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Organised Violence and the Stress of Exile

Predictors of Mental Health in a Community Cohort of Vietnamese Refugees Three Years after Resettlement

Published online by Cambridge University Press:  02 January 2018

Edvard Hauff  and
Per Vaglum
Edvard Hauff*
Affiliation:
Dikemark Hospital, Oslo, Norway, and Psychosocial Centre for Refugees, University of Oslo, Norway
Per Vaglum
Affiliation:
Faculty of Medicine, University of Oslo, and Professor, Department of Behavioural Sciences in Medicine, University of Oslo, Norway
*
Dr Hauff, Dikemark Hospital, Ullevålsveien 2, N-0165 Oslo, Norway
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Abstract

Background

The prevalence and course of mental disorders among Vietnamese refugees were studied, using a model including variables from different research traditions.

Method

A consecutive community cohort of 145 Vietnamese boat refugees aged 15 and above were personally interviewed on their arrival in Norway and three years later.

Results

Three years later, there was, unexpectedly, no decline in self-rated psychological distress (SCL-90-R), almost one in four suffered from psychiatric disorder and the prevalence of depression was 17.7% (Present State Examination). Female gender, extreme traumatic stress in Vietnam, negative life events in Norway, lack of a close confidant and chronic family separation were identified as predictors of psychopathology.

Conclusions

The effects of war and persecution were long-lasting, and compounded by adversity factors in exile. A uniform course of improvement in mental health after resettlement cannot be expected in all contexts. The affected refugees need systematic rehabilitation.

Type
Papers
Information
The British Journal of Psychiatry , Volume 166 , Issue 3 , March 1995 , pp. 360 - 367
Copyright
Copyright © 1995 The Royal College of Psychiatrists 

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References

Beiser, M., Turner, R. J. & Ganesan, S. (1989) Catastrophic stress and factors affecting its consequences among Southeast Asian refugees. Social Science and Medicine, 28, 183–195.CrossRefGoogle ScholarPubMed
Bobhnlein, J. K. (1987) Clinical relevance of grief and mourning among Cambodian refugees. Social Science and Medicine, 25, 765–772.CrossRefGoogle Scholar
Derogatis, L. R. (1983) SCL-90-R. Administration, Scoring and Procedures Manual. Baltimore: Clinical Psychometric Research.Google Scholar
Eitinger, L. (1959) The incidence of mental disease among refugees in Norway. Journal of Mental Science, 105, 326–338.CrossRefGoogle ScholarPubMed
Faltermaier, T., Wittchen, H.-U., Ellmann, R., et al (1985) The Social Interview Schedule (SIS) – content, structure and reliability. Social Psychiatry, 20, 115–124.CrossRefGoogle ScholarPubMed
Hauff, E. & Vaglum, P. (1993a) Integration of Vietnamese refugees into the Norwegian labor market: the impact of war trauma. International Migration Review, 27, 388–405.CrossRefGoogle Scholar
Hauff, E. & Vaglum, P. (1993b) Vietnamese boat refugees: the influence of war and flight traumatization on mental health on arrival in the country of resettlement. Acta Psychiatrica Scandinavica, 88, 162–168.CrossRefGoogle ScholarPubMed
Hauff, E. & Vaglum, P. (1994) Chronic PTSD in Vietnamese refugees. A prospective study of prevalence, course, psychopathology and stressors. Journal of Nervous and Mental Disease, 182, 85–90.CrossRefGoogle ScholarPubMed
Henderson, S., Byrne, D. G. & Duncan-Jones, P. (1981) Neurosis and the Social Environment. Sydney: Academic Press.Google Scholar
Karterud, S., Friis, S., Trion, T., et al (1995) SCL-90-R derived index of the severity of personality disorders. Journal of Personality Disorders, 9, in press.CrossRefGoogle Scholar
Krupinski, J. & Burrows, G. (eds) (1986) The Price of Freedom: Young Indochinese Refugees in Australia. Rushcutters Bay (NSW, Australia): Pergamon Press.Google Scholar
Lin, K. M., Tazuma, L. & Masuda, M. (1979) Adaptation problems of the Vietnamese refugees. I. Health and mental health status. Archives of General Psychiatry, 36, 955–961.CrossRefGoogle ScholarPubMed
Mavreas, V. G. & Bebbington, P. (1988) Greeks, British Greek Cypriots and Londoners: a comparison of morbidity. Psychological Medicine, 18, 433–442.CrossRefGoogle ScholarPubMed
McFarlane, A. C. (1985) The effects of stressful life events and disasters: research and theoretical issues. Australian and New Zealand Journal of Psychiatry, 19, 409–421.CrossRefGoogle ScholarPubMed
Mollica, R. F., Wyshak, G. & Lavelle, J. (1987) The psychosocial impact of war trauma and torture on Southeast Asian refugees. American Journal of Psychiatry, 144, 1567–1572.Google ScholarPubMed
Paykel, E. S., Rao, B. M. & Taylor, C. N. (1984) Life stress and symptom pattern in out-patient depression. Psychological Medicine, 14, 559–568.CrossRefGoogle ScholarPubMed
Ramsay, R., Gorst-Unsworth, C. & Turner, S. (1993) Psychiatric morbidity in survivors of organised state violence including torture: A retrospective series. British Journal of Psychiatry, 162, 55–59.CrossRefGoogle ScholarPubMed
SPSS Inc. (1988) Statistical Package for the Social Sciences SPSS/PC+ V2.0. Chicago, IL: SPSS.Google Scholar
Vassend, V., Lian, L. & Andersen, H. T. (1992) Norske versjoner av NEO Personality Inventory, Symptom Checklist 90 Revised og Giessen Subjective Complaints List. Del I. Tidsskrift for Norsk Psykologforening, 29, 1150–1160.Google Scholar
Westermeyer, J., Neider, J. & Vang, T. F. (1984) Acculturation and mental health: A study of Hmong refugees at 1.5 and 3.5 years post-migration. Social Science and Medicine, 18, 87–93.CrossRefGoogle Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Description and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and CATEGO system. Cambridge: Cambridge University Press.Google Scholar
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