Publication:
Trajectories of psychosocial symptoms and wellbeing in asylum seekers and refugees exposed to traumatic events and resettled in Western Europe, Turkey, and Uganda

dc.contributor.coauthorPurgato, Marianna
dc.contributor.coauthorTedeschi, Federico
dc.contributor.coauthorTurrini, Giulia
dc.contributor.coauthorAnttila, Minna
dc.contributor.coauthorAugustinavicious, Jura
dc.contributor.coauthorBaumgartner, Josef
dc.contributor.coauthorBryant, Richard
dc.contributor.coauthorChurchill, Rachel
dc.contributor.coauthorKaryotaki, Eirini
dc.contributor.coauthorKlein, Thomas
dc.contributor.coauthorKoesters, Markus
dc.contributor.coauthorLantta, Tella
dc.contributor.coauthorLeku, Marx R.
dc.contributor.coauthorNose, Michela
dc.contributor.coauthorOstuzzi, Giovanni
dc.contributor.coauthorPopa, Mariana
dc.contributor.coauthorPrina, Eleonora
dc.contributor.coauthorSijbrandij, Marit
dc.contributor.coauthorUygun, Ersin
dc.contributor.coauthorValimaki, Maritta
dc.contributor.coauthorWalker, Lauren
dc.contributor.coauthorWancata, Johannes
dc.contributor.coauthorWhite, Ross G.
dc.contributor.coauthorCuijpers, Pim
dc.contributor.coauthorTol, Wietse
dc.contributor.coauthorBarbui, Corrado
dc.contributor.departmentDepartment of Psychology
dc.contributor.departmentGraduate School of Social Sciences and Humanities
dc.contributor.kuauthorİlkkurşun, Zeynep
dc.contributor.kuauthorAcartürk, Ceren
dc.contributor.schoolcollegeinstituteCollege of Social Sciences and Humanities
dc.contributor.schoolcollegeinstituteGRADUATE SCHOOL OF SOCIAL SCIENCES AND HUMANITIES
dc.date.accessioned2024-11-09T13:25:46Z
dc.date.issued2022
dc.description.abstractBackground: 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. / Antecedentes: estudios longitudinales que examinan las trayectorias de la salud mental en losrefugiados y solicitantes de asilo son escasos. Objetivos: investigar las trayectorias de los síntomas psicológicos y el bienestar en refugiadosy solicitantes de asilo, e identificar factores asociados a estas trayectorias.Métodos:Se incluyeron 912 solicitantes de asilos y refugiados del brazo control de tresensayos clínicos en Europa (n= 229), Turquía (n= 320) y Uganda (n= 363). Describimos las trayectorias psicológicas de los síntomas y el bienestar, y utilizamos la exposición traumática, laedad, el estado marital, la educación y el juicio individual como predictores. Después,evaluamos las interacciones bidireccionales entre el bienestar y los síntomas psicológicos, yel efecto de cada uno de los predictores en cada resultado controlando por los valores iniciales.Resultados: se identificó una mejoría en los síntomas en todos los ensayos, y del bienestar en el64.7% de los participantes en Europa y Turquía, versus el 31.5% en Uganda. En Europa y en Turquía,la violencia doméstica predijo el incremento de síntomas de después de la intervención (ß= 1.36,95% CI 0.17 a 2.56), mientras que el homicidio de algún miembro familiar a los 6 meses deseguimiento (ß= 1.23, 95% CI 0.27 a 2.19). Un menor bienestar fue predicho por el homicidio dealgún miembro de la familia (ß=?1.69, 95% CI?3.06 a?0.32), haber sido secuestrado (ß=?1.67, 95% CI?3.19 a?0.15), haber estado próximo a la muerte (ß=?1.38, 95% CI?2.70 a?0.06), y estar en el país de acogida?2años(ß=?1.60, 95% CI?3.05 a?0.14). En Uganda,después de la intervención, haber sido secuestrado predijo un aumento de los síntomas(ß=2.11, 95% CI 0.58 a 3.65), y la falta de refugio (ß=?2.51, 95% CI?4.44 a?0.58) y laviolencia doméstica predijo un menor bienestar (ß=?1.36, 95% CI?2.67 a?0.05).Conclusión: muchos participantes se adaptan a la adversidad, pero los factores contextualesjuegan un papel crítico en determinar las trayectorias de la salud mental.
dc.description.fulltextYES
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue1
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuEU
dc.description.sponsorshipEuropean Union (EU)
dc.description.sponsorshipHorizon 2020
dc.description.sponsorshipEuropean Commission (EC)
dc.description.sponsorshipRE-DEFINE: Refugee Emergency DEFining and Implementing Novel Evidence-based psycho-social Interventions
dc.description.versionPublisher version
dc.description.volume13
dc.identifier.doi10.1080/20008066.2022.2128270
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR04060
dc.identifier.issn2149-9934
dc.identifier.quartileN/A
dc.identifier.urihttps://doi.org/10.1080/20008066.2022.2128270
dc.identifier.wos864521300007
dc.keywordsIndividual participant data analysis
dc.keywordsAsylum seekers
dc.keywordsRefugees
dc.keywordsPsychological symptoms
dc.keywordsWellbeing / Análisis de datos departicipantes individuales
dc.keywordsSolicitantes de asilo
dc.keywordsRefugiados
dc.keywordsSíntomaspsicológicos
dc.keywordsBienestar
dc.language.isoeng
dc.publisherTaylor _ Francis
dc.relation.grantno779255
dc.relation.ispartofJournal of Emergency Medicine Case Reports
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/10938
dc.subjectPsychology, clinical
dc.subjectPsychiatry
dc.titleTrajectories of psychosocial symptoms and wellbeing in asylum seekers and refugees exposed to traumatic events and resettled in Western Europe, Turkey, and Uganda
dc.title.alternativeTrayectorias de síntomas psicosociales y bienestar en personas que solicitan asilo y refugiados expuestos a eventos traumáticos y reasentados en Europa Occidental, Turquía y Uganda
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAcartürk, Zeynep Ceren
local.contributor.kuauthorİlkkurşun, Zeynep
local.publication.orgunit1College of Social Sciences and Humanities
local.publication.orgunit1GRADUATE SCHOOL OF SOCIAL SCIENCES AND HUMANITIES
local.publication.orgunit2Department of Psychology
local.publication.orgunit2Graduate School of Social Sciences and Humanities
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