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First published online April 1, 2011

Mental Health of Newly Arrived Burmese Refugees in Australia: Contributions of Pre-Migration and Post-Migration Experience

Robert D. Schweitzer, Mark Brough, Lyn Vromans [email protected], and Mary Asic-KobeView all authors and affiliations
Volume 45, Issue 4
https://doi.org/10.3109/00048674.2010.543412

Abstract

Objective: This study documents the mental health status of people from Burmese refugee backgrounds recently arrived in Australia, then examines the contributions of gender, pre-migration and post-migration factors in predicting mental health.
Method: Structured interviews, including a demographic questionnaire, the Harvard Trauma Questionnaire, the Post-migration Living Difficulties Checklist and Hopkins Symptom Checklist assessed pre-migration trauma, post-migration living difficulties, depression, anxiety, somatization and traumatization symptoms in a sample of 70 adults across five Burmese ethnic groups.
Results: Substantial proportions of participants reported psychological distress in symptomatic ranges including: post-traumatic stress disorder (9%), anxiety (20%) and depression (36%), as well as significant symptoms of somatization (37%). Participants reported multiple and severe pre-migration traumas. Post-migration living difficulties of greatest concern included communication problems and worry about family not in Australia. Gender did not predict mental health. Level of exposure to traumatic events and post-migration living difficulties each made unique and relatively equal contributions to traumatization symptoms. Post-migration living difficulties made unique contributions to depression, anxiety and somatization symptoms.
Conclusions: While exposure to traumatic events impacted on participants’ mental well-being, post-migration living difficulties had greater salience in predicting mental health outcomes of people from Burmese refugee backgrounds. Reported rates of post-traumatic stress disorder symptoms were consistent with a large review of adults across seven western countries. High levels of somatization point to a nuanced expression of distress. Findings have implications for service provision in terms of implementing appropriate interventions to effectively meet the needs of this newly arrived group in Australia.

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Published In

Volume 45, Issue 4
Pages: 299 - 307
Article first published online: April 1, 2011
Issue published: April 2011

Keywords

  1. Burmese
  2. mental health
  3. post-migration living difficulties
  4. refugee
  5. trauma

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© 2011 The Royal Australian and New Zealand College of Psychiatrists.
Request permissions for this article.
PubMed: 21303193

Authors

Affiliations

Robert D. Schweitzer
Associate Professor
School of Psychology and Counselling, Queensland University of Technology, Brisbane, Victoria Park Road, Kelvin Grove, Queensland, Australia 4059
View all articles by this author
Mark Brough
Director of Research
School of Social Work and Human Services, Queensland University of Technology, Brisbane, Queensland, Australia
View all articles by this author
Lyn Vromans
Postdoctoral Research Fellow
School of Psychology and Counselling, Queensland University of Technology, Brisbane, Victoria Park Road, Kelvin Grove, Queensland, Australia 4059
[email protected]
View all articles by this author
Mary Asic-Kobe
Clinical Doctoral Student
School of Psychology and Counselling, Queensland University of Technology, Brisbane, Victoria Park Road, Kelvin Grove, Queensland, Australia 4059
View all articles by this author

Notes

Lyn Vromans, School of Psychology and Counselling, Queensland University of Technology, Brisbane, Victoria Park Road, Kelvin Grove, Queensland, Australia 4059. Email: [email protected]

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