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Articles

Post-migration living difficulties, discrimination, and mental health of traumatized refugees in Germany: data from the refuKey project for timely and need-adapted treatment in a stepped-care setting

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Pages 339-351 | Received 28 Dec 2022, Accepted 28 Dec 2022, Published online: 10 Feb 2023

References

  • Adida, C. L., Lo, A., & Platas, M. R. (2019). Americans preferred Syrian refugees who are female, English-speaking, and Christian on the eve of Donald Trump’s election. PloS One, 14(10), e0222504. https://doi.org/10.1371/journal.pone.0222504
  • American Psychiatric Association (1994). Diagnostic and Statistical Manual of Mental Disorders: Dsm-IV (4th ed.). American Psychiatric Press Inc.
  • American Psychological Association (2019). Discrimination: What it is, and how to cope. www.apa.org. https://www.apa.org/topics/racism-bias-discrimination/types-stress
  • Andriessen, I., Fernee, H., & Wittebrood, K. (2014). Perceived Discrimination in the Netherlands: A Study on Experiences with Discrimination of Different Groups, in Different Domains and on Different Grounds (Netherlands Institute for Social Research) (Illustrated). Sociall en Cultureel Planbureau.
  • BAMF (2022a). Asylgeschäftsstatistik Gesamtjahr und Dezember 2021. In Bundesamt Für Migration Und Flüchtlinge. https://www.bamf.de/SharedDocs/Meldungen/DE/2022/220112-asylgeschaeftsstatistik-dezember-und-jahr-2021.html
  • BAMF (2022b). Geflüchtete aus der Ukraine in Deutschland. In Bundesamt Für Migration Und Flüchtlinge. https://www.bamf.de/SharedDocs/ProjekteReportagen/DE/Forschung/Integration/projekt-ukr.html
  • Blackmore, R., Boyle, J. A., Fazel, M., Ranasinha, S., Gray, K. M., Fitzgerald, G., Misso, M., & Gibson-Helm, M. (2020). The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis. PLoS Medicine, 17(9), e1003337.10.1371/journal.pmed.1003337 PMC: 32956381
  • Bogic, M., Ajdukovic, D., Bremner, S., Franciskovic, T., Galeazzi, G. M., Kucukalic, A., Lecic-Tosevski, D., Morina, N., Popovski, M., Schützwohl, M., Wang, D., & Priebe, S. (2012). Factors associated with mental disorders in long-settled war refugees: refugees from the former Yugoslavia in Germany, Italy and the UK. The British Journal of Psychiatry: The Journal of Mental Science, 200(3), 216–223. https://doi.org/10.1192/bjp.bp.110.084764
  • Borho, A., Viazminsky, A., Morawa, E., Schmitt, G. M., Georgiadou, E., & Erim, Y. (2020). The prevalence and risk factors for mental distress among Syrian refugees in Germany: a register-based follow-up study. BMC Psychiatry, 20(1), 362. https://doi.org/10.1186/s12888-020-02746-2
  • Byrow, Y., Pajak, R., Specker, P., & Nickerson, A. (2020). Perceptions of mental health and perceived barriers to mental health help-seeking amongst refugees: A systematic review. Clinical Psychology Review, 75, 101812. https://doi.org/10.1016/j.cpr.2019.101812
  • Chu, T., Keller, A. S., & Rasmussen, A. (2013). Effects of Post-migration Factors on PTSD Outcomes Among Immigrant Survivors of Political Violence. Journal of Immigrant and Minority Health, 15(5), 890–897. https://doi.org/10.1007/s10903-012-9696-1
  • Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Taylor & Francis Ltd.
  • Cohen, J., West, S. G., Aiken, L. S., & Cohen, P. (2002). Applied Multiple Regression/Correlation Analysis for the Behavioral Sciences (3rd ed.). Routledge Academic.
  • Colic-Peisker, V., & Tilbury, F. (2007). Integration into the Australian Labour Market: The Experience of Three ‘Visibly Different’ Groups of Recently Arrived Refugees. International Migration, 45(1), 59–85. https://doi.org/10.1111/j.1468-2435.2007.00396.x
  • Dapunt, J., Kluge, U., & Heinz, A. (2017). Risk of psychosis in refugees: a literature review. Translational Psychiatry, 7(6), e1149–e1149. https://doi.org/10.1038/tp.2017.119
  • Derogatis, L. R. (1977). Administration, Scoring & Procedures Manual—I for the R(evised) Version (Vol. 1). John Hopkins University School of Medicine.
  • Derogatis, L. R., Lipman, R. S., Rickels, K., Uhlenhuth, E. H., & Covi, L. (1974). The Hopkins Symptom Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19(1), 1–15. https://doi.org/10.1002/bs.3830190102
  • Djelantik, A. M. J., de Heus, A., Kuiper, D., Kleber, R. J., Boelen, P. A., & Smid, G. E. (2020). Post-Migration Stressors and Their Association With Symptom Reduction and Non-Completion During Treatment for Traumatic Grief in Refugees. Frontiers in Psychiatry, 11, 407. https://doi.org/10.3389/fpsyt.2020.00407
  • Duggal, A. K., Kirkbride, J. B., Dalman, C., & Hollander, A. C. (2020). Risk of non-affective psychotic disorder and post-traumatic stress disorder by refugee status in Sweden. Journal of Epidemiology and Community Health, 74(3), 276–282. https://doi.org/10.1136/jech-2019-212798
  • El Khoury, S. J. (2019). Factors that impact the sociocultural adjustment and well-being of Syrian refugees in Stuttgart – Germany. British Journal of Guidance & Counselling, 47(1), 65–80. https://doi.org/10.1080/03069885.2018.1520196
  • Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149
  • Finch, B. K., Hummer, R. A., Kol, B., & Vega, W. A. (2001). The role of discrimination and acculturative stress in the physical health of mexican-origin adults. Hispanic Journal of Behavioral Sciences, 23(4), 399–429. https://doi.org/10.1177/0739986301234004
  • Frank, L., Yesil-Jürgens, R., Razum, O., Bozorgmehr, K., Schenk, L., Gilsdorf, A., Rommel, A., & Lampert, T. (2017). Health and healthcare provision to asylum seekers and refugees in Germany. Journal of Health Monitoring, 2(1), 22–42. https://doi.org/10.17886/RKI-GBE-2017-021
  • Franke, G. H. (2002). Die Symptom-Checkliste von Derogatis (SCL-90-R) - Deutsche Version - Manual (2nd ed.). Beltz Test.
  • Golz, M. (2020). Untersuchung möglicher Generationsunterschiede der Inanspruchnahme psychiatrisch-psychotherapeutischer Versorgung durch Menschen mit Migrationshintergrund [Unveröffentlichte Masterarbeit]. Otto von Guericke Universität Magdeburg.
  • Haase, A., Rohmann, A., & Hallmann, K. (2019). An ecological approach to psychological adjustment: A field survey among refugees in Germany. International Journal of Intercultural Relations, 68, 44–54. https://doi.org/10.1016/j.ijintrel.2018.10.003
  • Hajak, V. L., Sardana, S., Verdeli, H., & Grimm, S. (2021). A Systematic review of factors affecting mental health and well-being of asylum seekers and refugees in Germany. Frontiers in Psychiatry, 12, 643704. https://doi.org/10.3389/fpsyt.2021.643704
  • Harvard Program in Refugee Trauma (1995). Harvard Trauma Questionnaire. https://hprt-cambridge.org/screening/harvard-trauma-questionnaire/
  • Hauth, I., Schouler-Ocak, M., Graef-Calliess, I. T., & Gerlinger, G. (2016). Positionspapier der Deutschen Gesellschaft für Psychiatrie, Psychotherapie und Nervenheilkunde zum Thema Psychosoziale Versorgung von Flüchtlingen verbessern. Dgppn. https://www.dgppn.de/_Resources/Persistent/c03a6dbf7dcdb0a77dbdf4ed3e50981431abe372/2016_03_22_DGPPNPositionspapier_psychosoziale%20Versorgung%20Fl%C3%BCchtlinge.pdf
  • Hecker, T., Huber, S., Maier, T., & Maercker, A. (2018). Differential associations among PTSD and complex PTSD symptoms and traumatic experiences and postmigration difficulties in a culturally diverse refugee sample. Journal of Traumatic Stress, 31(6), 795–804. https://doi.org/10.1002/jts.22342
  • IBM Corp. (2019). IBM SPSS Statistics for Windows (Version 26.0). [Software] IBM Corp.
  • Jannesari, S., Hatch, S., Prina, M., & Oram, S. (2020). Correction to: post-migration social-environmental factors associated with mental health problems among asylum seekers: a systematic review. Journal of Immigrant and Minority Health, 22(5), 1065–1066. https://doi.org/10.1007/s10903-020-01036-z
  • Koch, E., Hartkamp, N., Siefen, R., & Schouler-Ocak, M. (2008). Patienten mit Migrationshintergrund in stationär-psychiatrischen Einrichtungen. Der Nervenarzt, 79(3), 328–339. https://doi.org/10.1007/s00115-007-2393-y
  • Kurt, G., Ilkkursun, Z., Javanbakht, A., Uygun, E., Karaoglan-Kahilogullari, A., & Acarturk, C. (2021). The psychological impacts of COVID-19 related stressors on Syrian refugees in Turkey: The role of resource loss, discrimination, and social support. International Journal of Intercultural Relations, 85, 130–140. https://doi.org/10.1016/j.ijintrel.2021.09.009
  • Li, S. S. Y., Liddell, B. J., & Nickerson, A. (2016). The relationship between post-migration stress and psychological disorders in refugees and asylum seekers. Current Psychiatry Reports, 18(9), 82. https://doi.org/10.1007/s11920-016-0723-0
  • Mollica, R., Caspi-Yavin, Y., Bollini, P., Truong, T., Tor, S., & Lavelle, J. (1992). Harvard Trauma Questionnaire(HTQ) [Database record]. APA PsycTests. https://doi.org/10.1037/t07469-000
  • Morgan, G., Melluish, S., & Welham, A. (2017). Exploring the relationship between postmigratory stressors and mental health for asylum seekers and refused asylum seekers in the UK. Transcultural Psychiatry, 54(5-6), 653–674. https://doi.org/10.1177/1363461517737188
  • Morina, N., Kuenburg, A., Schnyder, U., Bryant, R. A., Nickerson, A., & Schick, M. (2018). The association of post-traumatic and postmigration stress with pain and other somatic symptoms: an explorative analysis in traumatized refugees and asylum seekers. Pain Medicine, 19(1), 50–59. https://doi.org/10.1093/pm/pnx005
  • Nesterko, Y., Jäckle, D., Friedrich, M., Holzapfel, L., & Glaesmer, H. (2020). Prevalence of post-traumatic stress disorder, depression and somatisation in recently arrived refugees in Germany: an epidemiological study. Epidemiology and Psychiatric Sciences, 29, e40. https://doi.org/10.1017/S2045796019000325
  • Nickerson, A., Bryant, R. A., Schnyder, U., Schick, M., Mueller, J., & Morina, N. (2015a). Emotion dysregulation mediates the relationship between trauma exposure, post-migration living difficulties and psychological outcomes in traumatized refugees. Journal of Affective Disorders, 173, 185–192. https://doi.org/10.1016/j.jad.2014.10.043
  • Nickerson, A., Schnyder, U., Bryant, R. A., Schick, M., Mueller, J., & Morina, N. (2015b). Moral Injury in Traumatized Refugees. Psychotherapy and Psychosomatics, 84(2), 122–123. https://doi.org/10.1159/000369353
  • Noworyta, K., Cieslik, A., & Rygula, R. (2021). Neuromolecular underpinnings of negative cognitive bias in depression. Cells, 10(11), 3157. https://doi.org/10.3390/cells10113157
  • Pagano, R. R. (2010). Understanding statistics in the behavioral sciences (9th ed.). Thomson Wadsworth.
  • Pascoe, E. A., & Smart Richman, L. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135(4), 531–554. https://doi.org/10.1037/a0016059
  • Petermann, F., & Brähler, E. (2013). HSCL-25 - Hopkins-Symptom-Checkliste-25 – Deutsche Version | Testzentrale. Testzentrale. https://www.testzentrale.de/shop/hopkins-symptom-checkliste-25-deutsche-version.html
  • Refugee aid, UNO (2022). Flüchtlingszahlen. https://www.uno-fluechtlingshilfe.de/informieren/fluechtlingszahlen
  • Schick, M., Morina, N., Mistridis, P., Schnyder, U., Bryant, R. A., & Nickerson, A. (2018). Changes in post-migration living difficulties predict treatment outcome in traumatized refugees. Frontiers in Psychiatry, 9, 476. https://doi.org/10.3389/fpsyt.2018.00476
  • Schick, M., Zumwald, A., Knöpfli, B., Nickerson, A., Bryant, R. A., Schnyder, U., Müller, J., & Morina, N. (2016). Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees. European Journal of Psychotraumatology, 7(1), 28057. https://doi.org/10.3402/ejpt.v7.28057
  • Schouler-Ocak, M., Graef-Calliess, I. T., Tarricone, I., Qureshi, A., Kastrup, M. C., & Bhugra, D. (2015). EPA guidance on cultural competence training. European Psychiatry : The Journal of the Association of European Psychiatrists, 30(3), 431–440. https://doi.org/10.1016/j.eurpsy.2015.01.012
  • Silove, D., Sinnerbrink, I., Field, A., Manicavasagar, V., & Steel, Z. (1997). Anxiety, depression and PTSD in asylum-seekers: Assocations with pre-migration trauma and post-migration stressors. The British Journal of Psychiatry : The Journal of Mental Science, 170(4), 351–357. https://doi.org/10.1192/bjp.170.4.351
  • Sonne, C., Carlsson, J., Bech, P., Vindbjerg, E., Mortensen, E. L., & Elklit, A. (2016). Psychosocial predictors of treatment outcome for trauma-affected refugees. European Journal of Psychotraumatology, 7(1), 30907. https://doi.org/10.3402/ejpt.v7.30907
  • Tennant, R., Hiller, L., Fishwick, R., Platt, S., Joseph, S., Weich, S., Parkinson, J., Secker, J., & Stewart-Brown, S. (2007). The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation. Health and Quality of Life Outcomes, 5(1), 63. https://doi.org/10.1186/1477-7525-5-63
  • The WHOQoL Group. (1998). Development of the World Health Organization WHOQoL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558. https://doi.org/10.1017/s0033291798006667
  • Turrini, G., Purgato, M., Acarturk, C., Anttila, M., Au, T., Ballette, F., Bird, M., Carswell, K., Churchill, R., Cuijpers, P., Hall, J., Hansen, L. J., Kösters, M., Lantta, T., Nosè, M., Ostuzzi, G., Sijbrandij, M., Tedeschi, F., Valimaki, M., … Barbui, C. (2019). Efficacy and acceptability of psychosocial interventions in asylum seekers and refugees: systematic review and meta-analysis. Epidemiology and Psychiatric Sciences, 28(4), 376–388. https://doi.org/10.1017/s2045796019000027
  • Viazminsky, A., Borho, A., Morawa, E., Schmitt, G. M., & Erim, Y. (2022). Perceived discrimination among Syrian refugees in Germany and its associations with mental health. Global Public Health, 17(11), 2854–2867. https://doi.org/10.1080/17441692.2022.2026449
  • von Haumeder, A., Ghafoori, B., & Retailleau, J. (2019). Psychological adaptation and posttraumatic stress disorder among Syrian refugees in Germany: a mixed-methods study investigating environmental factors. European Journal of Psychotraumatology, 10(1), 1686801. https://doi.org/10.1080/20008198.2019.1686801
  • Wicki, B., Spiller, T. R., Schick, M., Schnyder, U., Bryant, R. A., Nickerson, A., & Morina, N. (2021). A network analysis of postmigration living difficulties in refugees and asylum seekers. European Journal of Psychotraumatology, 12(1), 1975941. https://doi.org/10.1080/20008198.2021.1975941
  • Wilcox, R. R. (2012). Introduction to Robust Estimation and Hypothesis Testing (3rd ed.). Elsevier Gezondheidszorg.

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