Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 5/2013

01-10-2013 | Original Paper

Effects of Post-migration Factors on PTSD Outcomes Among Immigrant Survivors of Political Violence

Authors: Tracy Chu, Allen S. Keller, Andrew Rasmussen

Published in: Journal of Immigrant and Minority Health | Issue 5/2013

Login to get access

Abstract

This study examined the predictors of posttraumatic stress disorder (PTSD) in a clinical sample of 875 immigrant survivors of political violence resettled in the United States, with a specific aim of comparing the relative predictive power of pre-migration and post-migration experiences. Results from a hierarchical OLS regression indicated that pre-migration experiences such as rape/sexual assault were significantly associated with worse PTSD outcomes, as were post-migration factors such as measures of financial and legal insecurity. Post-migration variables, which included immigration status in the US, explained significantly more variance in PTSD outcomes than premigration variables alone. Discussion focused on the importance of looking at postmigration living conditions when treating trauma in this population.
Literature
1.
go back to reference Keyes EF. Mental health status in refugees: an integrative review of current research. Issues Ment Health Nurs. 2000;21:397–410.PubMedCrossRef Keyes EF. Mental health status in refugees: an integrative review of current research. Issues Ment Health Nurs. 2000;21:397–410.PubMedCrossRef
2.
go back to reference Nicholl C, Thompson A. The psychological treatment of post traumatic stress disorder (PTSD) in adult refugees: a review of the current state of psychological therapies. J Ment Health. 2004;13(4):351–62.CrossRef Nicholl C, Thompson A. The psychological treatment of post traumatic stress disorder (PTSD) in adult refugees: a review of the current state of psychological therapies. J Ment Health. 2004;13(4):351–62.CrossRef
3.
go back to reference Porter M, Haslam N. Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA. 2005;294(5):602–12.PubMedCrossRef Porter M, Haslam N. Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: a meta-analysis. JAMA. 2005;294(5):602–12.PubMedCrossRef
4.
go back to reference de Jong JP, et al. Lifetime events and posttraumatic stress disorder in 4 postconflict settings. JAMA. 2001;286:555–62.PubMedCrossRef de Jong JP, et al. Lifetime events and posttraumatic stress disorder in 4 postconflict settings. JAMA. 2001;286:555–62.PubMedCrossRef
5.
go back to reference Crescenzi A, et al. Effect of political imprisonment and trauma history on recent Tibetan refugees in India. J Trauma Stress. 2002;15(5):369375.CrossRef Crescenzi A, et al. Effect of political imprisonment and trauma history on recent Tibetan refugees in India. J Trauma Stress. 2002;15(5):369375.CrossRef
6.
go back to reference Holtz TH. Refugee trauma versus torture trauma: a retrospective controlled cohort study of Tibetan refugees. J Nerv Ment Dis. 1998;186(1):24–34.PubMedCrossRef Holtz TH. Refugee trauma versus torture trauma: a retrospective controlled cohort study of Tibetan refugees. J Nerv Ment Dis. 1998;186(1):24–34.PubMedCrossRef
7.
go back to reference Shrestha NM, et al. Impact of torture on refugees displaced within the developing world: symptomatology among Bhutanese refugees in Nepal. JAMA. 1998;280:443–8.PubMedCrossRef Shrestha NM, et al. Impact of torture on refugees displaced within the developing world: symptomatology among Bhutanese refugees in Nepal. JAMA. 1998;280:443–8.PubMedCrossRef
8.
go back to reference Tang SS, Fox SH. Traumatic experiences and the mental health of Senegalese refugees. J Nerv Ment Dis. 2001;189(8):507–12.PubMedCrossRef Tang SS, Fox SH. Traumatic experiences and the mental health of Senegalese refugees. J Nerv Ment Dis. 2001;189(8):507–12.PubMedCrossRef
9.
go back to reference Eisenman DP, et al. Mental health and health-related quality of life among adult Latino primary care patients living in the United States with previous exposure to political violence. JAMA. 2003;290(5):627–34.PubMedCrossRef Eisenman DP, et al. Mental health and health-related quality of life among adult Latino primary care patients living in the United States with previous exposure to political violence. JAMA. 2003;290(5):627–34.PubMedCrossRef
10.
go back to reference Fox PG, et al. Depression among immigrant Mexican women and Southeast Asian refugee women in the US. Int J Psychiatr Nurs Res. 2001;7(1):778–92.PubMed Fox PG, et al. Depression among immigrant Mexican women and Southeast Asian refugee women in the US. Int J Psychiatr Nurs Res. 2001;7(1):778–92.PubMed
11.
go back to reference Gerritsen AAM, et al. Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2006;41(1):18–26.PubMedCrossRef Gerritsen AAM, et al. Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2006;41(1):18–26.PubMedCrossRef
12.
go back to reference Keller A, et al. From persecution to prison: the health consequences of detention for asylum seekers. Boston and New York City: Physicians for Human Rights and the Bellevue/NYU Program for Survivors of Torture; 2003. Keller A, et al. From persecution to prison: the health consequences of detention for asylum seekers. Boston and New York City: Physicians for Human Rights and the Bellevue/NYU Program for Survivors of Torture; 2003.
13.
go back to reference Nicholson BL. The influence of pre-emigration and post-emigration stressors on mental health: a study of Southeast Asian refugees. Social Work Res. 1997;21(1):19–31.CrossRef Nicholson BL. The influence of pre-emigration and post-emigration stressors on mental health: a study of Southeast Asian refugees. Social Work Res. 1997;21(1):19–31.CrossRef
14.
go back to reference Robertson CL, et al. Somali and Oromo refugee women: trauma and associated factors. J Adv Nurs. 2006;56(6):577–87.PubMedCrossRef Robertson CL, et al. Somali and Oromo refugee women: trauma and associated factors. J Adv Nurs. 2006;56(6):577–87.PubMedCrossRef
15.
go back to reference Keller A, et al. Traumatic experiences and psychological distress in an urban refugee population seeking treatment services. J Nerv Ment Dis. 2006;194(3):188–94.PubMedCrossRef Keller A, et al. Traumatic experiences and psychological distress in an urban refugee population seeking treatment services. J Nerv Ment Dis. 2006;194(3):188–94.PubMedCrossRef
16.
go back to reference Summerfield D. A critique of seven assumptions behind psychological trauma programmes in war-affected areas. Soc Sci Med. 1999;48:1449–62.PubMedCrossRef Summerfield D. A critique of seven assumptions behind psychological trauma programmes in war-affected areas. Soc Sci Med. 1999;48:1449–62.PubMedCrossRef
17.
go back to reference Knipscheer JW, Kleber RJ. The relative contribution of posttraumatic and acculturative stress to subjective mental health among Bosnian refugees. J Clin Psychol. 2006;62(3):339–53.PubMedCrossRef Knipscheer JW, Kleber RJ. The relative contribution of posttraumatic and acculturative stress to subjective mental health among Bosnian refugees. J Clin Psychol. 2006;62(3):339–53.PubMedCrossRef
18.
go back to reference Hondius AJK, et al. Health problems among Latin-American and Middle-Eastern refugees in the Netherlands: relations with violence exposure and ongoing sociopsychological strain. J Trauma Stress. 2000;13(4):619–34.PubMedCrossRef Hondius AJK, et al. Health problems among Latin-American and Middle-Eastern refugees in the Netherlands: relations with violence exposure and ongoing sociopsychological strain. J Trauma Stress. 2000;13(4):619–34.PubMedCrossRef
19.
go back to reference Eisenbruch M. From post-traumatic stress disorder to cultural bereavement: diagnosis of Southeast Asian refugees. Soc Sci Med. 1991;33(6):673–80.PubMedCrossRef Eisenbruch M. From post-traumatic stress disorder to cultural bereavement: diagnosis of Southeast Asian refugees. Soc Sci Med. 1991;33(6):673–80.PubMedCrossRef
20.
go back to reference Knipscheer JW, Kleber RJ. Help-seeking behavior of West African migrants. J Community Psychol. 2008;36:915–28.CrossRef Knipscheer JW, Kleber RJ. Help-seeking behavior of West African migrants. J Community Psychol. 2008;36:915–28.CrossRef
21.
go back to reference Mollica RF, et al. Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in croatia. JAMA. 1999;282(5):433–9.PubMedCrossRef Mollica RF, et al. Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in croatia. JAMA. 1999;282(5):433–9.PubMedCrossRef
22.
go back to reference Kinzie DJ, Fleck J. Psychotherapy with severely traumatized refugees. Am J Psychother. 1987;41(1):82–95.PubMed Kinzie DJ, Fleck J. Psychotherapy with severely traumatized refugees. Am J Psychother. 1987;41(1):82–95.PubMed
23.
go back to reference Mollica RF, et al. The Harvard Trauma Questionnaire: validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis. 1992;180(2):111–6.PubMedCrossRef Mollica RF, et al. The Harvard Trauma Questionnaire: validating a cross-cultural instrument for measuring torture, trauma, and posttraumatic stress disorder in Indochinese refugees. J Nerv Ment Dis. 1992;180(2):111–6.PubMedCrossRef
24.
go back to reference Kira IA, et al. The effects of torture: two community studies. Peace Confl. 2006;12(3):205–28.CrossRef Kira IA, et al. The effects of torture: two community studies. Peace Confl. 2006;12(3):205–28.CrossRef
25.
go back to reference Jamil H, Nassar-McMillan SC, Lambert RG. Immigration and attendant psychological sequelae: a comparison of three waves of Iraqi immigrants. Am J Orthopsychiatry. 2007;77(2):199–205.PubMedCrossRef Jamil H, Nassar-McMillan SC, Lambert RG. Immigration and attendant psychological sequelae: a comparison of three waves of Iraqi immigrants. Am J Orthopsychiatry. 2007;77(2):199–205.PubMedCrossRef
26.
go back to reference Mollica RF, Caridad KR, Massagli MP. Longitudinal study of posttraumatic stress disorder, depression, and changes in traumatic memories over time in Bosnian refugees. J Nerv Ment Dis. 2007;195(7):572–9.PubMedCrossRef Mollica RF, Caridad KR, Massagli MP. Longitudinal study of posttraumatic stress disorder, depression, and changes in traumatic memories over time in Bosnian refugees. J Nerv Ment Dis. 2007;195(7):572–9.PubMedCrossRef
27.
go back to reference Amon E. The Asylum wars. The American lawyer. 2006. Amon E. The Asylum wars. The American lawyer. 2006.
28.
go back to reference Dueck J, Aida M. HURIDOCS standard formats: a tool for documenting human rights violations. Oslo: Human Rights Information and Documentation Systems International (HURIDOCS); 1993. Dueck J, Aida M. HURIDOCS standard formats: a tool for documenting human rights violations. Oslo: Human Rights Information and Documentation Systems International (HURIDOCS); 1993.
29.
go back to reference Hollifield M, et al. Measuring trauma and health status in refugees: a critical review. JAMA. 2002;288(5):611–21.PubMedCrossRef Hollifield M, et al. Measuring trauma and health status in refugees: a critical review. JAMA. 2002;288(5):611–21.PubMedCrossRef
30.
go back to reference Hooberman JB, et al. Classifying the torture experiences of refugees living in the United States. J Interpers Violence. 2007;22(1):108–23.PubMedCrossRef Hooberman JB, et al. Classifying the torture experiences of refugees living in the United States. J Interpers Violence. 2007;22(1):108–23.PubMedCrossRef
32.
go back to reference Terheggen MA, Stroebe MS, Kleber RJ. Western conceptualizations and Eastern experience: a cross-cultural study of traumatic stress reactions among Tibetan refugees in India. J Trauma Stress. 2001;14(2):391–403.PubMedCrossRef Terheggen MA, Stroebe MS, Kleber RJ. Western conceptualizations and Eastern experience: a cross-cultural study of traumatic stress reactions among Tibetan refugees in India. J Trauma Stress. 2001;14(2):391–403.PubMedCrossRef
33.
34.
go back to reference Oosterhoff P, Zwanikken P, Ketting E. Sexual torture of men in Croatia and other conflict situations: an open secret. Reprod Health Matters. 2004;12(23):68–78.PubMedCrossRef Oosterhoff P, Zwanikken P, Ketting E. Sexual torture of men in Croatia and other conflict situations: an open secret. Reprod Health Matters. 2004;12(23):68–78.PubMedCrossRef
35.
go back to reference Carlsson J, Mortensen E, Kastrup M. Predictors of mental health and quality of life in male tortured refugees. Nord J Psychiatry. 2006;60:51–7.PubMedCrossRef Carlsson J, Mortensen E, Kastrup M. Predictors of mental health and quality of life in male tortured refugees. Nord J Psychiatry. 2006;60:51–7.PubMedCrossRef
36.
go back to reference Gagnon AJ, Tuck J, Barkun L. A systematic review of questionnaires measuring the health of resettling refugee women. Health Care Women Int. 2004;25:111–49.PubMedCrossRef Gagnon AJ, Tuck J, Barkun L. A systematic review of questionnaires measuring the health of resettling refugee women. Health Care Women Int. 2004;25:111–49.PubMedCrossRef
37.
go back to reference Ai AL, Peterson C, Ubelhor D. War-related trauma and symptoms of posttraumatic stress disorder among adult Kosovar refugees. J Trauma Stress. 2002;15(2):157–60.PubMedCrossRef Ai AL, Peterson C, Ubelhor D. War-related trauma and symptoms of posttraumatic stress disorder among adult Kosovar refugees. J Trauma Stress. 2002;15(2):157–60.PubMedCrossRef
38.
go back to reference Kivling-Boden G, Sundbom E. The relationship between post-traumatic symptoms and life in exile in a clinical group of refugees from the former Yugoslavia. Acta Psychiatr Scand. 2002;105:461–8.PubMedCrossRef Kivling-Boden G, Sundbom E. The relationship between post-traumatic symptoms and life in exile in a clinical group of refugees from the former Yugoslavia. Acta Psychiatr Scand. 2002;105:461–8.PubMedCrossRef
Metadata
Title
Effects of Post-migration Factors on PTSD Outcomes Among Immigrant Survivors of Political Violence
Authors
Tracy Chu
Allen S. Keller
Andrew Rasmussen
Publication date
01-10-2013
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 5/2013
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-012-9696-1

Other articles of this Issue 5/2013

Journal of Immigrant and Minority Health 5/2013 Go to the issue