Anxiety, depression and PTSD in asylum-seekers: assocations with pre-migration trauma and post-migration stressors.

作者: Derrick Silove , Ingrid Sinnerbrink , Annette Field , Vijaya Manicavasagar , Zachary Steel

DOI: 10.1192/BJP.170.4.351

关键词: PsychologyBoredomMental healthPsychiatryAnxietyLonelinessImmigrationRefugeeClinical psychologyDistressAnxiety disorder

摘要: BACKGROUND Research into the mental health of refugees has burgeoned in recent times, but there is a dearth studies focusing specifically on factors associated with psychiatric distress asylum-seekers who have not been accorded residency status. METHOD Forty consecutive attending community resource centre Sydney, Australia, were interviewed using structured instruments and questionnaires. RESULTS Anxiety scores female gender, poverty, conflict immigration officials, while loneliness boredom linked both anxiety depression. Thirty subjects (79%) had experienced traumatic event such as witnessing killings, being assaulted, or suffering torture captivity, 14 (37%) met full criteria for PTSD. A diagnosis PTSD was greater exposure to pre-migration trauma, delays processing refugee applications, difficulties dealing obstacles employment, racial discrimination, boredom. CONCLUSIONS Although based correlational data derived from'a convenient' sample, our findings raise possibility that current procedures may contribute high levels stress symptoms those previously traumatised.

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