School of Public Health, San Diego State University, San Diego, CA, USA.
Department of Psychology, California State University, Fullerton, CA, USA.
Community Ment Health J. 2021 Aug;57(6):1111-1120. doi: 10.1007/s10597-020-00739-9. Epub 2021 Jan 1.
Due to the lack of research on the adverse impact of acculturative stress on the mental health, the current study examined the associations between acculturative stress and post-migration mental health outcomes among 219 Iraqi refugee women resettled in San Diego, California. Mental illness, trauma history, and acculturative stress were measured and descriptive statistical analyses, and multivariate logistic regression analyses were conducted to determine the association between acculturative stress, depression, and anxiety among the refugee women.About half of the participants were categorized as having anxiety (45.6%) and depression (55.3%). The multivariate regression analysis found that the odds of a mental health outcome of depression and anxiety in relation to acculturative stress, increases by a factor of 1.056 and 1.076 respectively, for every point increase on the acculturative stress scale.The study's findings reflect a linear association of acculturative stress with depression and anxiety among Iraqi refugee mothers resettled in San Diego. The mental well-being of refugees does not always improve nor does their trauma disappear by resettling in a new country. Policy makers should consider extending the evaluation, follow-up, and support of Iraqi refugee mental health long beyond the current 90 post arrival policy.
由于缺乏关于文化适应压力对心理健康的不良影响的研究，本研究调查了 219 名在加利福尼亚州圣地亚哥重新安置的伊拉克难民妇女的文化适应压力与后移民心理健康结果之间的关联。测量了精神疾病、创伤史和文化适应压力，并进行了描述性统计分析和多变量逻辑回归分析，以确定文化适应压力、抑郁和焦虑之间的关联在难民妇女中。约一半的参与者被归类为患有焦虑症（45.6%）和抑郁症（55.3%）。多元回归分析发现，文化适应压力每增加一个单位，抑郁和焦虑这两种心理健康结果的几率分别增加 1.056 倍和 1.076 倍。
该研究的结果反映了在圣地亚哥重新安置的伊拉克难民母亲中，文化适应压力与抑郁和焦虑之间存在线性关联。难民的精神健康状况并不总是会随着在新国家的重新安置而改善，他们的创伤也不会消失。政策制定者应该考虑在当前 90 天的到达后政策之外，延长对伊拉克难民心理健康的评估、后续支持。
