Department of Psychiatry and Legal Medicine, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Department of Psychiatry and Mental Health, Universidade Federal Fluminense, Rio de Janeiro, Brazil.
Stress Health. 2023 Dec;39(5):956-976. doi: 10.1002/smi.3242. Epub 2023 Mar 29.
Until the third trimester of 2022, 103 million people worldwide had been forced to leave their homes and become refugees. The traumatic experiences of refugees can lead not only to mental disorders but also to Posttraumatic Growth (PTG). (1) To find the variables positively and negatively associated with PTG in refugees. (2) To investigate the relationship between PTG and Posttraumatic Stress Disorder (PTSD) among refugees. We systematically searched Medline, Web of Knowledge, PsycInfo, Scopus, and PTSD Pubs for studies about PTG in refugees. Epidemiological studies using the Posttraumatic Growth Inventory. Grey literature, reviews, and meta-analysis. Risk of bias was assessed by the 'The Joanna Briggs Institute Prevalence Critical Appraisal Tool'. We included 24 studies investigating PTG and associated factors. The factors positively associated with PTG were social support, regular migration status, religiosity, satisfaction with life, time, and problem-focussed and emotion-focussed coping. The factors negatively associated with PTG were: irregular migration status, emotional suppression, and avoidance coping. Studies on PTG in refugees are essential to finding new ways to address mental health in this field. Few studies offered risk of bias, particularly regarding the sample selection. We conclude that PTG may be influenced by many factors and it would be of importance that the centres for support, as well as public policies, took that into account to foster the outcome and not only to focus on disease. This study was partially supported by CAPES and registered on PROSPERO (CRD42020215607).
截至 2022 年第三季度，全球有 1.03 亿人被迫背井离乡，成为难民。难民的创伤经历不仅会导致精神障碍，还会导致创伤后成长（PTG）。（1）寻找与难民的创伤后成长相关的积极和消极变量。（2）调查难民中创伤后应激障碍（PTSD）与创伤后成长之间的关系。我们系统地检索了 Medline、Web of Knowledge、PsycInfo、Scopus 和 PTSD Pubs 中有关难民创伤后成长的研究。使用创伤后成长量表进行的流行病学研究。灰色文献、综述和荟萃分析。使用“乔安娜·布里格斯研究所流行Critical Appraisal 工具”评估偏倚风险。我们纳入了 24 项研究，调查了创伤后成长和相关因素。与创伤后成长呈正相关的因素有社会支持、定期移民身份、宗教信仰、生活满意度、时间以及问题和情绪聚焦应对。与创伤后成长呈负相关的因素有：非正规移民身份、情绪压抑和回避应对。研究难民的创伤后成长对于寻找该领域心理健康的新方法至关重要。很少有研究存在偏倚风险，特别是在样本选择方面。我们的结论是，PTG 可能受到许多因素的影响，因此，支持中心以及公共政策应该考虑到这一点，以促进结果的实现，而不仅仅是关注疾病本身。本研究得到了 CAPES 的部分支持，并在 PROSPERO（CRD42020215607）上注册。
