Influence of post-migration living difficulties on mental health among refugees and asylum seekers: A scoping-review on clinical tools

Background: The literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) – particularly how it could be affected by previous exposure to trauma and violence – but less has been written about the issues they are forced to face during the post-migration...

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Vydáno v:	International journal of social psychiatry Ročník 70; číslo 7; s. 1191 - 1201
Hlavní autoři:	Santambrogio, Jacopo, Cimminiello, Noemi, Wisidagamage Don, Prasad, Leon, Elisabetta, Miragliotta, Elena, Capuzzi, Enrico, Colmegna, Fabrizia, Clerici, Massimo
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	London, England SAGE Publications 01.11.2024 Sage Publications Ltd
Témata:	Archives & records Clinical assessment Discrimination Humans Languages Mental Health Migrants Migration Political asylum Poverty Psychological Distress Psychological trauma Refugees Refugees - psychology Semistructured questionnaires Social isolation Stress Stress, Psychological Subject headings Trauma Asylum seeker post-migration stress refugee scale development post migration stress living difficulties
ISSN:	0020-7640, 1741-2854, 1741-2854
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Abstract	Background: The literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) – particularly how it could be affected by previous exposure to trauma and violence – but less has been written about the issues they are forced to face during the post-migration period and how these also can affect mental health. Research shows that the mental health of R/AS is highly influenced by their post-migration conditions and may deteriorate due to post-migration social health-related determinants; in addition, a lack of language skills, discrimination, separation from family, poverty, and other stressors can contribute to social isolation. The difficulty in asking for help in case of psychological distress and, consequently, in accessing care, contributes to the worsening of their clinical condition. Aims: The primary purpose of this study is to identify and provide a review of the clinical tools used to screen migrants (R/AS) at risk of developing psychological distress, identifying post-migration difficulties. Methods: We searched studies in PubMed, Embase, Scopus, Cochrane (Central), and Cinahl (ultimate) with the last search on 14 April 2023, using a combination of keywords and Medical Subject Headings (MeSH). Results: Our systematic search identified 1,878 records. After removing duplicates, we screened 1,238 records by title and abstract, retaining 97 for full text review. Of these, 68 met full eligibility criteria (1995–2023). A total of 30 social scales have been identified, as well as structured or semi-structured questionnaires and interviews. Translated into multiple languages, the tools can be self-administered or administered by trained professionals. PMLD is known for its effectiveness in evaluating the post-migration period and predicting mental health issues. Conclusions: Considering the limited number of studies and, consequently, the limited number of tools found, it can be inferred that not enough attention is given to post-migration in the broader sense.
AbstractList	The literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) - particularly how it could be affected by previous exposure to trauma and violence - but less has been written about the issues they are forced to face during the post-migration period and how these also can affect mental health. Research shows that the mental health of R/AS is highly influenced by their post-migration conditions and may deteriorate due to post-migration social health-related determinants; in addition, a lack of language skills, discrimination, separation from family, poverty, and other stressors can contribute to social isolation. The difficulty in asking for help in case of psychological distress and, consequently, in accessing care, contributes to the worsening of their clinical condition. The primary purpose of this study is to identify and provide a review of the clinical tools used to screen migrants (R/AS) at risk of developing psychological distress, identifying post-migration difficulties. We searched studies in PubMed, Embase, Scopus, Cochrane (Central), and Cinahl (ultimate) with the last search on 14 April 2023, using a combination of keywords and Medical Subject Headings (MeSH). Our systematic search identified 1,878 records. After removing duplicates, we screened 1,238 records by title and abstract, retaining 97 for full text review. Of these, 68 met full eligibility criteria (1995-2023). A total of 30 social scales have been identified, as well as structured or semi-structured questionnaires and interviews. Translated into multiple languages, the tools can be self-administered or administered by trained professionals. PMLD is known for its effectiveness in evaluating the post-migration period and predicting mental health issues. Considering the limited number of studies and, consequently, the limited number of tools found, it can be inferred that not enough attention is given to post-migration in the broader sense. The literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) - particularly how it could be affected by previous exposure to trauma and violence - but less has been written about the issues they are forced to face during the post-migration period and how these also can affect mental health. Research shows that the mental health of R/AS is highly influenced by their post-migration conditions and may deteriorate due to post-migration social health-related determinants; in addition, a lack of language skills, discrimination, separation from family, poverty, and other stressors can contribute to social isolation. The difficulty in asking for help in case of psychological distress and, consequently, in accessing care, contributes to the worsening of their clinical condition.BACKGROUNDThe literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) - particularly how it could be affected by previous exposure to trauma and violence - but less has been written about the issues they are forced to face during the post-migration period and how these also can affect mental health. Research shows that the mental health of R/AS is highly influenced by their post-migration conditions and may deteriorate due to post-migration social health-related determinants; in addition, a lack of language skills, discrimination, separation from family, poverty, and other stressors can contribute to social isolation. The difficulty in asking for help in case of psychological distress and, consequently, in accessing care, contributes to the worsening of their clinical condition.The primary purpose of this study is to identify and provide a review of the clinical tools used to screen migrants (R/AS) at risk of developing psychological distress, identifying post-migration difficulties.AIMSThe primary purpose of this study is to identify and provide a review of the clinical tools used to screen migrants (R/AS) at risk of developing psychological distress, identifying post-migration difficulties.We searched studies in PubMed, Embase, Scopus, Cochrane (Central), and Cinahl (ultimate) with the last search on 14 April 2023, using a combination of keywords and Medical Subject Headings (MeSH).METHODSWe searched studies in PubMed, Embase, Scopus, Cochrane (Central), and Cinahl (ultimate) with the last search on 14 April 2023, using a combination of keywords and Medical Subject Headings (MeSH).Our systematic search identified 1,878 records. After removing duplicates, we screened 1,238 records by title and abstract, retaining 97 for full text review. Of these, 68 met full eligibility criteria (1995-2023). A total of 30 social scales have been identified, as well as structured or semi-structured questionnaires and interviews. Translated into multiple languages, the tools can be self-administered or administered by trained professionals. PMLD is known for its effectiveness in evaluating the post-migration period and predicting mental health issues.RESULTSOur systematic search identified 1,878 records. After removing duplicates, we screened 1,238 records by title and abstract, retaining 97 for full text review. Of these, 68 met full eligibility criteria (1995-2023). A total of 30 social scales have been identified, as well as structured or semi-structured questionnaires and interviews. Translated into multiple languages, the tools can be self-administered or administered by trained professionals. PMLD is known for its effectiveness in evaluating the post-migration period and predicting mental health issues.Considering the limited number of studies and, consequently, the limited number of tools found, it can be inferred that not enough attention is given to post-migration in the broader sense.CONCLUSIONSConsidering the limited number of studies and, consequently, the limited number of tools found, it can be inferred that not enough attention is given to post-migration in the broader sense. Background: The literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) – particularly how it could be affected by previous exposure to trauma and violence – but less has been written about the issues they are forced to face during the post-migration period and how these also can affect mental health. Research shows that the mental health of R/AS is highly influenced by their post-migration conditions and may deteriorate due to post-migration social health-related determinants; in addition, a lack of language skills, discrimination, separation from family, poverty, and other stressors can contribute to social isolation. The difficulty in asking for help in case of psychological distress and, consequently, in accessing care, contributes to the worsening of their clinical condition. Aims: The primary purpose of this study is to identify and provide a review of the clinical tools used to screen migrants (R/AS) at risk of developing psychological distress, identifying post-migration difficulties. Methods: We searched studies in PubMed, Embase, Scopus, Cochrane (Central), and Cinahl (ultimate) with the last search on 14 April 2023, using a combination of keywords and Medical Subject Headings (MeSH). Results: Our systematic search identified 1,878 records. After removing duplicates, we screened 1,238 records by title and abstract, retaining 97 for full text review. Of these, 68 met full eligibility criteria (1995–2023). A total of 30 social scales have been identified, as well as structured or semi-structured questionnaires and interviews. Translated into multiple languages, the tools can be self-administered or administered by trained professionals. PMLD is known for its effectiveness in evaluating the post-migration period and predicting mental health issues. Conclusions: Considering the limited number of studies and, consequently, the limited number of tools found, it can be inferred that not enough attention is given to post-migration in the broader sense. Background: The literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) – particularly how it could be affected by previous exposure to trauma and violence – but less has been written about the issues they are forced to face during the post-migration period and how these also can affect mental health. Research shows that the mental health of R/AS is highly influenced by their post-migration conditions and may deteriorate due to post-migration social health-related determinants; in addition, a lack of language skills, discrimination, separation from family, poverty, and other stressors can contribute to social isolation. The difficulty in asking for help in case of psychological distress and, consequently, in accessing care, contributes to the worsening of their clinical condition. Aims: The primary purpose of this study is to identify and provide a review of the clinical tools used to screen migrants (R/AS) at risk of developing psychological distress, identifying post-migration difficulties. Methods: We searched studies in PubMed, Embase, Scopus, Cochrane (Central), and Cinahl (ultimate) with the last search on 14 April 2023, using a combination of keywords and Medical Subject Headings (MeSH). Results: Our systematic search identified 1,878 records. After removing duplicates, we screened 1,238 records by title and abstract, retaining 97 for full text review. Of these, 68 met full eligibility criteria (1995–2023). A total of 30 social scales have been identified, as well as structured or semi-structured questionnaires and interviews. Translated into multiple languages, the tools can be self-administered or administered by trained professionals. PMLD is known for its effectiveness in evaluating the post-migration period and predicting mental health issues. Conclusions: Considering the limited number of studies and, consequently, the limited number of tools found, it can be inferred that not enough attention is given to post-migration in the broader sense.
Author	Cimminiello, Noemi Capuzzi, Enrico Miragliotta, Elena Colmegna, Fabrizia Wisidagamage Don, Prasad Clerici, Massimo Santambrogio, Jacopo Leon, Elisabetta
Author_xml	– sequence: 1 givenname: Jacopo orcidid: 0000-0001-7668-7564 surname: Santambrogio fullname: Santambrogio, Jacopo email: j.santambrogio@gmail.com – sequence: 2 givenname: Noemi surname: Cimminiello fullname: Cimminiello, Noemi – sequence: 3 givenname: Prasad surname: Wisidagamage Don fullname: Wisidagamage Don, Prasad – sequence: 4 givenname: Elisabetta surname: Leon fullname: Leon, Elisabetta – sequence: 5 givenname: Elena surname: Miragliotta fullname: Miragliotta, Elena – sequence: 6 givenname: Enrico surname: Capuzzi fullname: Capuzzi, Enrico – sequence: 7 givenname: Fabrizia surname: Colmegna fullname: Colmegna, Fabrizia – sequence: 8 givenname: Massimo surname: Clerici fullname: Clerici, Massimo
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References	Gambaro, Mastrangelo, Sarchiapone, Marangon, Gramaglia, Vecchi, Airoldi, Mirisola, Costanzo, Bartolino, Baralla, Zeppegno 2020; 20 Aragona, Pucci, Mazzetti, Maisano, Geraci 2013; 49 Ventriglio, Ayonrinde, Bhugra 2016; 70 Tarricone, d’Andrea, Jongsma, Tosato, Gayer-Anderson, Stilo, Suprani, Iyegbe, van Der Ven, Quattrone, Morgan 2022; 52 Aragona, Da Silva, Souabni, Boubker, Mazzetti, Geraci 2018; 11 Aragona, Pucci, Carrer, Catino, Tomaselli, Colosimo, Lafuente, Mazzetti, Maisano, Geraci 2011; 47 bibr69-00207640241251748 bibr71-00207640241251748 bibr84-00207640241251748 bibr100-00207640241251748 bibr97-00207640241251748 bibr96-00207640241251748 bibr83-00207640241251748 bibr29-00207640241251748 bibr16-00207640241251748 bibr101-00207640241251748 bibr30-00207640241251748 bibr56-00207640241251748 bibr43-00207640241251748 bibr70-00207640241251748 Hynie M. (bibr45-00207640241251748) 2016 bibr4-00207640241251748 bibr85-00207640241251748 bibr55-00207640241251748 bibr14-00207640241251748 bibr15-00207640241251748 bibr44-00207640241251748 bibr54-00207640241251748 bibr95-00207640241251748 bibr81-00207640241251748 bibr13-00207640241251748 Aragona M. (bibr5-00207640241251748) 2018; 11 bibr61-00207640241251748 bibr2-00207640241251748 bibr86-00207640241251748 bibr104-00207640241251748 bibr53-00207640241251748 bibr66-00207640241251748 bibr26-00207640241251748 bibr93-00207640241251748 bibr33-00207640241251748 bibr46-00207640241251748 bibr73-00207640241251748 bibr9-00207640241251748 bibr88-00207640241251748 bibr102-00207640241251748 bibr98-00207640241251748 bibr78-00207640241251748 bibr68-00207640241251748 Aragona M. (bibr6-00207640241251748) 2014 bibr31-00207640241251748 bibr28-00207640241251748 bibr18-00207640241251748 bibr48-00207640241251748 bibr21-00207640241251748 bibr38-00207640241251748 bibr51-00207640241251748 bibr41-00207640241251748 bibr58-00207640241251748 bibr11-00207640241251748 bibr23-00207640241251748 Aragona M. (bibr8-00207640241251748) 2013; 49 bibr10-00207640241251748 bibr49-00207640241251748 bibr91-00207640241251748 bibr106-00207640241251748 bibr64-00207640241251748 bibr77-00207640241251748 bibr90-00207640241251748 bibr89-00207640241251748 bibr76-00207640241251748 bibr50-00207640241251748 bibr36-00207640241251748 bibr63-00207640241251748 bibr65-00207640241251748 bibr75-00207640241251748 bibr105-00207640241251748 bibr35-00207640241251748 bibr25-00207640241251748 bibr34-00207640241251748 bibr24-00207640241251748 Aragona M. (bibr7-00207640241251748) 2011; 47 bibr59-00207640241251748 bibr20-00207640241251748 bibr74-00207640241251748 bibr94-00207640241251748 bibr87-00207640241251748 bibr103-00207640241251748 bibr60-00207640241251748 bibr99-00207640241251748 bibr3-00207640241251748 bibr79-00207640241251748 bibr40-00207640241251748 bibr39-00207640241251748 bibr19-00207640241251748 bibr80-00207640241251748 bibr62-00207640241251748 bibr52-00207640241251748 bibr1-00207640241251748 bibr17-00207640241251748 bibr27-00207640241251748 bibr72-00207640241251748 bibr37-00207640241251748 bibr82-00207640241251748 bibr22-00207640241251748 bibr32-00207640241251748 bibr47-00207640241251748 bibr12-00207640241251748 bibr42-00207640241251748 bibr67-00207640241251748 bibr57-00207640241251748 bibr92-00207640241251748
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Snippet	Background: The literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) – particularly how it could be... The literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) - particularly how it could be affected by... Background: The literature indicates an increasing interest in the mental health of refugees (R) and asylum seekers (AS) – particularly how it could be...
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SubjectTerms	Archives & records Clinical assessment Discrimination Humans Languages Mental Health Migrants Migration Political asylum Poverty Psychological Distress Psychological trauma Refugees Refugees - psychology Semistructured questionnaires Social isolation Stress Stress, Psychological Subject headings Trauma
Title	Influence of post-migration living difficulties on mental health among refugees and asylum seekers: A scoping-review on clinical tools
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