Acta Psychiatrica Scandinavica · 1998 · 327 citations · 24 references
MedicinePsychiatryPsychologyAdult PsychiatryBehavioral HealthTrauma-related DisordersImmigrant HealthMigrant HealthPost-traumatic Stress DisorderRefugee HealthRefugee StudiesAnxiety In Refugee PopulationsAsylum-related Mental HealthDepression In Refugee PopulationsMigrant Mental HealthPost-migration StressPost-migration StressorsTrauma Exposure EffectsTrauma In Immigrant Populations
Little systematic data exist on past trauma, post‑migration difficulties, and psychiatric symptoms among asylum‑seekers who claim refugee status after arrival, unlike pre‑endorsed refugees. The study recruited 62 Tamil asylum‑seekers, authorized refugees, and immigrants in Sydney via personal contact and mail, representing about 60 % of the estimated Tamil asylum‑seeker population. Asylum‑seekers scored significantly higher than immigrants on trauma, anxiety, depression, PTSD, and all post‑migration difficulties, were comparable to refugees on trauma and psychiatric symptoms but had greater stress related to insecure residency, indicating they are a high‑risk group for ongoing post‑migration stress.
Compared to research on displaced persons whose refugee status has been endorsed prior to arriving in Western countries, there is little systematic information available about levels of past trauma, postmigration living difficulties and psychiatric symptoms amongst asylum‐seekers who claim refugee status only after arrival. Asylum‐seekers, authorized refugees and immigrants of Tamil background were recruited by personal contact and mail‐out in Sydney, Australia. A total of 62 subjects, constituting approximately 60% of the estimated pool of Tamil asylum‐seekers, agreed to participate in the study. They returned statistically significantly higher scores than immigrants ( n =104) on measures of past trauma, symptoms of anxiety, depression and post‐traumatic stress, and on all dimensions of postmigration difficulties. Asylum‐seekers did not differ from refugees ( n =30) on measures of past trauma or psychiatric symptoms, but they scored higher on selective components of postmigration stress relating to difficulties associated with their insecure residency status. Although limited by sampling and diagnostic constraints, the present study suggests that asylum‐seekers may be a high‐risk group in relation to ongoing stress in the postmigration period.
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Statistical Power Analysis for the Behavioral Sciences
Keith E. Muller, Jacob Cohen · Technometrics · 1989 · 83.9K citations