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2011 ; 17
(4
): 283-93; discussion 294-6
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gab.com Text
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English Wikipedia
Premigration persecution, postmigration stressors and resources, and
postmigration mental health: a study of severely traumatized U S Arab immigrant
women
#MMPMID21835819
Norris AE
; Aroian KJ
; Nickerson DM
J Am Psychiatr Nurses Assoc
2011[Jul]; 17
(4
): 283-93; discussion 294-6
PMID21835819
show ga
BACKGROUND: Competing theories exist regarding the importance of premigration
trauma as compared with postmigration stressors and resources with respect to the
risk to immigrant mental health. OBJECTIVE: To examine how type of premigration
trauma, postmigration stressors, and postmigration resources differentially
predict posttraumatic stress disorder (PTSD) and major depressive disorder (MDD)
symptomatology in Arab immigrant women who have been exposed to premigration
trauma. DESIGN: Descriptive, using multinomial logistic regression to explain
membership in one of four groups: (a) PTSD only (n = 14), (b) MDD (n = 162), (c)
comorbid PTSD-MDD (n = 148), and (d) subclinical symptoms (n = 209). RESULTS:
Parameter estimates for postimmigration-related stressors (as measured by the
Demands of Immigration [DI]) indicated that a unit increase in DI scores was
associated with a nearly 16-fold increase in the likelihood of being in the
comorbid relative to the subclinical group, and a nearly 2.5-fold increase in the
likelihood of being in the comorbid relative to the MDD-only group (p < .05).
Odds ratios for social support, age, and type of premigration trauma ranged
between 0.95 and 1.95 and only differentiated between subclinical and comorbid
PTSD-MDD groups (p < .05). CONCLUSION: Postmigration stressors exert substantive
effects on immigrant mental health outcomes. Nursing interventions are needed to
reduce immigration-related stressors. Screening Arab immigrant women for
depression and PTSD is important, given the high levels observed in this
community-based sample.