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Everyday life experiences and mental health among conflict-affected forced migrants: A meta-analysis
Hou, Wai Kai1; Liu, Huinan1; Liang, Li1; Ho, Jeffery2; Kim, Hyojin3; Seong, Eunice3; Bonanno, George A.3; Hobfoll, Stevan E.4; Hall, Brian J.5
Source PublicationJournal of Affective Disorders
ISSN0165-0327
2020-03-01
Abstract

Background: There are a growing number of forced migrants worldwide. Early detection of poor adjustment and interventions to facilitate positive adaptation within these communities is a critical global public health priority. A growing literature points to challenges within the post-migration context as key determents of poor mental health. Aims: The current meta-analysis evaluated the association between daily stressors and poor mental health among these populations. Method: A systematic search in PsycINFO, PubMed, and Web of Science identified relevant studies from inception until the end of 2018. Effect sizes (correlation coefficients) were pooled using Fisher's Z transformation and reported with 95% confidence intervals. Moderator and mediator analyses were conducted. The protocol is available in PROSPERO [CRD42018081207]. Results: Analysis of 59 eligible studies (n = 17,763) revealed that daily stressors were associated with higher psychiatric symptoms (Zr=0.126–0.199, 95% CI=0.084–0.168, 0.151–0.247, p<0.001) and general distress (Zr=0.542, 95% CI=0.332–0.752, p<0.001). Stronger effect sizes were observed for mixed daily stressors relative to subjective, interpersonal, and material daily stressors, and for general distress relative to posttraumatic stress symptoms and general well-being. Effect sizes were also stronger for children and adolescents relative to adults. Daily stressors fully mediated the associations of prior trauma with post-migration anxiety, depressive, and post-traumatic stress disorder symptoms. Conclusions: This meta-analysis provides a synthesis of existing research on the role of unfavorable everyday life experiences and their associations with poor mental health among conflict-affected forced migrants. Routine assessment and intervention to reduce daily stressors can prevent and reduce psychiatric morbidity in these populations.

KeywordAnxiety Depression Everyday Life Forced Migrants Post-traumatic Stress Disorder Refugees
Language英語English
DOI10.1016/j.jad.2019.11.165
URLView the original
Volume264
Pages50-68
WOS IDWOS:000510380300008
WOS SubjectClinical Neurology ; Psychiatry
WOS Research AreaNeurosciences & Neurology ; Psychiatry
Indexed BySCIE ; SSCI
Scopus ID2-s2.0-85076421180
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Document TypeReview article
CollectionDEPARTMENT OF PSYCHOLOGY
Corresponding AuthorHou, Wai Kai
Affiliation1.Laboratory of Psychology and Ecology of Stress (LoPES), Department of Psychology, Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, China, Tai Po, NT, Hong Kong
2.Department of Microbiology, Faculty of Medicine, The Chinese University of Hong Kong, ShatinHong Kong, China, Hong Kong
3.Teachers College, Columbia University, New York NY, United States
4.STAR Consultants-STress, Anxiety and Resilience, Chicago, United States
5.Department of Psychology, University of Macau, Macau, China
Recommended Citation
GB/T 7714
Hou, Wai Kai,Liu, Huinan,Liang, Li,et al. Everyday life experiences and mental health among conflict-affected forced migrants: A meta-analysis[J]. Journal of Affective Disorders, 2020, 264, 50-68.
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