Hoare Thomas, Vidgen Andrew, Roberts Neil
a Psychology Department, Caswell Clinic , Glanrhyd Hospital , Bridgend , UK.
b Rehabilitation and Recovery Service, Adult Mental Health Services , Cardiff and Vale UHB , Cardiff , UK.
Med Confl Surviv. 2017 Dec;33(4):273-298. doi: 10.1080/13623699.2017.1419902.
Quantitative research indicates that some forced migrants have mental health needs. Asylum seekers are a group of forced migrants applying for asylum status in a host country, and are often subject to rights restrictions and threat of deportation, though little is known about subjective experiences of the asylum journey and process of claiming asylum. The current paper therefore describes a systematic review of the qualitative literature, examining asylum seekers experiences of asylum journey, from country of origin, to arrival and adaptation to host countries. A search of four databases yielded 122 studies. Inclusion/exclusion criteria were applied and 15 studies were retained and critically appraised. The country where research was conducted, study aims, sample characteristics and methodological approaches were all critically reviewed for included studies. Study aims fell into four themes; 'an aspect of the asylum seeker journey'; 'psychological distress and wellbeing'; 'cultural identity and adaptation to new environment' and 'social welfare, employment and housing'. Studies were generally high quality and indicate issues around choice of asylum destination, distress created by uncertainty around asylum decision and hostile reactions of host communities. However, few studies have examined the experiences of asylum seekers specifically, which is important given the unique circumstances of this population.
定量研究表明,一些被迫移民有心理健康需求。寻求庇护者是一类在东道国申请庇护身份的被迫移民,他们常常受到权利限制和被驱逐的威胁,然而对于庇护之旅的主观体验以及申请庇护的过程却知之甚少。因此,本文描述了一项对定性文献的系统综述,考察寻求庇护者从原籍国到抵达并适应东道国的庇护之旅经历。对四个数据库进行检索后得到122项研究。应用了纳入/排除标准,保留了15项研究并进行了严格评估。对纳入研究的开展研究的国家、研究目的、样本特征和方法学途径都进行了严格审查。研究目的分为四个主题:“寻求庇护者旅程的一个方面”;“心理困扰与幸福感”;“文化认同与对新环境的适应”以及“社会福利、就业和住房”。研究总体质量较高,揭示了围绕庇护目的地选择、庇护决定的不确定性所造成的困扰以及东道社区的敌对反应等问题。然而,专门考察寻求庇护者经历 的研究很少,鉴于这一群体的独特情况,这一点很重要。