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安置的无人陪伴未成年难民的抑郁症状预测因素。

Predictors of depressive symptoms among resettled unaccompanied refugee minors.

机构信息

Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway.

出版信息

Scand J Psychol. 2011 Oct;52(5):457-64. doi: 10.1111/j.1467-9450.2011.00883.x. Epub 2011 Sep 4.

Abstract

This study investigated the level and predictors of depressive symptoms among unaccompanied refugee minors after resettlement in Norway. Participants (N = 414) were resettled in 26 municipalities from all regions of the country. The average length of resettlement time was 3.4 years. They originated from 33 different countries, mainly Afghanistan (n = 116), Somalia (n = 74), Sri Lanka (n = 41) and Iraq (n = 43). Participants completed a self-report questionnaire administered in groups. Findings show that unaccompanied minors are a high-risk group for mental health problems also after resettlement in a new country. A multilevel model predicting depressive symptoms from individual and contextual demographic factors indicated that, controlling for post-traumatic stress, females had more symptoms than males and Somalis had fewer symptoms than participants from other countries. Variation in symptom levels as a function of gender and ethnic background indicates that some groups may have inherent protective or vulnerability factors that need to be further studied to understand differences in psychosocial adaptation among unaccompanied minors. Further, findings imply that researchers, policy makers and mental health care workers need to expand their attention beyond the first phases of arrival of unaccompanied asylum seeking and refugee minors to the continuing experience of mental health problems after resettlement.

摘要

本研究调查了在挪威重新安置后无人陪伴的未成年难民的抑郁症状水平及其预测因素。参与者(N=414)来自该国所有地区的 26 个城市。重新安置的平均时间为 3.4 年。他们来自 33 个不同的国家,主要来自阿富汗(n=116)、索马里(n=74)、斯里兰卡(n=41)和伊拉克(n=43)。参与者以小组形式完成了一份自我报告问卷。研究结果表明,无人陪伴的未成年人在重新安置到一个新国家后也是心理健康问题的高风险群体。一个从个体和情境人口统计学因素预测抑郁症状的多层次模型表明,在控制创伤后应激的情况下,女性的症状比男性多,而索马里人的症状比来自其他国家的参与者少。症状水平因性别和族裔背景而异,这表明某些群体可能具有内在的保护或脆弱因素,需要进一步研究,以了解无人陪伴的未成年难民在社会心理适应方面的差异。此外,研究结果表明,研究人员、政策制定者和精神卫生保健工作者需要将注意力从无人陪伴的寻求庇护和难民未成年人抵达的最初阶段扩展到重新安置后心理健康问题的持续经历。

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