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Coping in Limbo?: The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process
The Swedish Red Cross University College, Department of Health Sciences. Norwegian Centre for Violence and Traumatic Stress Studies, Oslo, Norway.ORCID iD: 0000-0002-0561-1893
The Swedish Red Cross University College, Department of Health Sciences.ORCID iD: 0000-0001-6807-7694
The Swedish Red Cross University College, Department of Health Sciences.ORCID iD: 0000-0003-2879-0457
The Swedish Red Cross University College, Department of Health Sciences. Karolinska Institutet, Sweden.ORCID iD: 0000-0001-5376-5048
2021 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 18, no 3, article id 1004Article in journal (Refereed) Published
Abstract [en]

Asylum seekers are faced with high levels of post-migratory stress due to uncertainty and uncontrollability of the application process, resulting in higher levels of mental health problems. Little is known about the coping strategies utilized by asylum seekers in this context. Structural equation modeling and the stepwise modeling approach were utilized on cross-sectional data from a cohort of asylum seekers in Sweden (N = 455) to examine whether adaptive coping in the form of problem-focused and cognitive-based coping would buffer the impact of post-migratory stressors by moderating the relationship between the stressors and well-being. Fit indices showed good to excellent fit of the final model that regressed well-being on selected post-migratory stressors and coping (CFI = 0.964, RMSEA = 0.043 (90% CI = 0.035–0.051), SRMR = 0.044). Well-being was negatively and significantly regressed on both perceived discrimination (B = −0.42, SE = 0.11, p < 0.001) and distressing family conflicts (B = −0.16, SE = 0.07, p = 0.037), and positively and significantly regressed on cognitive restructuring (B = 0.71, SE = 0.33, p = 0.030). There was, however, no evidence that coping strategies modified the adverse associations between the two post-migratory stressors and well-being. Interventions and policies should prioritize improving contextual factors inherent in the asylum-seeking process in order to reduce stress and enable coping.

Place, publisher, year, edition, pages
MDPI, 2021. Vol. 18, no 3, article id 1004
Keywords [en]
asylum seekers, coping, stressors, mental well-being, perceived discrimination, family conflicts
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:rkh:diva-3766DOI: 10.3390/ijerph18031004ISI: 000615179900001PubMedID: 33498731OAI: oai:DiVA.org:rkh-3766DiVA, id: diva2:1524492
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2016-07194Available from: 2021-02-01 Created: 2021-02-01 Last updated: 2021-03-04Bibliographically approved

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Solberg, ØivindSengoelge, MathildeNissen, AlexanderSaboonchi, Fredrik

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