A Mixed Method Study of the Effects of Post-Migration Economic Stressors on the Mental Health of Recently Resettled Refugees.

IF 3 1区 社会学 Q1 SOCIOLOGY
Society and Mental Health Pub Date : 2021-11-01 Epub Date: 2020-11-27 DOI:10.1177/2156869320973446
Jessica Goodkind, Julieta Ferrera, David Lardier, Julia Meredith Hess, R Neil Greene
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引用次数: 3

Abstract

After years of emphasis on pre-migration trauma as the major determinant of refugee mental health, researchers have begun to explore the effects of post-migration stressors on refugees' distress. However, few studies have brought together refugees' emic understandings of the effects of economic stressors on their mental health with quantitative datasets to further explore the salience of stress processes as an explanatory mechanism. In qualitative interviews, 40% of 290 recently resettled adult refugees noted that economic stressors were a major source of distress and described pathways through which these stressors negatively influenced their mental health by limiting their ability to learn English, obtain meaningful employment, access healthcare, maintain contact with their families, and integrate in their communities. In structural equation modeling of quantitative data, we tested several possible hypotheses that emerged from the qualitative findings. We find that post-migration economic stressors mediated the relationship between migration-related trauma and post-migration emotional distress and PTSD symptoms. These findings provide empirical support for stress proliferation as a mechanism through which trauma exposure contributes to distress.

移民后经济压力对新近安置难民心理健康影响的混合方法研究。
在多年强调移民前创伤是难民心理健康的主要决定因素之后,研究人员开始探索移民后压力源对难民痛苦的影响。然而,很少有研究将难民对经济压力源对其心理健康影响的普遍理解与定量数据集结合起来,以进一步探讨压力过程作为一种解释机制的重要性。在定性访谈中,290名最近重新安置的成年难民中有40%指出,经济压力源是痛苦的主要来源,并描述了这些压力源通过限制他们学习英语、获得有意义的就业、获得医疗保健、与家人保持联系以及融入社区的能力,对他们的心理健康产生负面影响的途径。在定量数据的结构方程建模中,我们测试了从定性发现中出现的几个可能的假设。我们发现移民后经济压力源介导了移民相关创伤与移民后情绪困扰和PTSD症状之间的关系。这些发现为创伤暴露导致痛苦的应激增殖机制提供了实证支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
9.50
自引率
7.80%
发文量
17
期刊介绍: Official journal of the ASA Section on the Sociology of Mental Health. Society and Mental Health (SMH) publishes original and innovative peer-reviewed research and theory articles that link social structure and sociocultural processes with mental health and illness in society. It will also provide an outlet for sociologically relevant research and theory articles that are produced in other disciplines and subfields concerned with issues related to mental health and illness. The aim of the journal is to advance knowledge in the sociology of mental health and illness by publishing the leading work that highlights the unique perspectives and contributions that sociological research and theory can make to our understanding of mental health and illness in society.
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