TRAUMA EXPOSURE, POSTMIGRATION STRESSORS, AND SYMPTOMS OF ANXIETY, DEPRESSION AND POSTTRAUMATIC STRESS IN TAMIL ASYLUM-SEEKERS - COMPARISONWITH REFUGEES AND IMMIGRANTS
D. Silove et al., TRAUMA EXPOSURE, POSTMIGRATION STRESSORS, AND SYMPTOMS OF ANXIETY, DEPRESSION AND POSTTRAUMATIC STRESS IN TAMIL ASYLUM-SEEKERS - COMPARISONWITH REFUGEES AND IMMIGRANTS, Acta psychiatrica Scandinavica, 97(3), 1998, pp. 175-181
Compared to research on displaced persons whose refugee status has bee
n endorsed prior to arriving in Western countries, there is little sys
tematic information available about levels of past trauma, postmigrati
on living difficulties and psychiatric symptoms amongst asylum-seekers
who claim refugee status only after arrival. Asylum-seekers, authoriz
ed refugees and immigrants of Tamil background were recruited by perso
nal contact and mail-out in Sydney, Australia. A total of 62 subjects,
constituting approximately 60% of the estimated pool of Tamil asylum-
seekers, agreed to participate in the study. They returned statistical
ly significantly higher scores than immigrants (n=104) on measures of
past trauma, symptoms of anxiety, depression and post-traumatic stress
, and on all dimensions of postmigration difficulties. Asylum-seekers
did not differ from refugees (n=30) on measures of past trauma or psyc
hiatric symptoms, but they scored higher on selective components of po
stmigration stress relating to difficulties associated with their inse
cure residency status. Although limited by sampling and diagnostic con
straints, the present study suggests that asylum-seekers may be a high
-risk group in relation to ongoing stress in the postmigration period.