Acculturation and Post-Migration Psychological Symptoms Among Iraqi Refugees: A Path Analysis

Joseph W. LeMaster, Carissa L. Broadbridge, Mark A. Lumley, Judith E. Arnetz, Cynthia Arfken, Michael D. Fetters, Hikmet Jamil, Nnamdi Pole, Bengt B. Arnetz

Research output: Contribution to journalArticle

Abstract

Refugees frequently experience symptoms of posttraumatic stress and depression, which impede their acculturation in the new host country where they are resettling. There are few longitudinal studies investigating predictors of mental health and acculturation during the early postmigration period. We conducted a longitudinal study of 298 Iraqi refugees, assessing them upon arrival to the U.S. and 1 year after migration. Premigration trauma was associated with increased PTSD and depressive symptoms at baseline, and with decreased acculturation 1 year later. Resilience was associated with depressive symptoms at 1-year follow-up, but not with other resettlement outcomes (PTSD symptoms, English-language skills, or acculturation). PTSD and depressive symptoms at baseline predicted the same symptoms at 1-year follow-up, but not any other resettlement outcomes. The number of chronic diseases at baseline predicted worse PTSD and depressive symptoms, acculturation, and English language skills at 1-year follow up. Postmigratory exposure to daily stressors and less social support predicted worse 1-year outcomes. Results suggest that interventions that aim to improve mental health and promote acculturation among refugees should assess their history of trauma, chronic disorders, and psychological symptoms soon after migration, and promptly provide opportunities for social support. (PsycINFO Database Record

Original languageEnglish (US)
JournalAmerican Journal of Orthopsychiatry
DOIs
StateAccepted/In press - Mar 2 2017

Profile

Acculturation
Refugees
Psychology
Depression
Post-Traumatic Stress Disorders
Depressive symptoms
Social Support
Longitudinal Studies
Mental Health
Wounds and Injuries
Psychological
Longitudinal study
Social support
Mental health
Language skills
Trauma
Resettlement
Chronic Disease
Chronic disease
Predictors

Keywords

  • Acculturation
  • Mental health
  • Refugees
  • Structural equation models

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Psychology (miscellaneous)
  • Psychiatry and Mental health

Cite this

Acculturation and Post-Migration Psychological Symptoms Among Iraqi Refugees : A Path Analysis. / LeMaster, Joseph W.; Broadbridge, Carissa L.; Lumley, Mark A.; Arnetz, Judith E.; Arfken, Cynthia; Fetters, Michael D.; Jamil, Hikmet; Pole, Nnamdi; Arnetz, Bengt B.

In: American Journal of Orthopsychiatry, 02.03.2017.

Research output: Contribution to journalArticle

LeMaster JW, Broadbridge CL, Lumley MA, Arnetz JE, Arfken C, Fetters MD et al. Acculturation and Post-Migration Psychological Symptoms Among Iraqi Refugees: A Path Analysis. American Journal of Orthopsychiatry. 2017 Mar 2. Available from, DOI: 10.1037/ort0000240

LeMaster, Joseph W.; Broadbridge, Carissa L.; Lumley, Mark A.; Arnetz, Judith E.; Arfken, Cynthia; Fetters, Michael D.; Jamil, Hikmet; Pole, Nnamdi; Arnetz, Bengt B. / Acculturation and Post-Migration Psychological Symptoms Among Iraqi Refugees : A Path Analysis.

In: American Journal of Orthopsychiatry, 02.03.2017.

Research output: Contribution to journalArticle

@article{b88ddebf0a6d463c9c45db77b7fcb47b,
title = "Acculturation and Post-Migration Psychological Symptoms Among Iraqi Refugees: A Path Analysis",
abstract = "Refugees frequently experience symptoms of posttraumatic stress and depression, which impede their acculturation in the new host country where they are resettling. There are few longitudinal studies investigating predictors of mental health and acculturation during the early postmigration period. We conducted a longitudinal study of 298 Iraqi refugees, assessing them upon arrival to the U.S. and 1 year after migration. Premigration trauma was associated with increased PTSD and depressive symptoms at baseline, and with decreased acculturation 1 year later. Resilience was associated with depressive symptoms at 1-year follow-up, but not with other resettlement outcomes (PTSD symptoms, English-language skills, or acculturation). PTSD and depressive symptoms at baseline predicted the same symptoms at 1-year follow-up, but not any other resettlement outcomes. The number of chronic diseases at baseline predicted worse PTSD and depressive symptoms, acculturation, and English language skills at 1-year follow up. Postmigratory exposure to daily stressors and less social support predicted worse 1-year outcomes. Results suggest that interventions that aim to improve mental health and promote acculturation among refugees should assess their history of trauma, chronic disorders, and psychological symptoms soon after migration, and promptly provide opportunities for social support. (PsycINFO Database Record",
keywords = "Acculturation, Mental health, Refugees, Structural equation models",
author = "LeMaster, {Joseph W.} and Broadbridge, {Carissa L.} and Lumley, {Mark A.} and Arnetz, {Judith E.} and Cynthia Arfken and Fetters, {Michael D.} and Hikmet Jamil and Nnamdi Pole and Arnetz, {Bengt B.}",
year = "2017",
month = "3",
doi = "10.1037/ort0000240",
journal = "American Journal of Orthopsychiatry",
issn = "0002-9432",
publisher = "American Orthopsychiatric Association Inc.",

}

TY - JOUR

T1 - Acculturation and Post-Migration Psychological Symptoms Among Iraqi Refugees

T2 - American Journal of Orthopsychiatry

AU - LeMaster,Joseph W.

AU - Broadbridge,Carissa L.

AU - Lumley,Mark A.

AU - Arnetz,Judith E.

AU - Arfken,Cynthia

AU - Fetters,Michael D.

AU - Jamil,Hikmet

AU - Pole,Nnamdi

AU - Arnetz,Bengt B.

PY - 2017/3/2

Y1 - 2017/3/2

N2 - Refugees frequently experience symptoms of posttraumatic stress and depression, which impede their acculturation in the new host country where they are resettling. There are few longitudinal studies investigating predictors of mental health and acculturation during the early postmigration period. We conducted a longitudinal study of 298 Iraqi refugees, assessing them upon arrival to the U.S. and 1 year after migration. Premigration trauma was associated with increased PTSD and depressive symptoms at baseline, and with decreased acculturation 1 year later. Resilience was associated with depressive symptoms at 1-year follow-up, but not with other resettlement outcomes (PTSD symptoms, English-language skills, or acculturation). PTSD and depressive symptoms at baseline predicted the same symptoms at 1-year follow-up, but not any other resettlement outcomes. The number of chronic diseases at baseline predicted worse PTSD and depressive symptoms, acculturation, and English language skills at 1-year follow up. Postmigratory exposure to daily stressors and less social support predicted worse 1-year outcomes. Results suggest that interventions that aim to improve mental health and promote acculturation among refugees should assess their history of trauma, chronic disorders, and psychological symptoms soon after migration, and promptly provide opportunities for social support. (PsycINFO Database Record

AB - Refugees frequently experience symptoms of posttraumatic stress and depression, which impede their acculturation in the new host country where they are resettling. There are few longitudinal studies investigating predictors of mental health and acculturation during the early postmigration period. We conducted a longitudinal study of 298 Iraqi refugees, assessing them upon arrival to the U.S. and 1 year after migration. Premigration trauma was associated with increased PTSD and depressive symptoms at baseline, and with decreased acculturation 1 year later. Resilience was associated with depressive symptoms at 1-year follow-up, but not with other resettlement outcomes (PTSD symptoms, English-language skills, or acculturation). PTSD and depressive symptoms at baseline predicted the same symptoms at 1-year follow-up, but not any other resettlement outcomes. The number of chronic diseases at baseline predicted worse PTSD and depressive symptoms, acculturation, and English language skills at 1-year follow up. Postmigratory exposure to daily stressors and less social support predicted worse 1-year outcomes. Results suggest that interventions that aim to improve mental health and promote acculturation among refugees should assess their history of trauma, chronic disorders, and psychological symptoms soon after migration, and promptly provide opportunities for social support. (PsycINFO Database Record

KW - Acculturation

KW - Mental health

KW - Refugees

KW - Structural equation models

UR - http://www.scopus.com/inward/record.url?scp=85014119075&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85014119075&partnerID=8YFLogxK

U2 - 10.1037/ort0000240

DO - 10.1037/ort0000240

M3 - Article

JO - American Journal of Orthopsychiatry

JF - American Journal of Orthopsychiatry

SN - 0002-9432

ER -