief focused treatment in a cohort of refugees. Methods: Paired sample t-tests were used to test the significance of the symptom reductions in PTSD and PCBD symptoms during treatment. The presence of postmigration stressors was derived from a qualitative analysis of the patient files. Associations between post-migration stressors and symptom reductions as well as non-completion were calculated. Results: In this uncontrolled study, 81 files of consecutive patients were included. Significant reductions in both PCBD and PTSD symptomatology with medium effect sizes were found. Patients experienced a mean of three different post-migration stressors during the treatment. Undocumented asylum seekers were more likely to be noncompleters. Ongoing conflict in the country of origin was associated with smaller PTSD symptom reductions and the total number of post-migration stressors was associated with smaller PCBD symptom reductions. Conclusions: Treatment for resettled refugees for traumatic grief coincides with alleviations in both PCBD and PTSD symptomatology. Specific post-migration stressors were associated with reduced treatment effects and increased non

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

Cited by 70 publications

References 38 publications

Prolonged Grief Disorder Among Refugees in Psychological Treatment—Association With Self-Efficacy and Emotion Regulation

Prolonged Grief Disorder Among Refugees in Psychological Treatment—Association With Self-Efficacy and Emotion Regulation

The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis

Post-Migration Stressors and Their Association With Symptom Reduction and Non-Completion During Treatment for Traumatic Grief in Refugees

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