Mental health of newly arrived Burmese refugees in Australia: contributions of pre-migration and post-migration experience
Objective: This study documents the mental health status of people from Burmese refugee backgrounds recently arrived in Australia, then examines the contributions of gender, pre-migration and post-migration factors in predicting mental health. Method: Structured interviews, including a demographic q...
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| Veröffentlicht in: | Australian and New Zealand journal of psychiatry 2011-04, Vol.45 (4), p.299-307 |
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| container_title | Australian and New Zealand journal of psychiatry |
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| creator | Schweitzer, Robert D. Brough, Mark Vromans, Lyn Asic-Kobe, Mary |
| description | Objective: This study documents the mental health status of people from Burmese refugee backgrounds recently arrived in Australia, then examines the contributions of gender, pre-migration and post-migration factors in predicting mental health.
Method: Structured interviews, including a demographic questionnaire, the Harvard Trauma Questionnaire, the Post-migration Living Difficulties Checklist and Hopkins Symptom Checklist assessed pre-migration trauma, post-migration living difficulties, depression, anxiety, somatization and traumatization symptoms in a sample of 70 adults across five Burmese ethnic groups.
Results: Substantial proportions of participants reported psychological distress in symptomatic ranges including: post-traumatic stress disorder (9%), anxiety (20%) and depression (36%), as well as significant symptoms of somatization (37%). Participants reported multiple and severe pre-migration traumas. Post-migration living difficulties of greatest concern included communication problems and worry about family not in Australia. Gender did not predict mental health. Level of exposure to traumatic events and post-migration living difficulties each made unique and relatively equal contributions to traumatization symptoms. Post-migration living difficulties made unique contributions to depression, anxiety and somatization symptoms.
Conclusions: While exposure to traumatic events impacted on participants’ mental well-being, post-migration living difficulties had greater salience in predicting mental health outcomes of people from Burmese refugee backgrounds. Reported rates of post-traumatic stress disorder symptoms were consistent with a large review of adults across seven western countries. High levels of somatization point to a nuanced expression of distress. Findings have implications for service provision in terms of implementing appropriate interventions to effectively meet the needs of this newly arrived group in Australia. |
| doi_str_mv | 10.3109/00048674.2010.543412 |
| format | Article |
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Method: Structured interviews, including a demographic questionnaire, the Harvard Trauma Questionnaire, the Post-migration Living Difficulties Checklist and Hopkins Symptom Checklist assessed pre-migration trauma, post-migration living difficulties, depression, anxiety, somatization and traumatization symptoms in a sample of 70 adults across five Burmese ethnic groups.
Results: Substantial proportions of participants reported psychological distress in symptomatic ranges including: post-traumatic stress disorder (9%), anxiety (20%) and depression (36%), as well as significant symptoms of somatization (37%). Participants reported multiple and severe pre-migration traumas. Post-migration living difficulties of greatest concern included communication problems and worry about family not in Australia. Gender did not predict mental health. Level of exposure to traumatic events and post-migration living difficulties each made unique and relatively equal contributions to traumatization symptoms. Post-migration living difficulties made unique contributions to depression, anxiety and somatization symptoms.
Conclusions: While exposure to traumatic events impacted on participants’ mental well-being, post-migration living difficulties had greater salience in predicting mental health outcomes of people from Burmese refugee backgrounds. Reported rates of post-traumatic stress disorder symptoms were consistent with a large review of adults across seven western countries. High levels of somatization point to a nuanced expression of distress. Findings have implications for service provision in terms of implementing appropriate interventions to effectively meet the needs of this newly arrived group in Australia.</description><identifier>ISSN: 0004-8674</identifier><identifier>EISSN: 1440-1614</identifier><identifier>DOI: 10.3109/00048674.2010.543412</identifier><identifier>PMID: 21303193</identifier><identifier>CODEN: ANZPBQ</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Anxiety ; Asians ; Australia - epidemiology ; Australia: Social conditions ; Biological and medical sciences ; Depression (Psychological) ; Emigration and Immigration - statistics & numerical data ; Evaluation ; Female ; Harvard Trauma Questionnaire ; Hopkins Symptom Checklist ; Humans ; Male ; Medical sciences ; Mental Disorders - epidemiology ; Mental Disorders - ethnology ; Mental illness ; Middle Aged ; Miscellaneous ; Myanmar - ethnology ; Post-migration Living Difficulties Checklist ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Refugees ; Refugees - psychology ; Socioeconomic Factors ; Somatization ; Statistics ; Stress (Psychological) ; Surveys ; Wounds and Injuries - epidemiology</subject><ispartof>Australian and New Zealand journal of psychiatry, 2011-04, Vol.45 (4), p.299-307</ispartof><rights>2011 The Royal Australian and New Zealand College of Psychiatrists</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c519t-df6ada16680e95dd27af83f48d5e1ac5af2b549595763704f2891f8b6049c0ca3</citedby><cites>FETCH-LOGICAL-c519t-df6ada16680e95dd27af83f48d5e1ac5af2b549595763704f2891f8b6049c0ca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.3109/00048674.2010.543412$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.3109/00048674.2010.543412$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23968487$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21303193$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schweitzer, Robert D.</creatorcontrib><creatorcontrib>Brough, Mark</creatorcontrib><creatorcontrib>Vromans, Lyn</creatorcontrib><creatorcontrib>Asic-Kobe, Mary</creatorcontrib><title>Mental health of newly arrived Burmese refugees in Australia: contributions of pre-migration and post-migration experience</title><title>Australian and New Zealand journal of psychiatry</title><addtitle>Aust N Z J Psychiatry</addtitle><description>Objective: This study documents the mental health status of people from Burmese refugee backgrounds recently arrived in Australia, then examines the contributions of gender, pre-migration and post-migration factors in predicting mental health.
Method: Structured interviews, including a demographic questionnaire, the Harvard Trauma Questionnaire, the Post-migration Living Difficulties Checklist and Hopkins Symptom Checklist assessed pre-migration trauma, post-migration living difficulties, depression, anxiety, somatization and traumatization symptoms in a sample of 70 adults across five Burmese ethnic groups.
Results: Substantial proportions of participants reported psychological distress in symptomatic ranges including: post-traumatic stress disorder (9%), anxiety (20%) and depression (36%), as well as significant symptoms of somatization (37%). Participants reported multiple and severe pre-migration traumas. Post-migration living difficulties of greatest concern included communication problems and worry about family not in Australia. Gender did not predict mental health. Level of exposure to traumatic events and post-migration living difficulties each made unique and relatively equal contributions to traumatization symptoms. Post-migration living difficulties made unique contributions to depression, anxiety and somatization symptoms.
Conclusions: While exposure to traumatic events impacted on participants’ mental well-being, post-migration living difficulties had greater salience in predicting mental health outcomes of people from Burmese refugee backgrounds. Reported rates of post-traumatic stress disorder symptoms were consistent with a large review of adults across seven western countries. High levels of somatization point to a nuanced expression of distress. Findings have implications for service provision in terms of implementing appropriate interventions to effectively meet the needs of this newly arrived group in Australia.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anxiety</subject><subject>Asians</subject><subject>Australia - epidemiology</subject><subject>Australia: Social conditions</subject><subject>Biological and medical sciences</subject><subject>Depression (Psychological)</subject><subject>Emigration and Immigration - statistics & numerical data</subject><subject>Evaluation</subject><subject>Female</subject><subject>Harvard Trauma Questionnaire</subject><subject>Hopkins Symptom Checklist</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - ethnology</subject><subject>Mental illness</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Myanmar - ethnology</subject><subject>Post-migration Living Difficulties Checklist</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Refugees</subject><subject>Refugees - psychology</subject><subject>Socioeconomic Factors</subject><subject>Somatization</subject><subject>Statistics</subject><subject>Stress (Psychological)</subject><subject>Surveys</subject><subject>Wounds and Injuries - epidemiology</subject><issn>0004-8674</issn><issn>1440-1614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE9v1DAUxC0EokvhGyDkC-KUYsd2_nArFaWVirjA2XprP--6SuxgO0D59CTdLXDjZGn8mxm9IeQlZ2eCs_4tY0x2TSvParZISgrJ60dkw6VkFW-4fEw2K1KtzAl5lvMtY1xw1T4lJzUXTPBebMivTxgKDHSPMJQ9jY4G_DHcUUjJf0dL389pxIw0oZt3iJn6QM_nXBIMHt5RE0NJfjsXH0Ne3VPCavS7BKtCIVg6xVz-kfDnhMljMPicPHEwZHxxfE_J18sPXy6uqpvPH68vzm8qo3hfKusasMCbpmPYK2vrFlwnnOysQg5Ggau3SvaqV20jWiZd3fXcdduGyd4wA-KUvDnkTil-mzEXPfpscBggYJyz7lTbcdmydiHlgTQp5rycrKfkR0h3mjO9jq4fRtfr6Pow-mJ7dSyYtyPaP6aHlRfg9RGAbGBwCYLx-S8n-qaT3drPD1yGHerbOKewDPO_8suDJ42-aJjAFb0vZcraQgHtg4v3PzHttI3-PkzwRnscFniN4qztZSN-A2Bdsmk</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>Schweitzer, Robert D.</creator><creator>Brough, Mark</creator><creator>Vromans, Lyn</creator><creator>Asic-Kobe, Mary</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110401</creationdate><title>Mental health of newly arrived Burmese refugees in Australia: contributions of pre-migration and post-migration experience</title><author>Schweitzer, Robert D. ; Brough, Mark ; Vromans, Lyn ; Asic-Kobe, Mary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c519t-df6ada16680e95dd27af83f48d5e1ac5af2b549595763704f2891f8b6049c0ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anxiety</topic><topic>Asians</topic><topic>Australia - epidemiology</topic><topic>Australia: Social conditions</topic><topic>Biological and medical sciences</topic><topic>Depression (Psychological)</topic><topic>Emigration and Immigration - statistics & numerical data</topic><topic>Evaluation</topic><topic>Female</topic><topic>Harvard Trauma Questionnaire</topic><topic>Hopkins Symptom Checklist</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - epidemiology</topic><topic>Mental Disorders - ethnology</topic><topic>Mental illness</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Myanmar - ethnology</topic><topic>Post-migration Living Difficulties Checklist</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Refugees</topic><topic>Refugees - psychology</topic><topic>Socioeconomic Factors</topic><topic>Somatization</topic><topic>Statistics</topic><topic>Stress (Psychological)</topic><topic>Surveys</topic><topic>Wounds and Injuries - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schweitzer, Robert D.</creatorcontrib><creatorcontrib>Brough, Mark</creatorcontrib><creatorcontrib>Vromans, Lyn</creatorcontrib><creatorcontrib>Asic-Kobe, Mary</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Australian and New Zealand journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schweitzer, Robert D.</au><au>Brough, Mark</au><au>Vromans, Lyn</au><au>Asic-Kobe, Mary</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mental health of newly arrived Burmese refugees in Australia: contributions of pre-migration and post-migration experience</atitle><jtitle>Australian and New Zealand journal of psychiatry</jtitle><addtitle>Aust N Z J Psychiatry</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>45</volume><issue>4</issue><spage>299</spage><epage>307</epage><pages>299-307</pages><issn>0004-8674</issn><eissn>1440-1614</eissn><coden>ANZPBQ</coden><abstract>Objective: This study documents the mental health status of people from Burmese refugee backgrounds recently arrived in Australia, then examines the contributions of gender, pre-migration and post-migration factors in predicting mental health.
Method: Structured interviews, including a demographic questionnaire, the Harvard Trauma Questionnaire, the Post-migration Living Difficulties Checklist and Hopkins Symptom Checklist assessed pre-migration trauma, post-migration living difficulties, depression, anxiety, somatization and traumatization symptoms in a sample of 70 adults across five Burmese ethnic groups.
Results: Substantial proportions of participants reported psychological distress in symptomatic ranges including: post-traumatic stress disorder (9%), anxiety (20%) and depression (36%), as well as significant symptoms of somatization (37%). Participants reported multiple and severe pre-migration traumas. Post-migration living difficulties of greatest concern included communication problems and worry about family not in Australia. Gender did not predict mental health. Level of exposure to traumatic events and post-migration living difficulties each made unique and relatively equal contributions to traumatization symptoms. Post-migration living difficulties made unique contributions to depression, anxiety and somatization symptoms.
Conclusions: While exposure to traumatic events impacted on participants’ mental well-being, post-migration living difficulties had greater salience in predicting mental health outcomes of people from Burmese refugee backgrounds. Reported rates of post-traumatic stress disorder symptoms were consistent with a large review of adults across seven western countries. High levels of somatization point to a nuanced expression of distress. Findings have implications for service provision in terms of implementing appropriate interventions to effectively meet the needs of this newly arrived group in Australia.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21303193</pmid><doi>10.3109/00048674.2010.543412</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Adult and adolescent clinical studies Aged Aged, 80 and over Anxiety Asians Australia - epidemiology Australia: Social conditions Biological and medical sciences Depression (Psychological) Emigration and Immigration - statistics & numerical data Evaluation Female Harvard Trauma Questionnaire Hopkins Symptom Checklist Humans Male Medical sciences Mental Disorders - epidemiology Mental Disorders - ethnology Mental illness Middle Aged Miscellaneous Myanmar - ethnology Post-migration Living Difficulties Checklist Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Refugees Refugees - psychology Socioeconomic Factors Somatization Statistics Stress (Psychological) Surveys Wounds and Injuries - epidemiology |
| title | Mental health of newly arrived Burmese refugees in Australia: contributions of pre-migration and post-migration experience |
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