McGregor Lucy S, Melvin Glenn A, Newman Louise K
Monash University, Australia
Monash University, Australia.
Transcult Psychiatry. 2016 Jun;53(3):347-67. doi: 10.1177/1363461516649546. Epub 2016 May 20.
Refugee adolescents endure high rates of traumatic exposure, as well as subsequent resettlement and adaptational stressors. Research on the effects of trauma in refugee populations has focussed on psychopathological outcomes, in particular posttraumatic stress disorder. However this approach does not address the psychosocial and adaptive dimensions of refugee experience. The ADAPT model proposes an alternate conceptualization of the refugee experience, theorizing that refugee trauma challenges five core psychosocial adaptive systems, and that the impact on these systems leads to psychological difficulties. This study investigated the application of the ADAPT model to adolescents' accounts of their refugee and resettlement experiences. Deductive thematic analysis was used to analyse responses of 43 adolescent refugees to a semistructured interview. The ADAPT model was found to be a useful paradigm to conceptualize the impact of adolescents' refugee and resettlement journeys in terms of individual variation in the salience of particular adaptive systems to individuals' experiences. Findings are discussed in light of current understandings of the psychological impact of the refugee experience on adolescents.
难民青少年遭受创伤的比例很高,随后还要面对重新安置和适应方面的压力源。关于难民群体创伤影响的研究主要集中在心理病理学结果上,尤其是创伤后应激障碍。然而,这种方法没有涉及难民经历的心理社会和适应层面。ADAPT模型提出了对难民经历的另一种概念化方式,理论认为难民创伤对五个核心心理社会适应系统构成挑战,而对这些系统的影响会导致心理问题。本研究调查了ADAPT模型在青少年对其难民和重新安置经历的描述中的应用。采用演绎主题分析法分析了43名青少年难民对半结构化访谈的回答。研究发现,ADAPT模型是一个有用的范式,能够根据特定适应系统对个人经历的显著程度的个体差异,来概念化青少年难民和重新安置历程的影响。结合当前对难民经历对青少年心理影响的理解对研究结果进行了讨论。