| Literature DB >> 35055569 |
Emily Miller1, Tahereh Ziaian1, Helena de Anstiss1, Melanie Baak2.
Abstract
Forced displacement of refugees, currently at record levels, leads to increased cultural diversity in many countries with benefits and challenges for individuals, communities, and societies. Refugees often face significant stressors both pre- and post-migration, and hence are at increased risk of poor mental health and wellbeing. Children and adolescents make up a significant proportion of refugees globally, and hence mental health supports for these young people are crucial. Current mental health research often uses pathologized approaches that focus on trauma, although there is growing literature highlighting the importance of a sense of belonging and the reduction in discrimination and social exclusion, emphasizing strengths and agency of individuals and communities. Resilience is often noted for its positive influence on mental health and wellbeing; however, research regarding how mechanisms of resilience function is still developing. This study investigated mental health and wellbeing of refugee-background Australian youth to better understand the role and function of resilience. Findings suggest that intersecting social ecologies, such as those within family, school, or community networks, contribute to development of identity and a sense of belonging for youth, which together form a resilient system that provides resources for wellbeing. Adaptations of school policy and practice can support positive mental health and wellbeing outcomes by contributing to and developing resilient environments, such as through building connections to family, improving positive recognition of cultural identity for individuals and across the whole school community, and actively working to minimize discrimination.Entities:
Keywords: mental health; refugee; resettlement; resilience; school; student; wellbeing
Mesh:
Year: 2022 PMID: 35055569 PMCID: PMC8775447 DOI: 10.3390/ijerph19020748
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Cronbach’s alpha for scales, means and standard deviations, and bivariate correlations.
| α |
|
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. Gender | - | - | - | - | |||||||||
| 2. Age | - | 17.57 | 2.32 | 0.10 | - | ||||||||
| 3. Time in Australia | - | 5.18 | 3.61 | 0.10 | −0.05 | - | |||||||
| 4. Discrimination | 0.80 | 2.27 | 0.92 | −0.03 | 0.08 | 0.32 ** | - | ||||||
| 5. Ethnic Identity | 0.89 | 4.10 | 0.82 | 0.04 | −0.03 | 0.05 | −0.20 ** | - | |||||
| 6. School Support | 0.86 | 3.26 | 0.59 | 0.03 | −0.01 | −0.19 ** | −0.28 ** | 0.23 ** | - | ||||
| 7. Family Congruence | 0.90 | 3.94 | 0.85 | 0.05 | −0.00 | −0.13 * | −0.26** | 0.34 ** | 0.27 ** | - | |||
| 8. Life Satisfaction | 0.78 | 3.53 | 0.77 | −0.14 * | −0.02 | −0.06 | −0.12 * | 0.28 ** | 0.10 | 0.28 ** | - | ||
| 9. Resilience | 0.86 | 3.60 | 0.71 | −0.21 ** | −0.07 | 0.08 | −0.12 * | 0.26 ** | 0.19 ** | 0.36 ** | 0.36 ** | - | |
| 10. Psychological Distress | 0.89 | 20.73 | 7.66 | 0.10 | 0.01 | −0.10 | 0.20 ** | −0.10 | −0.09 | −0.18 ** | −0.27 ** | −0.28 ** | - |
| 11. National Identity | 0.81 | 4.03 | 0.82 | −0.10 | 0.04 | −0.12 * | −0.24 ** | 0.33 ** | 0.31 ** | 0.35 ** | 0.15 ** | 0.19 ** | −0.11 |
* Significant at the 0.05 level (2-tailed) ** Significant at the 0.01 level (2-tailed).
Figure 1Mediation path model, with significant correlations and effects displayed (bold p < 0.001/not-bold p < 0.05.
Model fit.
| GFI | CFI | TLI | RMSEA | SRMR | χ2 (d | Δχ2(d | ||
|---|---|---|---|---|---|---|---|---|
| Acceptable fit indices # | ≥0.9 | ≥0.95 | ≥0.9 | ≤0.08 | ≤0.09 | Non-significant i.e., | ||
| Model 1—Main path model | 0.990 | 0.987 | 0.952 | 0.038 | 0.031 | 14.62(10) | ||
| Model 2—Multigroup, regions | ||||||||
| 0.972 | 0.965 | 0.874 | 0.036 | 0.048 | 42.72(30) | - | ||
| 0.960 | 0.967 | 0.929 | 0.027 | 0.056 | - | 19.25(20) | ||
| 0.922 | 0.911 | 0.896 | 0.033 | 0.073 | - | 62.25(42) | ||
| 0.916 | 0.895 | 0.887 | 0.035 | 0.074 | - | 13.88(8) | ||
| Model 3—Main path model with additional path from Family Congruence to Psychological Distress | ||||||||
| 0.991 | 0.985 | 0.942 | 0.042 | 0.030 | 14.018(9) | - | ||
| 0.978 | 0.982 | 0.929 | 0.027 | 0.046 | 33.50(27) | - | ||
# The comparative fit index (CFI), the Tucker–Lewis index (TLI), the root mean square error of approximation (RMSEA), the standardized root mean square residual (SRMR), chi-square (χ2) model fit indices drawn from Putnick and Bornstein [74], Hu and Bentler [75], Cheung and Rensvold [76], Fan, Thompson [77]. ## Indication of possible invariance on some indices was considered acceptable within the context of acceptable alternate fit indices; multigroup analysis further explored these results.
Standardized indirect effects (2000 bootstraps, 95%CI) mediated by resilience, direct effects, and total effects on two endogenous variables: significant effects displayed.
| Significant Indirect Effects | Significant Direct Effects | Total Effects | |||||||
|---|---|---|---|---|---|---|---|---|---|
|
|
| CI (95%) |
|
| CI (95%) |
|
| CI (95%) | |
|
| |||||||||
| Gender | 0.060 | 0.001 | 0.026,0.108 | 0.060 | 0.001 | 0.026,0.108 | |||
| Time in Australia | −0.040 | 0.001 | −0.080, −0.015 | −0.164 | 0.002 | −0.258, −0.054 | −0.204 | 0.002 | −0.296, −0.091 |
| Discrimination | 0.215 | 0.001 | 0.096, 0.333 | 0.215 | 0.001 | 0.096,0.333 | |||
| Ethnic Identity | −0.031 | 0.015 | −0.068, −0.005 | −0.031 | 0.015 | −0.068, −0.005 | |||
| Family Congruence | −0.078 | 0.001 | −0.138, −0.038 | −0.078 | 0.001 | −0.138, −0.038 | |||
| School Support | −0.028 | 0.028 | −0.068, −0.003 | −0.028 | 0.028 | −0.068, −0.003 | |||
|
| |||||||||
| Gender | −0.075 | 0.001 | −0.127, −0.036 | −0.075 | 0.001 | −0.127, −0.036 | |||
| Time in Australia | 0.050 | 0.001 | 0.020, 0.089 | 0.050 | 0.001 | 0.020, 0.089 | |||
| Ethnic Identity | 0.038 | 0.017 | 0.006, 0.083 | 0.200 | 0.001 | 0.083, 0.319 | 0.239 | 0.001 | 0.113, 0.356 |
| Family Congruence | 0.097 | 0.001 | 0.048, 0.164 | 0.097 | 0.001 | 0.048, 0.164 | |||
| School Support | 0.034 | 0.032 | 0.003, 0.080 | 0.034 | 0.032 | 0.003, 0.080 | |||