Mental health of unaccompanied refugee minors in Greece living "in limbo".

Q3 Medicine Psychiatrike = Psychiatriki Pub Date : 2022-04-27 DOI:10.22365/jpsych.2022.074
I. Giannopoulou, Lida Mourloukou, V. Efstathiou, A. Douzenis, P. Ferentinos
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引用次数: 1

Abstract

The closure of the Balkan migration route in 2016, had implications for unaccompanied refugee minors (URMs), given that the vast majority, who perceived Greece as "stopover" for their desired final destination, were forced to remain in the country for an indeterminate period of time. This created for URMs a challenging situation of living "in limbo" uncertain about their future awaiting for a long time the outcome of their asylum application. This cross-sectional study aimed to explore the mental health of URMs, who arrived in Greece in 2016. The sample comprised 90 URMs (76 boys), aged 13-17 years, consisting of 46 Syrians and 44 originating from other countries. Participants completed socio-demographic information and a range of clinical measures, including Children's Revised Impact of Events Scale (CRIES), Depression Self-Rating Scale (DSRS), Children's Post-Traumatic Cognitions Inventory (cPTCI), a measure of trauma exposure and perceived social support. Syrian URMs were significantly more likely than URMs originating from other countries to score within the probable clinical depression range (71.7% versus 47.7% respectively, p=0.020), to display probable posttraumatic stress disorder (PTSD), i.e., score within clinically significant range of posttraumatic stress symptoms and negative post-trauma cognitions (87% versus 65.9%, p=0.018), and meet the comorbidity PTSD/depression criterion (65.2% versus 40.9%, p=0.021). Multiple linear stepwise regression analyses showed that legal status (seeking asylum in Europe through family reunification procedure) significantly predicted higher levels of depressive symptoms (β=0.29, p=0.004), posttraumatic stress symptoms (β=0.21, p=0.034) and negative cognitions (β=0.33, p=0.001). The total number of stressful/traumatic experiences and male gender were found to be significantly related only with posttraumatic symptoms severity score (β=0.29, p=0.003), whereas lower levels of perceived social support were associated with increased levels of depressive symptoms (β=0.24, p=0.018) and negative cognitions and appraisals of the world and the self (β=0.26, p=0.008). These findings highlight the burden of living "in limbo" situation and add weight to the argument for amending restrictive EU asylum policies and accelerating the family reunification procedure under Dublin-III Regulation, as well as the pressing need for improved URMs access to mental health services and psychosocial support.
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生活在"不确定状态"的希腊无人陪伴未成年难民的心理健康。
2016年巴尔干移民路线的关闭对无人陪伴的未成年难民(urm)产生了影响,因为绝大多数人认为希腊是他们理想的最终目的地的“中转站”,他们被迫在该国停留一段不确定的时间。这给难民带来了一种生活“不确定”的挑战,不确定他们的未来,等待他们的庇护申请的结果很长时间。这项横断面研究旨在探讨2016年抵达希腊的urm的心理健康状况。样本包括90名urm(76名男孩),年龄13-17岁,包括46名叙利亚人和44名来自其他国家。参与者完成了社会人口统计信息和一系列临床测量,包括儿童修订事件影响量表(哭泣),抑郁自评量表(DSRS),儿童创伤后认知量表(cPTCI),创伤暴露和感知社会支持的测量。与来自其他国家的urm相比,叙利亚urm更有可能在可能的临床抑郁范围内得分(分别为71.7%对47.7%,p=0.020),更有可能表现出创伤后应激障碍(PTSD),即在创伤后应激症状和创伤后消极认知的临床显著范围内得分(87%对65.9%,p=0.018),更有可能满足PTSD/抑郁共病标准(65.2%对40.9%,p=0.021)。多元线性逐步回归分析显示,合法身份(通过家庭团聚程序在欧洲寻求庇护)显著预测较高水平的抑郁症状(β=0.29, p=0.004)、创伤后应激症状(β=0.21, p=0.034)和消极认知(β=0.33, p=0.001)。压力/创伤经历总数和男性性别仅与创伤后症状严重程度评分显著相关(β=0.29, p=0.003),而感知社会支持水平较低与抑郁症状(β=0.24, p=0.018)和对世界和自我的负面认知和评价水平升高相关(β=0.26, p=0.008)。这些调查结果突出了生活在"不确定"状况中的负担,并加强了修改限制性欧盟庇护政策和根据《都柏林条例iii》加快家庭团聚程序的论点,以及迫切需要改善难民难民获得精神卫生服务和社会心理支持的机会。
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来源期刊
Psychiatrike = Psychiatriki
Psychiatrike = Psychiatriki Medicine-Medicine (all)
CiteScore
2.60
自引率
0.00%
发文量
37
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