title: The relationship between trauma, post-migration problems and the psychological well-being of refugees and asylum seekers.
abstract: BACKGROUND
  There is growing evidence of the impact of post-migration factors on the mental health of refugees. To date, few UK studies have been conducted.
  
  
  OBJECTIVE
  The study investigated the relationship between trauma, post-migration problems, social support and the mental health of refugees and asylum seekers.
  
  
  METHODS
  Refugees and asylum seekers (n = 47) were recruited mainly from clinical settings. Self-report measures of post-migration problems, mental health problems and social support were completed in an interview.
  
  
  RESULTS
  Bivariate associations were identified between increased symptoms and number of traumas, adaptation difficulties, loss of culture and support and confidant support. In multivariate analyses post-migration problems were significantly associated with post-traumatic stress disorder symptoms and emotional distress. There was no significant association of symptoms and number of traumas or social support.
  
  
  CONCLUSIONS
  The results suggest that clinical services should provide holistic interventions within a phased approach when working with refugees and asylum seekers. At a policy level, the results suggest the need for asylum policies that reduce post-migration problems and provide support for refugees and asylum seekers.
authors.affiliation: The Traumatic Stress Clinic, Camden and Islington Foundation Trust, 73 Charlotte Street, London, UK. ken.carswell@uclmail.net
authors.forename: Kenneth
authors.initials: K
authors.lastname: Carswell
authors.forename: Pennie
authors.initials: P
authors.lastname: Blackburn
authors.forename: Chris
authors.initials: C
authors.lastname: Barker
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D012036:Refugees / Q000523:psychology*; D012307:Risk Factors; D012944:Social Support; D013222:State Medicine; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology; D011795:Surveys and Questionnaires; D006113:United Kingdom; D014947:Wounds and Injuries; D055815:Young Adult