泰米尔寻求庇护者的创伤暴露、移民后应激源以及焦虑、抑郁和创伤后应激症状:与难民和移民的比较

Trauma exposure, postmigration stressors, and symptoms of anxiety, depression and post-traumatic stress in Tamil asylum-seekers: comparison with refugees and immigrants.

作者信息

Silove D, Steel Z, McGorry P, Mohan P

机构信息

Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, Australia.

出版信息

Acta Psychiatr Scand. 1998 Mar;97(3):175-81. doi: 10.1111/j.1600-0447.1998.tb09984.x.

Abstract

Compared to research on displaced persons whose refugee status has been endorsed prior to arriving in Western countries, there is little systematic information available about levels of past trauma, postmigration living difficulties and psychiatric symptoms amongst asylum-seekers who claim refugee status only after arrival. Asylum-seekers, authorized refugees and immigrants of Tamil background were recruited by personal contact and mail-out in Sydney, Australia. A total of 62 subjects, constituting approximately 60% of the estimated pool of Tamil asylum-seekers, agreed to participate in the study. They returned statistically significantly higher scores than immigrants (n = 104) on measures of past trauma, symptoms of anxiety, depression and post-traumatic stress, and on all dimensions of postmigration difficulties. Asylum-seekers did not differ from refugees (n = 30) on measures of past trauma or psychiatric symptoms, but they scored higher on selective components of postmigration stress relating to difficulties associated with their insecure residency status. Although limited by sampling and diagnostic constraints, the present study suggests that asylum-seekers may be a high-risk group in relation to ongoing stress in the postmigration period.

摘要

与对那些在抵达西方国家之前难民身份就已得到认可的流离失所者的研究相比,对于那些仅在抵达后才申请难民身份的寻求庇护者,关于其过去创伤程度、移民后生活困难以及精神症状的系统性信息非常少。在澳大利亚悉尼,通过个人联系和邮寄方式招募了具有泰米尔背景的寻求庇护者、已获授权的难民和移民。共有62名受试者同意参与研究,约占泰米尔寻求庇护者估计总数的60%。在过去创伤、焦虑症状、抑郁症状和创伤后应激的测量方面,以及在移民后困难的所有维度上,他们的得分在统计学上显著高于移民(n = 104)。在过去创伤或精神症状的测量方面,寻求庇护者与难民(n = 30)没有差异,但在与不安全居住身份相关的移民后压力的选择性组成部分上,他们得分更高。尽管受到抽样和诊断限制,本研究表明,在移民后时期持续的压力方面,寻求庇护者可能是一个高风险群体。

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