Sense of coherence as a pathway linking war trauma and post-migration stress to mental health functioning among refugees and asylum seekers in the Netherlands - Report - MDSpire
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Sense of coherence as a pathway linking war trauma and post-migration stress to mental health functioning among refugees and asylum seekers in the Netherlands
Clinical Report: The Role of Sense of Coherence in Refugee Mental Health
Overview
This study investigates the role of sense of coherence as a mediator between war trauma, post-migration stress, and mental health outcomes in refugees and asylum seekers in the Netherlands. Findings indicate that sense of coherence correlates with mental health functioning and mediates the effects of both trauma and post-migration stress.
Background
The mental health of refugees is a critical concern, as they often experience high rates of PTSD, depression, and anxiety due to cumulative trauma and ongoing stressors. Understanding the mechanisms that link these stressors to mental health outcomes is essential.
Data Highlights
Variable
Value
Post-migration stress effect on functioning
b = 0.40
Trauma exposure effect on functioning
b = 0.17
Correlation of sense of coherence with functioning
r = -0.57
Family-oriented stressors (worries about family)
78.8%
Missing family
73.5%
Uncertainty about the future
70.9%
Key Findings
Both post-migration stress and trauma exposure predict poorer mental health functioning.
Post-migration stress has a stronger effect on functioning than trauma exposure.
Sense of coherence is the strongest correlate of mental health functioning.
Sense of coherence mediates the relationship between trauma exposure and mental health outcomes.
Family-oriented stressors are prevalent among refugees, impacting their mental health.
Clinical Implications
Healthcare providers should consider the role of sense of coherence in assessing the mental health of refugees.
Conclusion
The findings highlight the importance of sense of coherence in understanding the mental health of refugees.
