Trajectories of psychosocial symptoms and wellbeing in asylum seekers and refugees exposed to traumatic events and resettled in Western Europe, Turkey, and Uganda
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Trajectories of psychosocial symptoms and wellbeing in asylum seekers and refugees exposed to traumatic events and resettled in Western Europe, Turkey, and Uganda. / Purgato, Marianna; Tedeschi, Federico; Turrini, Giulia; Acarturk, Ceren; Anttila, Minna; Augustinavicious, Jura; Baumgartner, Josef; Bryant, Richard; Churchill, Rachel; Ilkkursun, Zeynep; Karyotaki, Eirini; Klein, Thomas; Koesters, Markus; Lantta, Tella; Leku, Marx R.; Nose, Michela; Ostuzzi, Giovanni; Popa, Mariana; Prina, Eleonora; Sijbrandij, Marit; Uygun, Ersin; Valimaki, Maritta; Walker, Lauren; Wancata, Johannes; White, Ross G.; Cuijpers, Pim; Tol, Wietse; Barbui, Corrado.
In: European Journal of Psychotraumatology, Vol. 13, No. 2, 2128270, 2022.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Trajectories of psychosocial symptoms and wellbeing in asylum seekers and refugees exposed to traumatic events and resettled in Western Europe, Turkey, and Uganda
AU - Purgato, Marianna
AU - Tedeschi, Federico
AU - Turrini, Giulia
AU - Acarturk, Ceren
AU - Anttila, Minna
AU - Augustinavicious, Jura
AU - Baumgartner, Josef
AU - Bryant, Richard
AU - Churchill, Rachel
AU - Ilkkursun, Zeynep
AU - Karyotaki, Eirini
AU - Klein, Thomas
AU - Koesters, Markus
AU - Lantta, Tella
AU - Leku, Marx R.
AU - Nose, Michela
AU - Ostuzzi, Giovanni
AU - Popa, Mariana
AU - Prina, Eleonora
AU - Sijbrandij, Marit
AU - Uygun, Ersin
AU - Valimaki, Maritta
AU - Walker, Lauren
AU - Wancata, Johannes
AU - White, Ross G.
AU - Cuijpers, Pim
AU - Tol, Wietse
AU - Barbui, Corrado
PY - 2022
Y1 - 2022
N2 - Background: Longitudinal studies examining mental health trajectories in refugees and asylum seekers are scarce. Objectives: To investigate trajectories of psychological symptoms and wellbeing in refugees and asylum seekers, and identify factors associated with these trajectories. Method: 912 asylum seekers and refugees from the control arm of three trials in Europe (n = 229), Turkey (n = 320), and Uganda (n = 363) were included. We described trajectories of psychological symptoms and wellbeing, and used trauma exposure, age, marital status, education, and individual trial as predictors. Then, we assessed the bidirectional interactions between wellbeing and psychological symptoms, and the effect of each predictor on each outcome controlling for baseline values. Results: Symptom improvement was identified in all trials, and for wellbeing in 64.7% of participants in Europe and Turkey, versus 31.5% in Uganda. In Europe and Turkey domestic violence predicted increased symptoms at post-intervention (ss = 1.36, 95% CI 0.17-2.56), whilst murder of family members at 6-month follow-up (ss = 1.23, 95% CI 0.27-2.19). Lower wellbeing was predicted by murder of family member (ss = -1.69, 95% CI -3.06 to -0.32), having been kidnapped (ss = -1.67, 95% CI -3.19 to -0.15), close to death (ss = -1.38, 95% CI -2.70 to -0.06), and being in the host country >= 2 years (ss = -1.60, 95% CI -3.05 to -0.14). In Uganda at post-intervention, having been kidnapped predicted increased symptoms (ss = 2.11, 95% CI 0.58-3.65), and lack of shelter (ss = -2.51, 95% CI -4.44 to -0.58) and domestic violence predicted lower wellbeing (ss = -1.36, 95% CI -2.67 to -0.05). Conclusion: Many participants adapt to adversity, but contextual factors play a critical role in determining mental health trajectories.
AB - Background: Longitudinal studies examining mental health trajectories in refugees and asylum seekers are scarce. Objectives: To investigate trajectories of psychological symptoms and wellbeing in refugees and asylum seekers, and identify factors associated with these trajectories. Method: 912 asylum seekers and refugees from the control arm of three trials in Europe (n = 229), Turkey (n = 320), and Uganda (n = 363) were included. We described trajectories of psychological symptoms and wellbeing, and used trauma exposure, age, marital status, education, and individual trial as predictors. Then, we assessed the bidirectional interactions between wellbeing and psychological symptoms, and the effect of each predictor on each outcome controlling for baseline values. Results: Symptom improvement was identified in all trials, and for wellbeing in 64.7% of participants in Europe and Turkey, versus 31.5% in Uganda. In Europe and Turkey domestic violence predicted increased symptoms at post-intervention (ss = 1.36, 95% CI 0.17-2.56), whilst murder of family members at 6-month follow-up (ss = 1.23, 95% CI 0.27-2.19). Lower wellbeing was predicted by murder of family member (ss = -1.69, 95% CI -3.06 to -0.32), having been kidnapped (ss = -1.67, 95% CI -3.19 to -0.15), close to death (ss = -1.38, 95% CI -2.70 to -0.06), and being in the host country >= 2 years (ss = -1.60, 95% CI -3.05 to -0.14). In Uganda at post-intervention, having been kidnapped predicted increased symptoms (ss = 2.11, 95% CI 0.58-3.65), and lack of shelter (ss = -2.51, 95% CI -4.44 to -0.58) and domestic violence predicted lower wellbeing (ss = -1.36, 95% CI -2.67 to -0.05). Conclusion: Many participants adapt to adversity, but contextual factors play a critical role in determining mental health trajectories.
KW - Individual participant data analysis
KW - asylum seekers
KW - refugees
KW - psychological symptoms
KW - wellbeing
KW - POSTTRAUMATIC-STRESS-DISORDER
KW - MENTAL-HEALTH
KW - ECOLOGICAL MODEL
KW - SYRIAN REFUGEES
KW - IRAQI REFUGEES
KW - SELF-HELP
KW - MIGRATION
KW - PREVALENCE
KW - DEPRESSION
KW - CONFLICT
U2 - 10.1080/20008066.2022.2128270
DO - 10.1080/20008066.2022.2128270
M3 - Journal article
C2 - 36237827
VL - 13
JO - European Journal of Psychotraumatology
JF - European Journal of Psychotraumatology
SN - 2000-8198
IS - 2
M1 - 2128270
ER -
ID: 322639178