挪威重新安置的叙利亚难民青年:影响健康相关生活质量和精神困扰的复原力机制。

Syrian Refugee Youth Resettled in Norway: Mechanisms of Resilience Influencing Health-Related Quality of Life and Mental Distress.

机构信息

Faculty of Health and Social Sciences, Inland Norway University of Applied Sciences, Elverum, Norway.

Department of Health Science, Swedish Red Cross University College, Stockholm, Sweden.

出版信息

Front Public Health. 2021 Sep 23;9:711451. doi: 10.3389/fpubh.2021.711451. eCollection 2021.

Abstract

The importance of resilience factors in the positive adaptation of refugee youth is widely recognised. However, their actual mechanism of impact remains under-researched. The aim of this study was therefore to explore protective and promotive resilience mechanisms to inform future interventions and policy. Promotive resilience is seen as a direct main effect and protective resilience as a moderating effect. This was a cross-sectional study of Syrian youth recently resettled in Norway, aged 13-24 years. Regression and moderation analyses were used to explore different interactions, including moderated mediation using the PROCESS macro for SPSS. A direct main effect of promotive resilience was found for health-related quality of life (HRQoL) and general mental distress, but not for post-traumatic stress disorder (PTSD). No moderating effects of protective resilience were found. Post-migration stressors mediated the effects of potentially traumatic events (PTE) from war and flight, and this indirect effect was present at all levels of resilience. Despite high risk exposure and mental distress, resilience was also high. Broad resilience interventions targeting multiple factors would likely benefit the group, but these should include both individual assets and building supportive environments. Additionally, reducing current stress and providing treatment for those in need could enable recovery and increase the efficacy of resilience factors already present.

摘要

韧性因素对于难民青年积极适应的重要性已得到广泛认可。然而,其实际影响机制仍有待研究。因此,本研究旨在探讨保护和促进韧性的机制,以为未来的干预和政策提供信息。促进韧性被视为直接的主要影响因素,而保护韧性则被视为调节因素。这是一项针对最近在挪威重新安置的 13 至 24 岁叙利亚青年的横断面研究。回归和调节分析用于探索不同的相互作用,包括使用 SPSS 的 PROCESS 宏进行调节中介分析。促进韧性对健康相关生活质量(HRQoL)和一般心理困扰有直接的主要影响,但对创伤后应激障碍(PTSD)没有调节作用。保护韧性没有调节作用。后迁移压力源中介了战争和逃亡期间潜在创伤事件(PTE)的影响,这种间接影响存在于所有韧性水平。尽管风险暴露和精神困扰较高,但韧性也很高。针对多种因素的广泛韧性干预措施可能会使该群体受益,但这些干预措施应包括个人资产和建立支持性环境。此外,减轻当前的压力并为有需要的人提供治疗,可以促进恢复并提高现有韧性因素的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92d5/8494783/ab6a6d935124/fpubh-09-711451-g0001.jpg

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