Challenging future, challenging past: the relationship of social integration and psychological impairment in traumatized refugees
Open accessAbstract
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.
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Post-migration living difficulties (PMLDs) are predictive of mental health problems.
“post-migration living difficulties (PMLDs) are also predictive of mental health problems [8–11]”
From A brief transdiagnostic psychological intervention for Afghan asylum seekers and refugees in Austria: A randomized controlled trial (2020) · cites this paper as [10]
The Post-Migration Living Difficulties checklist has previously been used in Arabic-speaking refugees.
“This scale has previously been used in Arabic-speaking refugees [52].”
From Effectiveness of a brief group behavioral intervention for common mental disorders in Syrian refugees in Jordan: a randomized controlled trial (2022) · cites this paper as [52]
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- Authors
- Schick, M., Zumwald, A., Knöpfli, B., Nickerson, A., Bryant, R. A., Schnyder, U., Müller, J., & Morina, N.
- Affiliations
- University of Zurich (CH)
- Faculty of Medicine, University of Zurich, Zurich, Switzerland
- University of Bern (CH)
- UNSW Sydney (AU)
- Kantonsspital Münsterlingen (CH)
- Corresponding author
- Schick, Matthis
- Venue
- European Journal of Psychotraumatology
- Publisher
- Informa UK Limited
- Published
- 2016-02-12
- Volume
- 7
- Issue
- 1
- Pages
- 28057-28057
- ISSN
- 2000-8066 (ISSN-L)
- PMC
- PMC4756625
- OpenAlex
- W2262007362
- Cited by
- 233
- References
- 61
- Citations by year
- 2026: 18 · 2025: 34 · 2024: 23 · 2023: 23 · 2022: 24 · 2021: 36 · 2020: 33 · 2019: 11 · 2018: 15 · 2017: 7 · 2016: 7
- FWCI
- 17.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- European Journal of Psychotraumatology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich)
- Figshare (cc-by)
- Funders
- Parrotia-Stiftung
- National Health and Medical Research Council
- National Medical Research Council
- Topics
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Social Sciences › Sociology and Political Science › Migration, Refugees, and Integration
- Social Sciences › Sociology and Political Science › Migration and Exile Studies
- Keywords
- refugees, social integration, psychological impairment, post-migration living difficulties, post-traumatic stress disorder, comorbid symptoms, host society integration, mental health
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