The psychological and social situation of repatriated and exiled refugees: a longitudinal, comparative study.
OBJECTIVE
The aim of this study was to explore possible differences in the longitudinal course of psychological symptoms and somatic symptoms between one group of Bosnian refugees returning to their home country (B) and one group remaining in the host country (N). The aim was also to look for possible differences in pre-flight traumatic experiences and psychological symptom load within the groups. In addition the experiences of returning home after a period in exile were studied, based on quantitative and qualitative data.


METHODS
The study is a follow-up study of 21 Bosnian refugees returning to Bosnia compared with 175 refugees remaining in exile in Norway. Quantitative results are supplemented with qualitative information.


RESULTS
Both groups demonstrated persistence of psychological symptoms, indicating severity and chronicity of the problems. The main findings were that refugees with a former history of traumatic experiences of a physical character were less willing to return. A decrease over time in all symptom parameters was found in the repatriated group with a statistically significant decline for the PTSS-16 and HTQ scores (p<0.05).


CONCLUSIONS
Chronicity of psychological symptom load was found in both groups. The decision to return home seems to be closely connected to pre-flight traumatic experiences. An early decision to return home seems to be persistent over time.
Lie
Birgit
B
Psychosocial Centre for Refugees, University of Oslo, Norway. birgit_lie@c2i.net
D000293:Adolescent; D000328:Adult; D017522:Bosnia and Herzegovina / Q000208:ethnology; D004641:Emigration and Immigration; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009664:Norway / Q000453:epidemiology; D011569:Psychiatric Status Rating Scales; D012036:Refugees / Q000523:psychology*; D012931:Social Environment; D013001:Somatoform Disorders / Q000208:ethnology; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000208:ethnology* / Q000209:etiology; D013315:Stress, Psychological / Q000208:ethnology* / Q000523:psychology