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Schick M, Zumwald A, Knöpfli B, et al. Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees. Eur J Psychotraumatol. 2016;7:28057doi: 10.3402/ejpt.v7.28057.
Schick, M., Zumwald, A., Knöpfli, B., Nickerson, A., Bryant, R. A., Schnyder, U., Müller, J., & Morina, N. (2016). Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees. European journal of psychotraumatology, 728057. https://doi.org/10.3402/ejpt.v7.28057
Schick, Matthis, et al. "Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees." European journal of psychotraumatology vol. 7 (2016): 28057. doi: https://doi.org/10.3402/ejpt.v7.28057
Schick M, Zumwald A, Knöpfli B, Nickerson A, Bryant RA, Schnyder U, Müller J, Morina N. Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees. Eur J Psychotraumatol. 2016 Feb 12;7:28057. doi: 10.3402/ejpt.v7.28057. eCollection 2016. PMID: 26886484; PMCID: PMC4756625.
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Eur J Psychotraumatol. 2016 Feb 12;7:28057. doi: 10.3402/ejpt.v7.28057. eCollection 2016.

Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees.

European journal of psychotraumatology

Matthis Schick, Andre Zumwald, Bina Knöpfli, Angela Nickerson, Richard A Bryant, Ulrich Schnyder, Julia Müller, Naser Morina

Affiliations

  1. Department of Psychiatry and Psychotherapy, University Hospital Zürich, Zürich, Switzerland.
  2. Faculty of Medicine, University of Zurich, Zurich, Switzerland; [email protected].
  3. Faculty of Medicine, University of Zurich, Zurich, Switzerland.
  4. Outpatient Clinic for Victims of Torture and War, Swiss Red Cross, Bern, Switzerland.
  5. Department of Psychology, University of Bern, Bern, Switzerland.
  6. School of Psychology, University of New South Wales, Sydney, NSW, Australia.
  7. Psychiatric Services Thurgau, Münsterlingen, Switzerland.

PMID: 26886484 PMCID: PMC4756625 DOI: 10.3402/ejpt.v7.28057

Abstract

BACKGROUND: Refugees have been shown to present high prevalence rates of trauma-related mental disorders. Despite their psychological impairment, they are expected to meet high functional requirements in terms of social integration into, and financial independence from, the host society.

METHODS: This cross-sectional study examined the relationship of mental health problems, post-migration living difficulties (PMLD), and social integration in a sample of 104 refugees seeking treatment for severe posttraumatic stress and comorbid symptoms in two outpatient clinics in Switzerland.

RESULTS: Despite an average time of residence in Switzerland of over 10 years, participants showed poor integration and a high number of PMLD. Integration difficulties were closely associated with psychological symptoms, but not with socio-demographic parameters such as education or visa status.

CONCLUSIONS: Psychological impairment in treatment-seeking traumatized refugees is associated with poor integration. To foster social integration, it is crucial to better understand and address the specific needs of this highly vulnerable population.

Keywords: Integration; PTSD; mental health; migration; post-migration living difficulties; posttraumatic stress; refugees

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