The DOI matches its Crossref record; 61 of the 61 references it cites were found in a registry or an index.
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 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]
In the citing paper
“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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Cites
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2013) · doi:10.1176/appi.books.9780890425596 · Cited by 116,369
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392
Cross-Validation of Item Selection and Scoring for the SF-12 Health Survey in Nine Countries
Gandek, B., Ware, J. E., Aaronson, N. K., Apolone, G., Bjorner, J. B., Brazier, J. E., Bullinger, M., Kaasa, S., Leplege, A., Prieto, L., et al. (1998) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(98)00109-7 · Cited by 2,907 · cited 1×
“Health-related quality of life and functional impairment were measured using the physical and mental component score of the 12-item Medical Outcomes Study-Short Form (SF-12; Gandek et al., 1998; Ware, Kosinski, & Keller, 1996).”
MethodFoa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997) · Psychological Assessment · doi:10.1037/1040-3590.9.4.445 · Cited by 2,709
Fazel, M., Wheeler, J., & Danesh, J. (2005) · The Lancet · doi:10.1016/s0140-6736(05)61027-6 · Cited by 2,292
Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009) · JAMA · doi:10.1001/jama.2009.1132 · Cited by 2,246 · cited 2×
“These findings are in line with many studies on traumatized refugees demonstrating the relationship of ongoing psychological impairment and overextending post-migration living conditions, even if formal safety is achieved (Bogic et al., 2012; Laban et al., 2005; Silove et al., 1997).”
MethodResultSelf-citationPorter, M., & Haslam, N. (2005) · JAMA · doi:10.1001/jama.294.5.602 · Cited by 1,793 · cited 1×
“…and discrimination experience have been shown to contribute to psychological distress and to the incidence of mental disorders (Laban, Gernaat, Komproe, Van der Tweel, & De Jong, 2005; Nickerson, Bryant, Brooks, et al., 2011; Nickerson, Bryant, Steel, Silove, & Brooks, 2010; Porter & Haslam, 2005).”
BackgroundThe Impact of Medical Interpreter Services on the Quality of Health Care: A Systematic Review
Flores, G. (2005) · Medical Care Research and Review · doi:10.1177/1077558705275416 · Cited by 1,676 · cited 1×
“…Journal of Psychotraumatology 2016, 7: 28057 - http://dx.doi.org/10.3402/ejpt.v7.28057 higher readmission rates (Divi, Koss, Schmaltz, & Loeb, 2007; Flores, 2005; Karliner, Jacobs, Chen, & Mutha, 2007; Lindholm, Hargraves, Ferguson, & Reed, 2012; NgoMetzger et al., 2007; Ribera, Hausmann-Muela,…”
InfluentialMollica, R. F., Caspi-Yavin, Y., Bollini, P., Truong, T., Tor, S., & Lavelle, J. (1992) · PubMed · Cited by 1,551
Karliner, L., Jacobs, E. A., Chen, A. H., & Mutha, S. (2006) · Health Services Research · doi:10.1111/j.1475-6773.2006.00629.x · Cited by 1,538
Flagged first, then by citations
Research works printed but not linked: 3
- Foa E.B, 1996, Posttraumatic diagnostic scale manual
- Ribera J.M., Hausmann-Muela S., Grietens K.P., Toomer E. Is the use of interpreters in medical consultations justified? A critical review of the literature. 2008. Retrieved December 30, 2015, from http://www.tvgent.be/downloads/interpretersinmedicalconsulations.acriticalrev.pdf.
- Schauer M., 2005, Narrative Exposure Therapy (NET). A short-term intervention for traumatic stress disorders
Cited by
Sorted by citations
Items 201–232 of 232
Миграционные потоки: транскультуральные аспекты психического здоровья (обзор зарубежной литературы)
Bokhan, N. A., Куприянова, И. Е., Дашиева, Б. А., & Эрнстовна, П. О. (2023) · Сибирский вестник психиатрии и наркологии · doi:10.26617/1810-3111-2023-2(119)-78-85
Eder, L. L., Martin, A., Hapfelmeier, G., & Walg, M. (2024) · Adolescents · doi:10.3390/adolescents4010003
“Traumatic experiences and post-flight stressors such as lengthy asylum-seeking procedures and insecure residency status have impacts on the socio-economic integration of refugees [73], and symptoms of psychiatric disorders are closely associated with difficulties with social integration [74].”
BackgroundAeschlimann, A., Heim, E., Killikelly, C., Mahmoud, N., Haji, F., Stoeckli, R. T., Aebersold, M., Thoma, M. V., & Maercker, A. R. A. (2024) · SSRN Electronic Journal · doi:10.2139/ssrn.4995408
Traumatic Exposure and PTSD Symptoms in a Sample From a Tertiary Pain Clinic
Åkerblom, S., Nordin, L., & Zhao, X. (2025) · Pain Practice · doi:10.1111/papr.70049
“Factors such as unemployment, family separation, and ongoing conflict in their countries of origin further impact their mental health [49].”
Adaptação transcultural do instrumento Refugee Health Screener - 15 para o português brasileiro
Chierici, D. K., & Hamdan, A. C. (2025) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232025305.13702023
Transcultural adaptation of the Refugee Health Screener - 15 to Brazilian Portuguese
Chierici, D. K., & Hamdan, A. C. (2025) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232025305.13702023en
Stabilization interventions in the treatment of traumatized refugees: A scoping review
Rzepka, I., Gebhardt, N., Nowak, J., Bruns, B., Friederich, H., & Nikendei, C. (2025) · Cambridge Prisms Global Mental Health · doi:10.1017/gmh.2025.10028 · Cited by 1
“Moreover, in refugee populations, mental health impairments are closely associated with integration difficulties (Schick et al., 2016).”
Ranjbar, H. A., Elazab, K., Yiğit, İ., Almeamari, F., Acartürk, C., Kurt, G., Turan, J. M., Pala, A. N., & Turan, B. (2025) · BMJ Global Health · doi:10.1136/bmjgh-2024-017276
Applicability and effectiveness of group EMDR therapy for forced migrants
Chauliac, N., Vignaud, P., Butet, C., Gautheron, M., Salome, G., Salles, L., Galia, P., & Prieto, N. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2583875
Stoeckli, R. T., Zoellner, V., Haji, F., Aebersold, M., Burchert, S., Wabiszczewicz, J., Knaevelsrud, C., Heim, E., & Berger, T. (2025) · Journal of Migration and Health · doi:10.1016/j.jmh.2025.100379
“Social factors have been shown to be strongly associated with health-related QOL (Correa-Velez et al., 2020; Haj-Younes et al., 2020; Schick et al., 2016; van der Boor et al., 2020).”
Tembo, M. J. (2025) · Søkelys på arbeidslivet · doi:10.18261/spa.42.3.4
Potter, F., Zehb, M., Dohrmann, K., Müller-Bamouh, V., Rockstroh, B. S., & Crombach, A. (2024) · Figshare · doi:10.6084/m9.figshare.26603806
Knappe, F., Filippou, K., Hatzigeorgiadis, A., Μωρρές, Ι., Ludyga, S., Seelig, H., Tzormpatzakis, E., Havas, E., Theodorakis, Y., von Känel, R., et al. (2024) · Figshare · doi:10.6084/m9.figshare.27012367
Nowak, A. C., Nutsch, N., Brake, T.-M., Gehrlein, L.-M., & Razum, O. (2023) · Figshare · doi:10.6084/m9.figshare.23632663
Drescher, A., Kiselev, N., Akhtar, A., Acarturk, C., Bryant, R. A., İlkkurşun, Z., von Känel, R., Miller, K. E., Pfaltz, M. C., Schick, M., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14411134
Self-citationSpaaij, J., Fuhr, D. C., Akhtar, A., Casanova, L., Klein, T., Schick, M., Weilenmann, S., Roberts, B., & Morina, N. (2023) · Figshare · doi:10.6084/m9.figshare.22826932
Self-citationSpaaij, J., Fuhr, D. C., Akhtar, A., Casanova, L., Klein, T., Schick, M., Weilenmann, S., Roberts, B., & Morina, N. (2023) · Figshare · doi:10.6084/m9.figshare.22826929
Self-citationGröne, N., Morina, N., & König, A. (2025) · Springer eBooks · doi:10.1007/978-3-658-49252-6_6
Self-citationVicarious trauma and secondary traumatic stress experiences of helping professionals
Attia, M., Tang, S., Sune, L., & Wu, K.-I. (2026) · International Journal of Migration Health and Social Care · doi:10.1108/ijmhsc-08-2024-0088 · Cited by 1
Potter, F., Richter, A., Dohrmann, K., & Crombach, A. (2026) · BMC Psychiatry · doi:10.1186/s12888-025-07716-0
“Research has shown a well-established connection between social isolation and refugees [4, 20, 27, 29, 31, 54].”
Influential“What If This Happiness Doesn’t Last Forever?”: Stressors Faced by Racialized SOGIE Refugees
Sadri, M., Travers, R., Valiant, C., Coulombe, S., Tse, S., Murugan, A. A., & Coleman, T. (2025) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2025-018
Maciaszek, J., Zimny, A., Podgórski, P., Machaj, W., Alejnikowa, J., Dybek, A., Błoch, M., & Misiak, B. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1717949
Sima, Y. T., Strømme, E. M., Lunde, A., & Diaz, E. (2026) · International Journal for Equity in Health · doi:10.1186/s12939-026-02837-8
“Previous research has demonstrated strong links between health difficulties and challenges in integration [5, 13, 16, 17].”
InfluentialSocial Norms and Trust Levels among Refugees and Swiss Natives : A Behavioral Economics Approach
Baumgartner, S. (2024) · theses.fr (ABES) · doi:10.51363/unifr.eth.2024.018
Lane, R., Taylor, H., Melzak, S., Rushworth, I., Beigi, M., & Chiu, K. (2026) · Transcultural Psychiatry · doi:10.1177/13634615261435699
“Ongoing mental health dif fi culties have been associated with challenges with social integration and belonging among refugees with PTSD in previous research (Schick et al., 2016).”
Al‐Hamad, A., Yasin, Y. M., Metersky, K., El-Masri, M., Al-Saadi, R., & Guruge, S. (2026) · Societies · doi:10.3390/soc16070205
Why do Canadians host refugees? A sequential explanatory mixed-methods study protocol
Al‐Hamad, A., Yasin, Y. M., Metersky, K., Karimi, A., Guruge, S., El-Masri, M., & Al-Saadi, R. (2026) · PLoS ONE · doi:10.1371/journal.pone.0353551
Nolan, E., Coronato, Z. V., Fiet, A. V. S., Wind, T. R., & de la Rie, S. M. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2026.1890660
“The PMLP has been used internationally in refugee research, with initial studies among Tamil and Iraqi refugees providing evidence for construct validity and positive associations between PMLP domains and psychopathology (28 – 30).”
Dasen, L., Kurath, J., Strock, B., Weinreich, K. J., Spaaij, J., Schick, M., Nickerson, A., Bryant, R. A., & Morina, N. (2026) · Journal of Traumatic Stress · doi:10.1002/jts.70110
“The measure included 10 items, with Items 9 and 10 (“loneliness, boredom, or iso-lation”) merged in line with previous adaptations for the Swiss context (Schick et al., 2016).”
Self-citationTheoretical and Conceptual Approaches to Migration and Mental Health
Atul Kumar Dnyaan Prasad Global University, Alimardanova, R., Sapaev, G. B., Rakhimova, S., Kuzibayevich, H. U., & Ismailov, A. (2026) · IGI Global eBooks · doi:10.4018/979-8-3373-8882-3.ch003
Gray, N., Watanabe, O. V., & Khindurangala, S. (2026) · International Journal of Healthcare Management · doi:10.1080/20479700.2026.2741687
Alözkan, C., Cuijpers, P. J., Mittendorfer‐Rutz, E., Akhtar, A., Bryant, R. A., Dawson, K. S., Abraham, M. M., Makhous, J., Safar, Z., Vasylieva, S., et al. (2026) · BJPsych Open · doi:10.1192/bjo.2026.12122
“32,34 While previous PM+ studies have demonstrated benefits even in highly adversity-exposed populations, 12 – 14 future research should investigate which specific stressors are most strongly associated with intervention outcomes and whether additional practical or social support may further…”
Self-citation
Metadata
- 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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