Syrian Refugee Youth Resettled in Norway: Mechanisms of Resilience Influencing Health-Related Quality of Life and Mental Distress

Background: The importance of resilience factors in the positive adaptation of refugee youth is widely recognised. However, their actual mechanism of impact remains under-researched. The aim of this study was therefore to explore protective and promotive resilience mechanisms to inform future interv...

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Main Authors: Cecilie Dangmann, Øivind Solberg, Anne Kjersti Myhrene Steffenak, Sevald Høye, Per Normann Andersen
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-09-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2021.711451/full
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author Cecilie Dangmann
Øivind Solberg
Anne Kjersti Myhrene Steffenak
Sevald Høye
Per Normann Andersen
author_facet Cecilie Dangmann
Øivind Solberg
Anne Kjersti Myhrene Steffenak
Sevald Høye
Per Normann Andersen
author_sort Cecilie Dangmann
collection DOAJ
description Background: The importance of resilience factors in the positive adaptation of refugee youth is widely recognised. However, their actual mechanism of impact remains under-researched. The aim of this study was therefore to explore protective and promotive resilience mechanisms to inform future interventions and policy. Promotive resilience is seen as a direct main effect and protective resilience as a moderating effect.Methods: This was a cross-sectional study of Syrian youth recently resettled in Norway, aged 13–24 years. Regression and moderation analyses were used to explore different interactions, including moderated mediation using the PROCESS macro for SPSS.Result: A direct main effect of promotive resilience was found for health-related quality of life (HRQoL) and general mental distress, but not for post-traumatic stress disorder (PTSD). No moderating effects of protective resilience were found. Post-migration stressors mediated the effects of potentially traumatic events (PTE) from war and flight, and this indirect effect was present at all levels of resilience.Conclusion: Despite high risk exposure and mental distress, resilience was also high. Broad resilience interventions targeting multiple factors would likely benefit the group, but these should include both individual assets and building supportive environments. Additionally, reducing current stress and providing treatment for those in need could enable recovery and increase the efficacy of resilience factors already present.
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spelling doaj.art-da0a90e43c9944fc858bfbf71d38a6a12022-12-21T18:44:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-09-01910.3389/fpubh.2021.711451711451Syrian Refugee Youth Resettled in Norway: Mechanisms of Resilience Influencing Health-Related Quality of Life and Mental DistressCecilie Dangmann0Øivind Solberg1Anne Kjersti Myhrene Steffenak2Sevald Høye3Per Normann Andersen4Faculty of Health and Social Sciences, Inland Norway University of Applied Sciences, Elverum, NorwayDepartment of Health Science, Swedish Red Cross University College, Stockholm, SwedenFaculty of Health and Social Sciences, Inland Norway University of Applied Sciences, Elverum, NorwayFaculty of Health and Social Sciences, Inland Norway University of Applied Sciences, Elverum, NorwayDepartment of Psychology, Inland Norway University of Applied Sciences, Lillehammer, NorwayBackground: The importance of resilience factors in the positive adaptation of refugee youth is widely recognised. However, their actual mechanism of impact remains under-researched. The aim of this study was therefore to explore protective and promotive resilience mechanisms to inform future interventions and policy. Promotive resilience is seen as a direct main effect and protective resilience as a moderating effect.Methods: This was a cross-sectional study of Syrian youth recently resettled in Norway, aged 13–24 years. Regression and moderation analyses were used to explore different interactions, including moderated mediation using the PROCESS macro for SPSS.Result: A direct main effect of promotive resilience was found for health-related quality of life (HRQoL) and general mental distress, but not for post-traumatic stress disorder (PTSD). No moderating effects of protective resilience were found. Post-migration stressors mediated the effects of potentially traumatic events (PTE) from war and flight, and this indirect effect was present at all levels of resilience.Conclusion: Despite high risk exposure and mental distress, resilience was also high. Broad resilience interventions targeting multiple factors would likely benefit the group, but these should include both individual assets and building supportive environments. Additionally, reducing current stress and providing treatment for those in need could enable recovery and increase the efficacy of resilience factors already present.https://www.frontiersin.org/articles/10.3389/fpubh.2021.711451/fullhealth-related quality of lifemental distresspost-migration stressorspost-traumatic stress disorderrefugeeresilience
spellingShingle Cecilie Dangmann
Øivind Solberg
Anne Kjersti Myhrene Steffenak
Sevald Høye
Per Normann Andersen
Syrian Refugee Youth Resettled in Norway: Mechanisms of Resilience Influencing Health-Related Quality of Life and Mental Distress
Frontiers in Public Health
health-related quality of life
mental distress
post-migration stressors
post-traumatic stress disorder
refugee
resilience
title Syrian Refugee Youth Resettled in Norway: Mechanisms of Resilience Influencing Health-Related Quality of Life and Mental Distress
title_full Syrian Refugee Youth Resettled in Norway: Mechanisms of Resilience Influencing Health-Related Quality of Life and Mental Distress
title_fullStr Syrian Refugee Youth Resettled in Norway: Mechanisms of Resilience Influencing Health-Related Quality of Life and Mental Distress
title_full_unstemmed Syrian Refugee Youth Resettled in Norway: Mechanisms of Resilience Influencing Health-Related Quality of Life and Mental Distress
title_short Syrian Refugee Youth Resettled in Norway: Mechanisms of Resilience Influencing Health-Related Quality of Life and Mental Distress
title_sort syrian refugee youth resettled in norway mechanisms of resilience influencing health related quality of life and mental distress
topic health-related quality of life
mental distress
post-migration stressors
post-traumatic stress disorder
refugee
resilience
url https://www.frontiersin.org/articles/10.3389/fpubh.2021.711451/full
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