Abstract：
OBJECTIVE: Latinx immigrants are at risk for migration-related trauma that can lead to posttraumatic stress disorder (PTSD). Among parents in immigrant families with undocumented family member(s) (i.e., mixed-status), risk for PTSD may be exacerbated by policies that threaten family separation and exclude immigrants from systems of support. Understanding these relationships in context is important to equip practitioners to address traumatic stress in this population.
METHODS: Our community-based participatory research (CBPR), mixed-methods study explored migration-related trauma and PTSD among Latinx immigrant parents in a restrictive immigration climate during the COVID-19 pandemic. We conducted 145 surveys with Latinx parents in mixed-status families and conducted multivariable linear analyses to test if immigration policy vulnerability strengthened the relationship between migration-related trauma and PTSD symptoms. Then, we conducted 15 interviews with frontline workers serving Latinx immigrant families to contextualize the relationships between migration-related trauma, immigration-related policies, and PTSD during the COVID-19 pandemic.
RESULTS: Parent surveys revealed was no observed relationship between premigration-related trauma and PTSD symptoms (β = 0.12, p = .15). However, increases in policy vulnerability was associated with PTSD symptoms (β = 0.25, p < .01) and strengthened the relationship between postmigration trauma and PTSD symptoms (β = 0.19, p = .03). Frontline workers described how social isolation due to immigration-related policies worsened under the COVID-19 pandemic and deportation fears remained a constant stressor.
CONCLUSIONS: Results from our CBPR study highlight the need for policies and practices that address compounding effects of migration-related trauma, policy vulnerability, and the COVID-19 pandemic to promote mental health equity among Latinx immigrant families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
METHODS: Our community-based participatory research (CBPR), mixed-methods study explored migration-related trauma and PTSD among Latinx immigrant parents in a restrictive immigration climate during the COVID-19 pandemic. We conducted 145 surveys with Latinx parents in mixed-status families and conducted multivariable linear analyses to test if immigration policy vulnerability strengthened the relationship between migration-related trauma and PTSD symptoms. Then, we conducted 15 interviews with frontline workers serving Latinx immigrant families to contextualize the relationships between migration-related trauma, immigration-related policies, and PTSD during the COVID-19 pandemic.
RESULTS: Parent surveys revealed was no observed relationship between premigration-related trauma and PTSD symptoms (β = 0.12, p = .15). However, increases in policy vulnerability was associated with PTSD symptoms (β = 0.25, p < .01) and strengthened the relationship between postmigration trauma and PTSD symptoms (β = 0.19, p = .03). Frontline workers described how social isolation due to immigration-related policies worsened under the COVID-19 pandemic and deportation fears remained a constant stressor.
CONCLUSIONS: Results from our CBPR study highlight the need for policies and practices that address compounding effects of migration-related trauma, policy vulnerability, and the COVID-19 pandemic to promote mental health equity among Latinx immigrant families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
摘要：
目的：拉丁裔移民面临移民相关创伤的风险，这可能导致创伤后应激障碍（PTSD）。在有无证家庭成员的移民家庭的父母中(即，混合状态)，威胁家庭分离和将移民排除在支持系统之外的政策可能会加剧PTSD的风险。在上下文中理解这些关系对于使从业者解决该人群的创伤压力很重要。
方法：我们基于社区的参与式研究(CBPR)，混合方法研究探讨了在COVID-19大流行期间，在限制性移民环境中，拉丁裔移民父母与移民相关的创伤和创伤后应激障碍。我们对混合状态家庭的Latinx父母进行了145次调查，并进行了多变量线性分析，以测试移民政策脆弱性是否加强了与移民有关的创伤与PTSD症状之间的关系。然后，我们对服务拉丁裔移民家庭的一线工人进行了15次采访，以了解移民相关创伤之间的关系，移民相关政策,和创伤后应激障碍在COVID-19大流行期间。
结果：父母调查显示，迁移前相关创伤与PTSD症状之间没有观察到的关系（β=0.12，p=.15）。然而,政策脆弱性的增加与PTSD症状相关(β=0.25,p<.01),并加强了迁移后创伤与PTSD症状之间的关系(β=0.19,p=.03)。前线工作人员描述了在COVID-19大流行下，与移民相关的政策导致的社会孤立如何恶化，驱逐的恐惧仍然是一个持续的压力源。
结论：我们的CBPR研究结果突出表明，需要制定政策和实践来解决与迁移相关的创伤的复合影响，政策脆弱性，和COVID-19大流行，以促进拉丁裔移民家庭的心理健康平等。（PsycInfo数据库记录（c）2024APA，保留所有权利)。
方法：我们基于社区的参与式研究(CBPR)，混合方法研究探讨了在COVID-19大流行期间，在限制性移民环境中，拉丁裔移民父母与移民相关的创伤和创伤后应激障碍。我们对混合状态家庭的Latinx父母进行了145次调查，并进行了多变量线性分析，以测试移民政策脆弱性是否加强了与移民有关的创伤与PTSD症状之间的关系。然后，我们对服务拉丁裔移民家庭的一线工人进行了15次采访，以了解移民相关创伤之间的关系，移民相关政策,和创伤后应激障碍在COVID-19大流行期间。
结果：父母调查显示，迁移前相关创伤与PTSD症状之间没有观察到的关系（β=0.12，p=.15）。然而,政策脆弱性的增加与PTSD症状相关(β=0.25,p<.01),并加强了迁移后创伤与PTSD症状之间的关系(β=0.19,p=.03)。前线工作人员描述了在COVID-19大流行下，与移民相关的政策导致的社会孤立如何恶化，驱逐的恐惧仍然是一个持续的压力源。
结论：我们的CBPR研究结果突出表明，需要制定政策和实践来解决与迁移相关的创伤的复合影响，政策脆弱性，和COVID-19大流行，以促进拉丁裔移民家庭的心理健康平等。（PsycInfo数据库记录（c）2024APA，保留所有权利)。
