Prevalence of vicarious trauma, depression, anxiety, stress, post-traumatic stress disorder, and resilience among the Tigrayan diaspora in Australia: A cross-sectional study following the Tigray conflict

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
Hailay Abrha Gesesew , Kiflu Gebremicael Tesfamicael , Lillian Mwanri , Tesfay Mehari Atey , Amanuel Gebremedhin , Kidane Gebremariam , Azeb Gebresilassie Tesema , Semira Hailu , Fisaha Haile Tesfay , Kalayu Miruts , Michael Musker , Dejen Tekle , Mulu Woldegiorgis , Paul Ward
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Abstract

Ethiopia's Tigray in 2020. This war has had a detrimental impact on the mental health and overall wellbeing of Tigrayans living in other countries and abroad. The present study investigated the state of mental health and wellbeing among Tigrayan diaspora living in Australia, many of whom are migrants, but most are refugees.

Methods

We employed a cross-sectional survey gathered through Qualtrics-designed hybrid data collection techniques. We assessed vicarious trauma using the secondary traumatic stress scale (STSS), depression, anxiety, and stress using the Depression Anxiety and Stress Scale-21 (DASS-21), PTSD using PTSD Checklist- Civilian Version (PCLC), and resilience using the Connor–Davidson Resilience Scale (CD-RISC-10). We calculated the psychometric properties of these tools among the population. We employed binary logistic regression analysis to identify factors associated with the outcomes of interest.

Findings

241 people participated in the survey. Intrusion symptoms of vicarious trauma were prevalent among 85.6 % (172/201) of participants, avoidance symptoms of vicarious trauma among 87.6 % (176/201) of participants, and arousal vicarious trauma among 83.6 % (168/201) of participants. Extremely severe depression was prevalent among 38.2 % (81/212) of participants, extremely severe anxiety among 47.6 % (101/212) of participants, and extremely severe stress among (26.9 % (57/212) of participants. PTSD symptoms were prevalent among 75 % (151/204) of participants. Resilience was reduced among 67.5 % (135/200) of participants.

Interpretation

The study implies that conflict occurring in one's home country can have a profound impact on the mental wellbeing of individuals residing abroad.
散居在澳大利亚的蒂格雷人的替代性创伤、抑郁、焦虑、压力、创伤后应激障碍和复原力的流行情况:提格雷冲突后的横断面研究。
2020 年的埃塞俄比亚提格雷。这场战争对生活在其他国家和国外的提格雷人的心理健康和整体福祉造成了不利影响。本研究调查了散居在澳大利亚的提格雷人的心理健康和福祉状况,其中许多人是移民,但大多数人是难民:我们通过 Qualtrics 设计的混合数据收集技术进行了横截面调查。我们使用二次创伤压力量表(STSS)对替代性创伤进行了评估,使用抑郁、焦虑和压力量表-21(DASS-21)对抑郁、焦虑和压力进行了评估,使用创伤后应激障碍检查表-平民版(PCLC)对创伤后应激障碍进行了评估,使用康纳-戴维森复原力量表(CD-RISC-10)对复原力进行了评估。我们计算了这些工具在人群中的心理测量特性。我们采用二元逻辑回归分析来确定与相关结果相关的因素。85.6%的参与者(172/201人)有替代性创伤的侵入症状,87.6%的参与者(176/201人)有替代性创伤的回避症状,83.6%的参与者(168/201人)有替代性创伤的唤醒症状。38.2%(81/212)的参与者患有极度抑郁,47.6%(101/212)的参与者患有极度焦虑,26.9%(57/212)的参与者患有极度紧张。创伤后应激障碍症状在 75% 的参与者(151/204)中普遍存在。67.5%的参与者(135/200)的复原力下降:这项研究表明,发生在本国的冲突会对居住在国外的个人的心理健康产生深远影响。
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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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