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Resilience, trauma, and hopelessness: protective or triggering factor for the development of psychopathology among migrants?
BMC Psychiatry ( IF 4.4 ) Pub Date : 2020-07-08 , DOI: 10.1186/s12888-020-02729-3
Eleonora Gambaro 1, 2 , Martina Mastrangelo 3 , Marco Sarchiapone 3, 4, 5 , Debora Marangon 2 , Carla Gramaglia 1, 2 , Camilla Vecchi 1 , Chiara Airoldi 1 , Concetta Mirisola 4 , Gianfranco Costanzo 4 , Silvia Bartollino 3 , Francesca Baralla 3 , Patrizia Zeppegno 1, 2
Affiliation  

Recently, many studies have investigated the role of migration on mental health. Nonetheless, only few focused on the consequences of childhood trauma, hopelessness, and resilience on migrants’ psychopathology, including psychiatric disorders and symptoms. 119 migrants were recruited between May 2017 and April 2018, among those applying for assessment to the Mental Health Operational Unit of the National Institute for Health, Migration and Poverty (NIHMP) in Rome, Italy. Assessment included the following: Zung Self-Rating Depression Scale (SDS), Zung Self-Rating Anxiety Scale (SAS), Connor-Davidson Resilience Scale (CD-RISC), Childhood Trauma Questionnaire (CTQ), Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), Beck Hopelessness Scale (BHS), Beck’s Suicide Intent Scale (SIS), Brief Aggression Questionnaire (BAQ), Deliberate Self-Harm Inventory (DSHI). 53.39% of migrants scored above the PCL-5 cut-off score (mean score was 39.45). SDS scores below the cutoff suggested the presence of depression in 42.37%, while According to SAS scores anxiety levels were low in 38.98% of migrants. During childhood, physical abuse and neglect were reported respectively by 56.78 and 69.49% of migrants. We found that Post Traumatic Stress Disorders play the role of mediators for the relation between the childhood traumatic experiences and aggressiveness, anxious and depressive symptomatology, while hopelessness is a mediator between the childhood traumatic experiences and the development of depression in adulthood. Hopelessness seems to influence the strength of the relation between childhood traumatic experiences and the individual’s current intensity of suicidal attitudes, plans, and behaviors. Further developments and future perspectives of the research project are to address key gaps in the field of resilience by means of a longitudinal evaluation study in migrants, including a native population control group, acceding to NIHMP.

中文翻译:

复原力,创伤和绝望:是移民心理疾病发展的保护因素或触发因素?

最近,许多研究调查了移徙对心理健康的作用。但是,只有极少数人关注儿童期创伤,绝望和适应力对移民的心理病理学(包括精神疾病和症状)的影响。在2017年5月至2018年4月期间,招募了119名移民,其中有申请向意大利罗马国家卫生,移民与贫困研究所(NIHMP)的精神卫生业务部门评估的移民。评估包括以下内容:Zung自评抑郁量表(SDS),Zung自评焦虑量表(SAS),Connor-Davidson适应力量表(CD-RISC),儿童创伤问卷(CTQ),创伤后应激障碍检查清单(DSM- 5(PCL-5),贝克绝望量表(BHS),贝克自杀意向量表(SIS),简短侵略问卷(BAQ),故意的自我保护库存(DSHI)。53.39%的移民得分高于PCL-5截止分数(平均得分为39.45)。SDS得分低于临界值表明抑郁症的发生率为42.37%,而SAS得分为38.98%的移民的焦虑水平较低。在儿童时期,分别有56.78%和69.49%的移民报告了身体虐待和忽视。我们发现,创伤后应激障碍在儿童创伤经历与攻击性,焦虑和抑郁症状之间的关系中起中介作用,而绝望是在儿童创伤经历与成年后抑郁发展之间的中​​介。绝望似乎会影响童年创伤经历与个人当前自杀态度强度之间关系的强度,计划和行为。该研究项目的进一步发展和未来展望将通过对包括NIHMP在内的移民(包括本地人口控制小组)在内的移民进行纵向评估研究,以解决抵御力领域中的主要差距。
更新日期:2020-07-08
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