充满挑战的未来，充满挑战的过去：创伤难民中社会融合与心理损伤的关系
Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees.
作者信息
Schick Matthis, Zumwald Andre, Knöpfli Bina, Nickerson Angela, Bryant Richard A, Schnyder Ulrich, Müller Julia, Morina Naser
机构信息
Department of Psychiatry and Psychotherapy, University Hospital Zürich, Zürich, Switzerland.
Faculty of Medicine, University of Zurich, Zurich, Switzerland;
出版信息
Eur J Psychotraumatol. 2016 Feb 12;7:28057. doi: 10.3402/ejpt.v7.28057. eCollection 2016.
BACKGROUND
Refugees have been shown to present high prevalence rates of trauma-related mental disorders. Despite their psychological impairment, they are expected to meet high functional requirements in terms of social integration into, and financial independence from, the host society.
METHODS
This cross-sectional study examined the relationship of mental health problems, post-migration living difficulties (PMLD), and social integration in a sample of 104 refugees seeking treatment for severe posttraumatic stress and comorbid symptoms in two outpatient clinics in Switzerland.
RESULTS
Despite an average time of residence in Switzerland of over 10 years, participants showed poor integration and a high number of PMLD. Integration difficulties were closely associated with psychological symptoms, but not with socio-demographic parameters such as education or visa status.
CONCLUSIONS
Psychological impairment in treatment-seeking traumatized refugees is associated with poor integration. To foster social integration, it is crucial to better understand and address the specific needs of this highly vulnerable population.
背景
难民中与创伤相关的精神障碍患病率较高。尽管他们存在心理障碍，但在融入东道国社会并实现经济独立方面，他们仍需满足较高的功能要求。
方法
这项横断面研究在瑞士两家门诊诊所对104名因严重创伤后应激障碍及共病症状寻求治疗的难民样本进行了调查，研究心理健康问题、移民后生活困难（PMLD）与社会融入之间的关系。
结果
尽管参与者在瑞士的平均居住时间超过10年，但他们的融入情况不佳，且存在大量PMLD。融入困难与心理症状密切相关，但与教育程度或签证状态等社会人口学参数无关。
结论
寻求治疗的受创伤难民的心理障碍与融入不佳有关。为促进社会融入，更好地理解和满足这一高度脆弱人群的特殊需求至关重要。
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