Post-migration factors and mental health outcomes in asylum-seeking and refugee populations: a systematic review.

Abstract:

:The present systematic review examined post-migration variables impacting upon mental health outcomes among asylum-seeking and refugee populations in Europe. It focuses on the effects of post-settlement stressors (including length of asylum process and duration of stay, residency status and social integration) and their impact upon post-traumatic stress disorder, anxiety and depression. Twenty-two studies were reviewed in this study. Length of asylum process and duration of stay was found to be the most frequently cited factor for mental health difficulties in 9 out of 22 studies. Contrary to expectation, residency or legal status was posited as a marker for other explanatory variables, including loneliness, discrimination and communication or language problems, rather than being an explanatory variable itself. However, in line with previous findings and as hypothesised in this review, there were statistically significant correlations found between family life, family separation and mental health outcomes. :La presente revisión sistemática examinó las variables posteriores a la migración que afectan los resultados de salud mental entre las poblaciones de refugiados y en búsqueda de asilo en Europa. Ésta se centra principalmente en los efectos de los factores estresantes posteriores al asentamiento (incluyendo la duración del proceso de asilo y la duración de la estadía, el estado de residencia y la integración social) y su impacto sobre el trastorno de estrés postraumático, ansiedad y depresión. Veintidós estudios fueron revisados en este estudio. La duración del proceso de asilo y la duración de la estadía fueron los factores más frecuentemente citados para las dificultades de salud mental en 9 de 22 estudios. Siete estudios reportaron asociaciones significativas entre los factores de riesgo y la salud mental, y éstos fueron moderados por el estado de residencia. Más bien, el efecto del estatus legal estaba más estrechamente ligado a otros factores posteriores a la migración; fue hallado actuando como un marcador de variables adicionales posteriores a la migración, incluyendo la soledad, la discriminación y los problemas de comunicación o idioma. También se encontró que las dificultades relacionadas a la familia estaban asociadas con la duración de la estadía y el estado legal, concurrente con la noción de que otras variables posteriores a la migración son más relevantes para los resultados de salud mental que la residencia y la duración de la estadía. :本系统综述考查了欧洲寻求庇护者和难民人群移民后变量对其心理健康的影响。它主要关注移民后应激源的影响 (包括庇护过程的时长和停留时间, 居住状态和社会融合) 以及它们对创伤后压力障碍, 焦虑和抑郁的影响。本研究综述了22个研究。在22项研究中的9项中, 庇护过程的时长和停留时间被发现是最常被提及的心理健康困难因素。七项研究报告了风险因素与心理健康之间的显著相关, 并且被居住状态调节。相反, 法律地位的影响与其他移民后因素更加复杂地联系在一起。它被发现可以作为其他移民后变量的标志, 包括孤独, 歧视, 沟通或语言问题。家庭相关困难还被发现与停留时间和法律地位有关, 同时还认为其他移民后变量居住和停留时间对心理健康的影响更大。.

journal_name

Eur J Psychotraumatol

authors

Gleeson C,Frost R,Sherwood L,Shevlin M,Hyland P,Halpin R,Murphy J,Silove D

doi

10.1080/20008198.2020.1793567

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1793567

issue

1

issn

2000-8066

pii

1793567

journal_volume

11

pub_type

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