Profiles of exposure to potentially traumatic events in refugees living in Australia.
Epidemiol Psychiatr Sci
; 30: e18, 2021 Feb 26.
Article
en En
| MEDLINE
| ID: mdl-33632368
ABSTRACT
AIMS:
Refugees and asylum-seekers are typically exposed to multiple potentially traumatic events (PTEs) in the context of war, persecution and displacement, which confer elevated risk for psychopathology. There are significant limitations, however, in extant approaches to measuring these experiences in refugees. The current study aimed to identify profiles of PTE exposure, and the associations between these profiles and key demographics, contextual factors (including ongoing stressors, method of travel to Australia and separation from family), mental health and social outcomes, in a large sample of refugees resettled in Australia.METHODS:
Participants were 1085 from Arabic, Farsi, Tamil and English-speaking refugee backgrounds who completed an online or pen-and-paper survey in their own language. Constructs measured included PTE exposure, demographics, pre-displacement factors, ongoing stressors, post-traumatic stress disorder symptoms, depression symptoms, anger reactions, plans of suicide and social engagement.RESULTS:
Latent class analysis identified four profiles of PTE exposure, including the torture and pervasive trauma class, the violence exposure class, the deprivation exposure class and the low exposure class. Compared to the low exposure class, participants in the trauma-exposed classes were more likely to be male, highly educated, from Farsi and Tamil-speaking backgrounds, have travelled to Australia by boat, experience more ongoing stressors and report both greater psychological symptoms and social engagement.CONCLUSIONS:
This study found evidence for four distinct profiles of PTE exposure in a large sample of resettled refugees, and that these were associated with different demographic, psychological and social characteristics. These findings suggest that person-centred approaches represent an important potential avenue for investigation of PTE exposure in refugees, particularly with respect to identifying subgroups of refugees who may benefit from different types or levels of intervention according to their pre-migration PTE experiences.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Refugiados
/
Trastornos por Estrés Postraumático
/
Depresión
/
Exposición a la Violencia
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Adolescent
/
Adult
/
Female
/
Humans
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Epidemiol Psychiatr Sci
Año:
2021
Tipo del documento:
Article
País de afiliación:
Australia