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The impact of the refugee decision on the trajectory of PTSD, anxiety, and depressive symptoms among asylum seekers: a longitudinal study.
Am J Disaster Med. 2007 Nov-Dec; 2(6):321-9.AJ

Abstract

OBJECTIVE

To examine prospectively the trajectory of trauma-related psychiatric symptoms and disability amongst asylum seekers over the course of the refugee determination process. To identify the direct impact of the refugee decision on psychiatric symptoms by adjusting for other variables, namely sociodemographic characteristics, past trauma, and ongoing postmigration stresses.

DESIGN

A prospective cohort study of asylum seekers recruited from a random sample of immigration agents in Sydney, Australia.

SETTING

Consecutive asylum seekers were referred for interview by immigration agents. Interviews were undertaken after the initial application and on average, 3.8 months after the refugee decision.

MEASURES

Measures assessed premigration trauma and postmigration stressors. Mental health status was assessed using the Harvard Trauma Questionnaire and the Hopkins Symptom Checklist-25. Functional impairment was assessed with the Medical Outcomes Study-Short Form 12.

RESULTS

Sixty-two of 73 asylum seekers were retained at follow-up. The accepted (16) and rejected (46) groups did not differ on premigration trauma or baseline psychiatric symptoms. Postdecision, the accepted group showed substantial improvements in posttraumatic stress disorder, anxiety, depression, and in mental health functioning, whereas the rejected group maintained high levels of symptoms on all psychiatric indices.

CONCLUSIONS

Establishing secure residency status for asylum seekers may be important to their recovery from trauma-related psychiatric symptoms. The practical and theoretical implications are discussed.

Authors+Show Affiliations

School of Psychiatry, University of New South Wales and Centre for Population Mental Health Research, Sydney South West Area Health Service, Australia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18297952

Citation

Silove, Derrick, et al. "The Impact of the Refugee Decision On the Trajectory of PTSD, Anxiety, and Depressive Symptoms Among Asylum Seekers: a Longitudinal Study." American Journal of Disaster Medicine, vol. 2, no. 6, 2007, pp. 321-9.
Silove D, Steel Z, Susljik I, et al. The impact of the refugee decision on the trajectory of PTSD, anxiety, and depressive symptoms among asylum seekers: a longitudinal study. Am J Disaster Med. 2007;2(6):321-9.
Silove, D., Steel, Z., Susljik, I., Frommer, N., Loneragan, C., Chey, T., Brooks, R., le Touze, D., Ceollo, M., Smith, M., Harris, E., & Bryant, R. (2007). The impact of the refugee decision on the trajectory of PTSD, anxiety, and depressive symptoms among asylum seekers: a longitudinal study. American Journal of Disaster Medicine, 2(6), 321-9.
Silove D, et al. The Impact of the Refugee Decision On the Trajectory of PTSD, Anxiety, and Depressive Symptoms Among Asylum Seekers: a Longitudinal Study. Am J Disaster Med. 2007 Nov-Dec;2(6):321-9. PubMed PMID: 18297952.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of the refugee decision on the trajectory of PTSD, anxiety, and depressive symptoms among asylum seekers: a longitudinal study. AU - Silove,Derrick, AU - Steel,Zachary, AU - Susljik,Ina, AU - Frommer,Naomi, AU - Loneragan,Celia, AU - Chey,Tien, AU - Brooks,Robert, AU - le Touze,Dominique, AU - Ceollo,Mariano, AU - Smith,Mitchell, AU - Harris,Elizabeth, AU - Bryant,Richard, PY - 2008/2/27/pubmed PY - 2008/4/2/medline PY - 2008/2/27/entrez SP - 321 EP - 9 JF - American journal of disaster medicine JO - Am J Disaster Med VL - 2 IS - 6 N2 - OBJECTIVE: To examine prospectively the trajectory of trauma-related psychiatric symptoms and disability amongst asylum seekers over the course of the refugee determination process. To identify the direct impact of the refugee decision on psychiatric symptoms by adjusting for other variables, namely sociodemographic characteristics, past trauma, and ongoing postmigration stresses. DESIGN: A prospective cohort study of asylum seekers recruited from a random sample of immigration agents in Sydney, Australia. SETTING: Consecutive asylum seekers were referred for interview by immigration agents. Interviews were undertaken after the initial application and on average, 3.8 months after the refugee decision. MEASURES: Measures assessed premigration trauma and postmigration stressors. Mental health status was assessed using the Harvard Trauma Questionnaire and the Hopkins Symptom Checklist-25. Functional impairment was assessed with the Medical Outcomes Study-Short Form 12. RESULTS: Sixty-two of 73 asylum seekers were retained at follow-up. The accepted (16) and rejected (46) groups did not differ on premigration trauma or baseline psychiatric symptoms. Postdecision, the accepted group showed substantial improvements in posttraumatic stress disorder, anxiety, depression, and in mental health functioning, whereas the rejected group maintained high levels of symptoms on all psychiatric indices. CONCLUSIONS: Establishing secure residency status for asylum seekers may be important to their recovery from trauma-related psychiatric symptoms. The practical and theoretical implications are discussed. SN - 1932-149X UR - https://www.unboundmedicine.com/medline/citation/18297952/The_impact_of_the_refugee_decision_on_the_trajectory_of_PTSD_anxiety_and_depressive_symptoms_among_asylum_seekers:_a_longitudinal_study_ L2 - http://www.diseaseinfosearch.org/result/7698 DB - PRIME DP - Unbound Medicine ER -