Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees

Aust N Z J Psychiatry. 2006 Feb;40(2):179-87. doi: 10.1080/j.1440-1614.2006.01766.x.

Abstract

Objective: This paper explores the impact of pre-migration trauma, post-migration living difficulties and social support on the current mental health of 63 resettled Sudanese refugees.

Method: A semistructured interview including questionnaires assessing sociodemographic information, pre-migration trauma, anxiety, depression and posttraumatic stress, post-migration living difficulties and perceived social support were administered assisted by a bilingual community worker.

Results: Resettled refugees from Sudan evidenced a history of trauma. Less than 5% met criteria for posttraumatic stress but 25% reported clinically high levels of psychological distress. The results indicate that social support--particularly perceived social support from the migrant's ethnic community--play a significant role in predicting mental health outcomes. Pre-migration trauma, family status and gender were also associated with mental health outcomes.

Conclusions: Refugees in Australia may constitute a particularly vulnerable group in terms of mental health outcomes. Culturally specific sequelae in terms of social isolation and acculturation may be particularly problematic for these migrants.

MeSH terms

  • Adaptation, Psychological*
  • Adjustment Disorders / diagnosis
  • Adjustment Disorders / ethnology*
  • Adjustment Disorders / etiology
  • Adult
  • Anxiety / diagnosis
  • Anxiety / ethnology
  • Australia / epidemiology
  • Culture
  • Demography
  • Depression / diagnosis
  • Depression / ethnology
  • Diagnostic and Statistical Manual of Mental Disorders
  • Emigration and Immigration*
  • Female
  • Humans
  • Interview, Psychological
  • Life Change Events*
  • Male
  • Predictive Value of Tests
  • Refugees / psychology*
  • Refugees / statistics & numerical data*
  • Severity of Illness Index
  • Social Isolation
  • Social Support*
  • Stress Disorders, Post-Traumatic / diagnosis
  • Stress Disorders, Post-Traumatic / ethnology*
  • Stress Disorders, Post-Traumatic / psychology*
  • Sudan / ethnology
  • Surveys and Questionnaires