Momartin Shakeh, Steel Zachary, Coello Marianio, Aroche Jorge, Silove Derrick M, Brooks Robert
Service for the Treatment and Rehabilitation of Torture and Trauma Survivors (STARTTS), Sydney, NSW, Australia.
Med J Aust. 2006 Oct 2;185(7):357-61. doi: 10.5694/j.1326-5377.2006.tb00610.x.
To determine the impact of the Australian provisions for temporary rather than permanent protection for asylum seekers found to be genuine refugees.
A comparison of the mental health of Persian-speaking refugees with temporary (n = 49) versus permanent (n = 67) protection visas attending an early intervention program in Sydney, New South Wales, 2002-03.
Standard measures were used to assess past trauma, detention experiences, postmigration stresses, symptoms of post-traumatic stress disorder (PTSD), anxiety, depression and functional impairment.
The two groups had experienced similar levels of past trauma and persecution. Nevertheless, holders of temporary protection visas (TPVs) returned higher scores on three psychiatric symptom measures (P < 0.001). Multivariate analyses showed that TPV status was the strongest predictor of anxiety, depression and particularly PTSD. Further analyses suggested that, for TPV holders, experience of past stresses in detention in Australia and ongoing living difficulties after release contributed to adverse psychiatric outcomes.
The sequence of postmigration stresses experienced by TPV holders appears to impact adversely on their mental health.
确定澳大利亚对被认定为真正难民的寻求庇护者提供临时而非永久保护的规定所产生的影响。
对2002年至2003年期间在新南威尔士州悉尼参加一项早期干预项目的持有临时保护签证（n = 49）和永久保护签证（n = 67）的讲波斯语难民的心理健康状况进行比较。
采用标准测量方法评估过去的创伤、拘留经历、移民后压力、创伤后应激障碍（PTSD）症状、焦虑、抑郁和功能损害。
两组经历的过去创伤和迫害程度相似。然而，临时保护签证持有者在三项精神症状测量指标上得分更高（P < 0.001）。多变量分析表明，临时保护签证身份是焦虑、抑郁尤其是创伤后应激障碍的最强预测因素。进一步分析表明，对于临时保护签证持有者来说，在澳大利亚拘留期间过去的压力经历以及获释后持续的生活困难导致了不良的精神健康结果。
临时保护签证持有者经历的移民后压力顺序似乎对他们的心理健康产生了不利影响。
