Health-related quality of life in refugee youth and the mediating role of mental distress and post-migration stressors

Cecilie Ruud Dangmann · Øivind Solberg

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Migration, Health and Trauma Migration and Exile Studies Education and experiences of immigrants and refugees

Abstract

PURPOSE: The aim of this study is to explore how potentially traumatic events (PTEs) from war and flight influence health-related quality of life (HRQoL) in young refugees after recent resettlement. In a model based on earlier theory, we tested if post-migration stressors and mental distress mediated the effect of PTEs on HRQoL, individually and in serial. We also explored how different types of post-migration stressors influenced different dimensions of HRQoL. METHODS: This study used a cross-sectional design where 160 Syrian youth recently resettled in Norway completed questionnaires at school between May and December 2018. Correlations between types of post-migration stressors and dimensions of HRQoL were explored and a serial multiple mediator model was tested. Models were adjusted for age and gender, using two types of mental distress; post-traumatic stress disorder (PTSD) and general mental distress. RESULTS: Higher levels of PTEs reduced experienced HRQoL, but this direct effect was mediated by post-migration stressors alone and in serial with mental distress. Despite high levels of mental distress, this did not affect HRQoL independently, only in serial mediation with increased post-migration stressors. Economic concerns and discrimination were types of post-migration stressors affecting several dimensions of HRQoL. CONCLUSION: Quality of life in refugee is affected by past events from war, stressors in current resettlement and elevated mental distress through complex interrelations. The study reiterates the importance of considering structural and everyday post-migration stressors in policy and intervention to improve the health and wellbeing of refugee youth.

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References

1998The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties 2005Making human beings human : bioecological perspectives on human development 2005Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review 2009War exposure, daily stressors, and mental health in conflict and post-conflict settings: Bridging the divide between trauma-focused and psychosocial frameworks 2011Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors 2003Measuring the mental health status of the Norwegian population: A comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36)2017The contemporary refugee crisis: an overview of mental health challenges 2016The mental health of civilians displaced by armed conflict: an ecological model of refugee distress

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