PDF(Pubmed)
Abstract：
Researchers have documented multiple stressors and mental health problems along the journey of refugees as they are displaced to seek refuge in nearby and remote host countries. This article examines published research on Syrian refugees to propose a framework to conceptualize Syrian refugees\' pre- and post-stressors and their collective impact on their mental health. The proposed framework provides a comprehensive understanding of the interconnected pathways between pre-displacement stressors, post-displacement stressors, and mental health outcomes for Syrian refugees. Pre-displacement stressors are best captured by the concept of trauma centrality and emotional suppression. Post-displacement stressors, categorized under financial, political, and social themes, have a direct impact on the mental health of the refugees, but could also play a partial mediating role on the impact of pre-displacement stressors on mental health. The framework suggests a direct pathway between the experience of war-related traumatic events and mental health and introduces the country of residence as a potential moderator of the severity of mental health. The latter is primarily influenced by local policies and the host communities\' acceptance of refugees. We believe that the proposed framework can guide the work of researchers, policymakers, and practitioners concerned with the mental health and well-being of Syrian refugees. Additionally, although based on the experience of Syrian refugees, it presents a holistic perspective that could be adapted in other refugee settings.
摘要：
研究人员记录了难民旅途中的多种压力源和心理健康问题，因为他们流离失所，在附近和偏远的东道国寻求庇护。本文研究了已发表的有关叙利亚难民的研究，以提出一个框架来概念化叙利亚难民的前和后压力源及其对其心理健康的集体影响。拟议的框架提供了对位移前压力源之间相互联系的途径的全面理解，位移后压力源，以及叙利亚难民的心理健康结果。位移前的压力源最好通过创伤中心性和情绪抑制的概念来捕获。位移后的压力源，归类为金融，政治,和社会主题，对难民的心理健康有直接影响，但也可能对流离失所前压力源对心理健康的影响起部分中介作用。该框架提出了与战争有关的创伤事件的经历与心理健康之间的直接途径，并介绍了居住国作为心理健康严重程度的潜在调节者。后者主要受到当地政策和收容社区对难民的接纳的影响。我们认为，提出的框架可以指导研究人员的工作，政策制定者，以及关注叙利亚难民心理健康和福祉的从业者。此外,尽管根据叙利亚难民的经验，它提出了一个可以在其他难民环境中适应的整体观点。
