Coping in Limbo? The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process

被引:10
|
作者
Solberg, Oivind [1 ,2 ]
Sengoelge, Mathilde [1 ]
Nissen, Alexander [1 ,3 ]
Saboonchi, Fredrik [1 ,4 ]
机构
[1] Red Cross Univ Coll, Dept Hlth Sci, S-14121 Huddinge, Sweden
[2] Norwegian Ctr Violence & Traumat Stress Studies, Div Implementat & Treatment Res, N-0484 Oslo, Norway
[3] Norwegian Ctr Violence & Traumat Stress Studies, Div Forced Migrat & Refugee Hlth, N-0484 Oslo, Norway
[4] Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, S-17177 Stockholm, Sweden
基金
瑞典研究理事会;
关键词
asylum seekers; coping; stressors; mental well-being; perceived discrimination; family conflicts; MENTAL-HEALTH; DISCRIMINATION; REFUGEES; RESILIENCE; EXPERIENCE; AVOIDANCE; EXPOSURE; MODEL;
D O I
10.3390/ijerph18031004
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Asylum seekers are faced with high levels of post-migratory stress due to uncertainty and uncontrollability of the application process, resulting in higher levels of mental health problems. Little is known about the coping strategies utilized by asylum seekers in this context. Structural equation modeling and the stepwise modeling approach were utilized on cross-sectional data from a cohort of asylum seekers in Sweden (N = 455) to examine whether adaptive coping in the form of problem-focused and cognitive-based coping would buffer the impact of post-migratory stressors by moderating the relationship between the stressors and well-being. Fit indices showed good to excellent fit of the final model that regressed well-being on selected post-migratory stressors and coping (CFI = 0.964, RMSEA = 0.043 (90% CI = 0.035-0.051), SRMR = 0.044). Well-being was negatively and significantly regressed on both perceived discrimination (B = -0.42, SE = 0.11, p < 0.001) and distressing family conflicts (B = -0.16, SE = 0.07, p = 0.037), and positively and significantly regressed on cognitive restructuring (B = 0.71, SE = 0.33, p = 0.030). There was, however, no evidence that coping strategies modified the adverse associations between the two post-migratory stressors and well-being. Interventions and policies should prioritize improving contextual factors inherent in the asylum-seeking process in order to reduce stress and enable coping.
引用
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页码:1 / 16
页数:16
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