How does being a refugee affect mental health?

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Hi all! This video is looking at the association between refugees and mental health, discussing the various stages (pre-flight, flight, and resettlement), potential mental health interventions and specifically examining the association between psychosis and being a refugee, I hope you enjoy!

Music intro creds: Jayan Patel

0:00 Intro
00:57 Definitions & stats
03:29 Pre-flight-flight-resettlement stage effects
06:14 Child refugees & stages
07:41 Interventions & protective factors
12:42 Psychosis & refugees/migrants
16:05 Summary

References

Alpak et al. (2015). Post-traumatic stress disorder among Syrian refugees in Turkey: A cross-sectional study. International Journal of Psychiatry in Clinical Practice.

Beards et al. (2013). Life events and psychosis: A review and meta-analysis. Schizophrenia Bulletin.

Bourque et al. (2011). A meta-analysis of the risk for psychotic disorders among first- and second-generation immigrants. Psychological Medicine.

Brandt, L., Henssler, J., Müller, M., Wall, S., Gabel, D., & Heinz, A. (2019). Risk of Psychosis Among Refugees: A Systematic Review and Meta-analysis. JAMA Psychiatry.

Dapunt et al. (2017). Risk of psychosis in refugees: A literature review. Translational Psychiatry.

Dykxhoorn et al. (2019). Risk of schizophrenia, schizoaffective, and bipolar disorders by migrant status, region of origin, and age-at-migration: A national cohort study of 1.8 million people. Psychological Medicine.

Finklestein & Solomon(2009). Cumulative Trauma, PTSD and Dissociation Among Ethiopian Refugees in Israel. Journal of Trauma & Dissociation.

Fusar-Poli, P., McGorry, P. D., & Kane, J. M. (2017). Improving outcomes of first-episode psychosis: An overview. World Psychiatry.

Hameed, S., Sadiq, A., & Din, A. U. (2018). The Increased Vulnerability of Refugee Population to Mental Health Disorders. Kansas Journal of Medicine.

Henssler et al. (2020). Migration and schizophrenia: Meta-analysis and explanatory framework. European Archives of Psychiatry and Clinical Neuroscience.

Hernaus et al.. (2015). Psychotic reactivity to daily life stress and the dopamine system: A study combining experience sampling and [18F]fallypride positron emission tomography. Journal of Abnormal Psychology.

Hollander et al. (2016). Refugee migration and risk of schizophrenia and other non-affective psychoses: Cohort study of 1.3 million people in Sweden. BMJ.

Jongsma et al. (2020). Social disadvantage, linguistic distance, ethnic minority status and first-episode psychosis: Results from the EU-GEI case–control study. Psychological Medicine.

Koch et al. (2008). [German pilot study of psychiatric inpatients with histories of migration]. Der Nervenarzt.

Lataster et al. (2012). Adversity and psychosis: A 10-year prospective study investigating synergism between early and recent adversity in psychosis: Early and recent adversity in psychosis. Acta Psychiatrica Scandinavica.

Lee et al.(2016). Insomnia in North Korean Refugees: Association with Depression and Post-Traumatic Stress Symptoms. Psychiatry Investigation.

Longden & Read (2016). Social Adversity in the Etiology of Psychosis: A Review of the Evidence. American Journal of Psychotherapy.

Lustig et al. (2004) "Review of child and adolescent refugee mental health." Journal of the American Academy of Child & Adolescent Psychiatry.

McColl & Johnson (2006). Characteristics and needs of asylum seekers and refugees in contact with London community mental health teams: A descriptive investigation. Social Psychiatry and Psychiatric Epidemiology.

Morgan et al. (2010). Migration, Ethnicity, and Psychosis: Toward a Sociodevelopmental Model. Schizophrenia Bulletin.

Morgan et al.(2014). Modelling the interplay between childhood and adult adversity in pathways to psychosis: Initial evidence from the AESOP study. Psychological Medicine.

Norredam, M., Garcia-Lopez, A., Keiding, N., & Krasnik, A. (2009). Risk of mental disorders in refugees and native Danes: A register-based retrospective cohort study. Social Psychiatry and Psychiatric Epidemiologuy.

Office of the United Nations High Commissioner for Refugees. The refugee concept under international law. Global compact for safe, orderly and regular migration.

Parrett & Mason (2010). Refugees and psychosis: A review of the literature. Psychosis.

Selten et al.(2020). Migration and psychosis: A meta-analysis of incidence studies. Psychological Medicine.

Silove et al. (2017). The contemporary refugee crisis: an overview of mental health challenges. World psychiatry.

Sundquist (2019). A Finding of Increased Risk of Nonaffective Psychosis in Refugees That Is Highly Relevant to the Current Worldwide Refugee Crisis. JAMA Psychiatry.

Varese et al. (2012). Childhood Adversities Increase the Risk of Psychosis: A Meta-analysis of Patient-Control, Prospective- and Cross-sectional Cohort Studies. Schizophrenia Bulletin.
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Thank you Ava, this was super helpful. I have just volunteered to support refugees from Ukraine in Latvia where I live. And this definitely gave me a better understanding of what I need to take into account while giving care. Thank you.

kapacoach
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Very interesting topic, really!
I could relate personally relate to some of these results!
Thanks!

rawadyonus
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Very thorough and informative as always - many thanks Ava for your knowledge and insight

chrismiller
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Awesome video! Very helpful for my research. I'd love to learn more about the benefits of volunteers with similar experiences. Do you have a resource on that?

transnaturalperspectivespo
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Sister can u plz tell me. If i want to work with refugees as a psychologist what Process should i follow?? I sm only 19 i

jannatunnayema
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Very cool video! We hope to make positive content just like you do! :)

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