Abstract
It has been well-established that refugees evidence increased rates of psychological disorders such as posttraumatic stress disorder (PTSD) and depression. While the contribution of pre- and post-migration experiences to refugee mental health has been extensively examined, relatively less research has focused on the mechanisms that may contribute to the development and maintenance of psychological disorders in refugees. This chapter discusses three potential mechanisms that may impact on refugee mental health, namely emotion regulation, cognitive appraisals and memory processes. Examples of research to date with refugee populations on each of these mechanisms are presented, and potential future research directions are outlined. Implications for the development of psychological interventions tailored to the refugee context are discussed.
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References
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004
Aldao, A., Sheppes, G., & Gross, J. J. (2015). Emotion regulation flexibility. Cognitive Therapy and Research, 39(3), 263–278. https://doi.org/10.1007/s10608-014-9662-4
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, Virginia: American Psychiatric Publishing.
Amstadter, A. B., & Vernon, L. L. (2006). Suppression of neutral and trauma targets: Implications for posttraumatic stress disorder. Journal of Traumatic Stress, 19(4), 517–526. https://doi.org/10.1002/jts.20142
Amstadter, A. B., & Vernon, L. L. (2008). A preliminary examination of thought suppression, emotion regulation, and coping in a trauma-exposed sample. Journal of Aggression, Maltreatment & Trauma, 17(3), 279–295. https://doi.org/10.1080/10926770802403236
Basoglu, M., Livanou, M., & Crnobaric, C. (2007). Torture vs other cruel, inhuman, and degrading treatment: Is the distinction real or apparent? Archives of General Psychiatry, 64(3), 277–285. https://doi.org/10.1001/archpsyc.64.3.277
Basoglu, M., Livanou, M., Crnobaric, C., Franciskovic, T., Suljic, E., Duric, D., & Vranesic, M. (2005). Psychiatric and cognitive effects of war in former Yugoslavia: Association of lack of redress for trauma and posttraumatic stress reactions. Journal of the American Medical Association, 294(5), 580–590. https://doi.org/10.1001/jama.294.5.580
Bass, J. K., Annan, J., McIvor Murray, S., Kaysen, D., Griffiths, S., Cetinoglu, T., … Bolton, P. A. (2013). Controlled trial of psychotherapy for Congolese survivors of sexual violence. New England Journal of Medicine, 368(23), 2182–2191. https://doi.org/10.1056/NEJMoa1211853
Baumann, M., Zwissler, B., Schalinski, I., Ruf-Leuschner, M., Schauer, M., & Kissler, J. (2013). Directed forgetting in post-traumatic-stress-disorder: A study of refugee immigrants in Germany. Frontiers in Behavioral Neuroscience, 7, 94. https://doi.org/10.3389/fnbeh.2013.00094
Bolton, P., Bass, J. K., Zangana, G. A., Kamal, T., Murray, S. M., Kaysen, D., … Rosenblum, M. (2014). A randomized controlled trial of mental health interventions for survivors of systematic violence in Kurdistan, Northern Iraq. BMC Psychiatry, 14, 360. https://doi.org/10.1186/s12888-014-0360-2
Brewin, C. R. (2011). The nature and significance of memory disturbance in posttraumatic stress disorder. Annual Review of Clinical Psychology, 7(1), 203–227. https://doi.org/10.1146/annurev-clinpsy-032210-104544
Brewin, C. R., Dagleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670–686. https://doi.org/10.1037//0033-295x.103.4.670
Catarino, A., Kupper, C. S., Werner-Seidler, A., Dalgleish, T., & Anderson, M. C. (2015). Failing to forget: Inhibitory-control deficits compromise memory suppression in posttraumatic stress disorder. Psychological Science, 26(5), 604–616. https://doi.org/10.1177/0956797615569889
Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70(5), 1067–1074. https://doi.org/10.1037/0022-006X.70.5.1067
Cloitre, M., Stovall-McClough, K. C., Nooner, K., Zorbas, P., Cherry, S., Jackson, C. L., … Petkova, E. (2010). Treatment for PTSD related to childhood abuse: A randomized controlled trial. American Journal of Psychiatry, 167(8), 915–924. https://doi.org/10.1176/appi.ajp.2010.09081247
Debiec, J. (2012). Memory reconsolidation processes and posttraumatic stress disorder: Promises and challenges of translational research. Biological Psychiatry, 71(4), 284–285. https://doi.org/10.1016/j.biopsych.2011.12.009
Dunmore, E., Clark, D. M., & Ehlers, A. (2001). A prospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy, 39(9), 1063–1084. https://doi.org/S0005-7967(00)00088-7 [pii]
Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345. https://doi.org/S0005-7967(99)00123-0
Ehlers, A., Clark, D. M., Hackmann, A., McManus, F., & Fennell, M. (2005). Cognitive therapy for post-traumatic stress disorder: Development and evaluation. Behaviour Research and Therapy, 43(4), 413–431. https://doi.org/10.1016/j.brat.2004.03.006
Ehlers, A., Hackmann, A., Grey, N., Wild, J., Liness, S., Albert, I., … Clark, D. M. (2014). A randomized controlled trial of 7-day intensive and standard weekly cognitive therapy for PTSD and emotion-focused supportive therapy. American Journal of Psychiatry, 171(3), 294–304. https://doi.org/10.1176/appi.ajp.2013.13040552
Ehlers, A., Hackmann, A., & Michael, T. (2004). Intrusive re-experiencing in post-traumatic stress disorder: Phenomenology, theory, and therapy. Memory, 12(4), 403–415. https://doi.org/10.1080/09658210444000025
Ehlers, A., Mayou, R. A., & Bryant, B. (1998). Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. Journal of Abnormal Psychology, 107(3), 508–519. https://doi.org/10.1037//0021-843x.107.3.508
Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: A systematic review. The Lancet, 365(9467), 1309–1314. https://doi.org/10.1016/S0140-6736(05)61027-6
Foa, E. B., Dancu, C. V., Hembree, E. A., Jaycox, L. H., Meadows, E. A., & Street, G. P. (1999). A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims. Journal of Consulting and Clinical Psychology, 67(2), 194–200. https://doi.org/10.1037//0022-006x.67.2.194
Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The posttraumatic cognitions inventory: Development and validation. Psychological Assessment, 11, 303–314. https://doi.org/10.1037//1040-3590.11.3.303
Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 20–35. https://doi.org/10.1037/0033-2909.99.1.20
Foa, E. B., Riggs, D. S., Massie, E. D., & Yarczower, M. (1995). Impact of fear activation and anger on the efficacy of exposure treatment for posttraumatic stress disorder. Behavior Therapy, 26(3), 487–499. https://doi.org/10.1016/s0005-7894(05)80096-6
Foa, E. B., Steketee, G., & Rothbaum, B. O. (1989). Behavioral/cognitive conceptualizations of post-traumatic stress disorder. Behavior Therapy, 20(2), 155–176. https://doi.org/10.1016/s0005-7894(89)80067-x
Forbes, D., Parslow, R., Creamer, M., Allen, N., McHugh, T., & Hopwood, M. (2008). Mechanisms of anger and treatment outcome in combat veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 21(2), 142–149. https://doi.org/10.1002/jts.20315
Glover, E. M., Jovanovic, T., & Norrholm, S. D. (2015). Estrogen and extinction of fear memories: Implications for posttraumatic stress disorder treatment. Biological Psychiatry, 78(3), 178–185. https://doi.org/10.1016/j.biopsych.2015.02.007
Graham, B., Herlihy, J., & Brewin, C. R. (2014). Overgeneral memory in asylum seekers and refugees. Journal of Behavior Therapy and Experimental Psychiatry, 45(3), 375–380. https://doi.org/10.1016/j.jbtep.2014.03.001
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/b:joba.0000007455.08539.94
Hackmann, A., Ehlers, A., Speckens, A., & Clark, D. M. (2004). Characteristics and content of intrusive memories in PTSD and their changes with treatment. Journal of Traumatic Stress, 17(3), 231–240. https://doi.org/10.1023/B:JOTS.0000029266.88369.fd
Halligan, S. L., Michael, T., Clark, D. M., & Ehlers, A. (2003). Posttraumatic stress disorder following assault: The role of cognitive processing, trauma memory, and appraisals. Journal of Consulting and Clinical Psychology, 71(3), 419–431. https://doi.org/10.1037/0022-006x.71.3.419
Herlihy, J., Jobson, L., & Turner, S. (2012). Just tell us what happened to you: Autobiographical memory and seeking asylum. Applied Cognitive Psychology, 26(5), 661–676. https://doi.org/10.1002/acp.2852
Herlihy, J., Scragg, P., & Turner, S. (2002). Discrepancies in autobiographical memories–implications for the assessment of asylum seekers: Repeated interviews study. BMJ, 324(7333), 324–327. https://doi.org/10.1136/bmj.324.7333.324
Herlihy, J., & Turner, S. (2007). Memory and seeking asylum. European Journal of Psychotherapy and Counselling, 9(3), 267–276. https://doi.org/10.1080/13642530701496872
Herlihy, J., & Turner, S. W. (2007). Asylum claims and memory of trauma: Sharing our knowledge. The British Journal of Psychiatry, 191(1), 3–4. https://doi.org/10.1192/bjp.bp.106.034439
Hinton, D. E. (2012). Multicultural challenges in the delivery of anxiety treatment. Depression and Anxiety, 29(1), 1–3. https://doi.org/10.1002/da.20889
Hinton, D. E., Chean, D., Pich, V., Safren, S., Hofmann, S., & Pollack, M. (2005). A randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: A cross-over design. Journal of Traumatic Stress, 18(6), 617–629. https://doi.org/10.1002/jts.20070
Hinton, D. E., Chhean, D., Hofmann, S. G., Orr, S. P., & Pitman, R. K. (2008). Dizziness and palpitations-predominant orthostatic panic: Physiology, flashbacks and catastrophic cognitions. Journal of Psychopathology and Behavioral Assessment, 30(2), 100–110. https://doi.org/10.1007/s10862-007-9059-8
Hinton, D. E., Field, N. P., Nickerson, A., Bryant, R. A., & Simon, N. (2013). Dreams of the dead among Cambodian refugees: Frequency, phenomenology, and relationship to complicated grief and posttraumatic stress disorder. Death Studies, 37(8), 750–767. https://doi.org/10.1080/07481187.2012.692457
Hinton, D. E., Hinton, A. L., Pich, V., Loeum, J. R., & Pollack, M. H. (2009). Nightmares among Cambodian refugees: The breaching of concentric ontological security. Culture, Medicine and Psychiatry, 33(2), 219–265. https://doi.org/10.1007/s11013-009-9131-9
Hinton, D. E., Hinton, L., Tran, M., Nguyen, L., Hsia, C., & Pollack, M. H. (2006). Orthostatically induced panic attacks among Vietnamese refugees: Associated psychopathology, flashbacks, and catastrophic cognitions. Depression and Anxiety, 23(2), 113–115. https://doi.org/10.1002/da.20154
Hinton, D. E., Hinton, S., Pham, T., Chau, H., & Tran, M. (2003). ‘Hit by the wind’ and temperature-shift panic among Vietnamese refugees. Transcultural Psychiatry, 40(3), 342–376. https://doi.org/10.1177/13634615030403003
Hinton, D. E., Hofmann, S. G., Pitman, R. K., Pollack, M. H., & Barlow, D. H. (2008). The panic attack-posttraumatic stress disorder model: Applicability to orthostatic panic among Cambodian refugees. Cognitive Behaviour Therapy, 37(2), 101–116. https://doi.org/10.1080/16506070801969062
Hinton, D. E., Hofmann, S. G., Pollack, M. H., & Otto, M. W. (2009). Mechanisms of efficacy of CBT for Cambodian refugees with PTSD: Improvement in emotion regulation and orthostatic blood pressure response. CNS Neuroscience & Therapeutics, 15(3), 255–263. https://doi.org/10.1111/j.1755-5949.2009.00100.x
Hinton, D. E., Hofmann, S. G., Rivera, E., Otto, M. W., & Pollack, M. H. (2011). Culturally adapted CBT (CA-CBT) for Latino women with treatment-resistant PTSD: A pilot study comparing CA-CBT to applied muscle relaxation. Behaviour Research and Therapy, 49(4), 275–280. https://doi.org/10.1016/j.brat.2011.01.005
Hinton, D. E., Nickerson, A., & Bryant, R. A. (2011). Worry, worry attacks, and PTSD among Cambodian refugees: A path analysis investigation. Social Science & Medicine, 72(11), 1817–1825. https://doi.org/10.1016/j.socscimed.2011.03.045
Hinton, D. E., & Otto, M. (2006). Symptom presentation and symptom meaning among traumatized Cambodian refugees: Relevance to a somatically focused cognitive behavior therapy. Cognitive and Behavioral Practice, 13(4), 249–260. https://doi.org/10.1016/j.cbpra.2006.04.013
Hinton, D. E., Pham, T., Tran, M., Safren, S., Otto, M., & Pollack, M. (2004). CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: A pilot study. Journal of Traumatic Stress, 17(5), 429–433. https://doi.org/10.1023/B:JOTS.0000048956.03529.fa
Hinton, D. E., Pich, V., Marques, L., Nickerson, A., & Pollack, M. H. (2010). Khyâl attacks: A key idiom of distress among traumatized Cambodia refugees. Culture, Medicine and Psychiatry, 34(2), 244–278. https://doi.org/10.1007/s11013-010-9174-y
Hinton, D. E., Rivera, E. I., Hofmann, S. G., Barlow, D. H., & Otto, M. W. (2012). Adapting CBT for traumatized refugees and ethnic minority patients: Examples from culturally adapted CBT (CA-CBT). Transcultural Psychiatry, 49(2), 340–365. https://doi.org/10.1177/1363461512441595
Holmes, E. A., & Bourne, C. (2008). Inducing and modulating intrusive emotional memories: A review of the trauma film paradigm. Acta Psychologica, 127(3), 553–566. https://doi.org/10.1016/j.actpsy.2007.11.002
Hooberman, J., Rosenfeld, B., Rasmussen, A., & Keller, A. (2010). Resilience in trauma-exposed refugees: The moderating effect of coping style on resilience variables. American Journal of Orthopsychiatry, 80(4), 557–563. https://doi.org/10.1111/j.1939-0025.2010.01060.x
Huijts, I., Kleijn, W. C., van Emmerik, A. A., Noordhof, A., & Smith, A. J. (2012). Dealing with man-made trauma: The relationship between coping style, posttraumatic stress, and quality of life in resettled, traumatized refugees in the Netherlands. Journal of Traumatic Stress, 25(1), 71–78. https://doi.org/10.1002/jts.21665
Hussain, D., & Bhushan, B. (2011). Posttraumatic stress and growth among Tibetan refugees: The mediating role of cognitive-emotional regulation strategies. Journal of Clinical Psychology, 67(7), 720–735. https://doi.org/10.1002/jclp.20801
Kanninen, K., Punamaki, R. L., & Qouta, S. (2002). The relation of appraisal, coping efforts, and acuteness of trauma to PTS symptoms among former political prisoners. Journal of Traumatic Stress, 15(3), 245–253. https://doi.org/10.1023/A:1015211529584
Kulkarni, M., Pole, N., & Timko, C. (2013). Childhood victimization, negative mood regulation, and adult PTSD severity. Psychological Trauma: Theory, Research, Practice, and Policy, 5(4), 359–365. https://doi.org/10.1037/a0027746
Li, S. S., Liddell, B. J., & Nickerson, A. (2016). The relationship between post-migration stress and psychological disorders in refugees and ssylum seekers. Current Psychiatry Reports, 18(9), 82. https://doi.org/10.1007/s11920-016-0723-0
Lie, B. (2002). A 3-year follow-up study of psychosocial functioning and general symptoms in settled refugees. Acta Psychiatrica Scandinavica, 106(6), 415–425. https://doi.org/10.1034/j.1600-0447.2002.01436.x
Lindencrona, F., Ekblad, S., & Hauff, E. (2008). Mental health of recently resettled refugees from the Middle East in Sweden: The impact of pre-resettlement trauma, resettlement stress and capacity to handle stress. Social Psychiatry and Psychiatric Epidemiology, 43(2), 121–131. https://doi.org/10.1007/s00127-007-0280-2
McNally, R. J. (2006). Cognitive abnormalities in post-traumatic stress disorder. Trends in Cognitive Sciences, 10(6), 271–277. https://doi.org/10.1016/j.tics.2006.04.007
Mollica, R. F., Caridad, K. R., & Massagli, M. P. (2007). Longitudinal study of posttraumatic stress disorder, depression, and changes in traumatic memories over time in Bosnian refugees. Journal of Nervous and Mental Disease, 195(7), 572–579. https://doi.org/10.1097/NMD.0b013e318093ed2c
Mollica, R. F., McInnes, K., Pham, T., Smith Fawzi, M. C., Murphy, E., & Lin, L. (1998). The dose-effect relationships between torture and psychiatric symptoms in Vietnamese ex-political detainees and a comparison group. Journal of Nervous and Mental Disease, 186(9), 543–553. https://doi.org/10.1097/00005053-199809000-00005
Mollica, R. F., McInnes, K., Poole, C., & Tor, S. (1998). Dose-effect relationships of trauma to symptoms of depression and post-traumatic stress disorder among Cambodian survivors of mass violence. British Journal of Psychiatry, 173(6), 482–488. https://doi.org/10.1192/bjp.173.6.482
Moradi, A. R., Herlihy, J., Yasseri, G., Shahraray, M., Turner, S., & Dalgleish, T. (2008). Specificity of episodic and semantic aspects of autobiographical memory in relation to symptoms of posttraumatic stress disorder (PTSD). Acta Psychologica, 127(3), 645–653. https://doi.org/10.1016/j.actpsy.2007.11.001
Nicholson, E. L., Bryant, R. A., & Felmingham, K. L. (2014). Interaction of noradrenaline and cortisol predicts negative intrusive memories in posttraumatic stress disorder. Neurobiology of Learning and Memory, 112, 204–211. https://doi.org/10.1016/j.nlm.2013.11.018
Nickerson, A., Bryant, R. A., Schnyder, U., Schick, M., Mueller, J., & Morina, N. (2015). Emotion dysregulation mediates the relationship between trauma exposure, post-migration living difficulties and psychological outcomes in traumatized refugees. Journal of Affective Disorders, 173, 185–192. https://doi.org/10.1016/j.jad.2014.10.043
Nickerson, A., Bryant, R. A., Silove, D., & Steel, Z. (2011). A critical review of psychological treatments of posttraumatic stress disorder in refugees. Clinical Psychology Review, 31(3), 399–417. https://doi.org/10.1016/j.cpr.2010.10.004
Nickerson, A., Bryant, R. A., Steel, Z., Silove, D., & Brooks, R. (2010). The impact of fear for family on mental health in a resettled Iraqi refugee community. Journal of Psychiatric Research, 44(4), 229–235. https://doi.org/10.1016/j.jpsychires.2009.08.006
Nickerson, A., Garber, B., Ahmed, O., Asnaani, A., Cheung, J., Hofmann, S. G., … Bryant, R. A. (2016). Emotional suppression in torture survivors: Relationship to posttraumatic stress symptoms and trauma-related negative affect. Psychiatry Research, 242, 233–239. https://doi.org/10.1016/j.psychres.2016.05.048
Nickerson, A., Garber, B., Liddell, B. J., Litz, B. T., Hofmann, S. G., Asnaani, A., … Bryant, R. A. (2017). Impact of cognitive reappraisal on negative affect, heart rate, and intrusive memories in traumatized refugees. Clinical Psychological Science, 5(3), 497–512. https://doi.org/10.1177/2167702617690857
Nickerson, A., Liddell, B. J., Maccallum, F., Steel, Z., Silove, D., & Bryant, R. A. (2014). Posttraumatic stress disorder and prolonged grief in refugees exposed to trauma and loss. BMC Psychiatry, 14(1), 106. https://doi.org/10.1186/1471-244X-14-106
Nickerson, A., Schnyder, U., Bryant, R. A., Schick, M., Mueller, J., & Morina, N. (2015). Moral injury in traumatized refugees. Psychotherapy and Psychosomatics, 84(2), 122–123. https://doi.org/10.1159/000369353
O’Donnell, M. L., Elliott, P., Wolfgang, B. J., & Creamer, M. (2007). Posttraumatic appraisals in the development and persistence of posttraumatic stress symptoms. Journal of Traumatic Stress, 20(2), 173–182. https://doi.org/10.1002/jts.20198
Ono, M., Devilly, G. J., & Shum, D. H. (2016). A meta-analytic review of overgeneral memory: The role of trauma history, mood, and the presence of posttraumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy, 8(2), 157–164. https://doi.org/10.1037/tra0000027
Otto, M., & Hinton, D. E. (2006). Modifying exposure-based CBT for Cambodian refugees with posttraumatic stress disorder. Cognitive and Behavioral Practice, 13(4), 261–270. https://doi.org/10.1016/j.cbpra.2006.04.007
Park, J., Jun, J. Y., Lee, Y. J., Kim, S., Lee, S. H., Yoo, S. Y., & Kim, S. J. (2015). The association between alexithymia and posttraumatic stress symptoms following multiple exposures to traumatic events in North Korean refugees. Journal of Psychosomatic Research, 78(1), 77–81. https://doi.org/10.1016/j.jpsychores.2014.09.007
Porter, M., & Haslam, N. (2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: A meta-analysis. Journal of the American Medical Association, 294(5), 602–612. https://doi.org/10.1001/jama.294.5.602
Rasmussen, A., Nguyen, L., Wilkinson, J., Vundla, S., Raghavan, S., Miller, K. E., & Keller, A. S. (2010). Rates and impact of trauma and current stressors among Darfuri refugees in Eastern Chad. American Journal of Orthopsychiatry, 80(2), 227–236. https://doi.org/10.1111/j.1939-0025.2010.01026.x
Resick, P. A., Galovski, T. E., O’Brien Uhlmansiek, M., Scher, C. D., Clum, G. A., & Young-Xu, Y. (2008). A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76(2), 243–258. https://doi.org/10.1037/0022-006x.76.2.243
Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., & Feuer, C. A. (2002). A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology, 70(4), 867–879. https://doi.org/10.1037//0022-006x.70.4.867
Resick, P. A., & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60(5), 748–756. https://doi.org/10.1037/0022-006X.60.5.748
Robjant, K., & Fazel, M. (2010). The emerging evidence for narrative exposure therapy: A review. Clinical Psychology Review, 30(8), 1030–1039. https://doi.org/10.1016/j.cpr.2010.07.004
Roemer, L., Litz, B. T., Orsillo, S. M., & Wagner, A. W. (2001). A preliminary investigation of the role of strategic withholding of emotions in PTSD. Journal of Traumatic Stress, 14(1), 149–156. https://doi.org/10.1023/a:1007895817502
Sachs, E., Rosenfeld, B., Lhewa, D., Rasmussen, A., & Keller, A. (2008). Entering exile: Trauma, mental health, and coping among Tibetan refugees arriving in Dharamsala, India. Journal of Traumatic Stress, 21(2), 199–208. https://doi.org/10.1002/jts.20324
Schauer, M., Neuner, F., & Elbert, T. (2005). Narrative exposure therapy: A short-term intervention for traumatic stress disorders after war, terror or torture. Cambridge, MA: Hogrefe & Huber.
Schulz, P. M., Resick, P. A., Huber, L. C., & Griffin, M. G. (2006). The effectiveness of cognitive processing therapy for PTSD with refugees in a community setting. Cognitive and Behavioral Practice, 13(4), 322–331. https://doi.org/10.1016/j.cbpra.2006.04.011
Schweitzer, R., Melville, F., Steel, Z., & Lacharez, P. (2006). Trauma, post-migration living difficulties and social support as predictors of psychosocial adjustment in resettled Sudanese refugees. Australian and New Zealand Journal of Psychiatry, 40, 179–187. https://doi.org/10.1111/j.1440-1614.2006.01766.x
Seligowski, A. V., Lee, D. J., Bardeen, J. R., & Orcutt, H. K. (2015). Emotion regulation and posttraumatic stress symptoms: A meta-analysis. Cognitive Behaviour Therapy, 44(2), 87–102. https://doi.org/10.1080/16506073.2014.980753
Shipherd, J. C., & Beck, J. G. (1999). The effects of suppressing trauma-related thoughts on women with rape-related posttraumatic stress disorder. Behaviour Research and Therapy, 37(2), 99–112. https://doi.org/10.1016/s0005-7967(98)00136-3
Sippel, L. M., Roy, A. M., Southwick, S. M., & Fichtenholtz, H. M. (2016). An examination of the roles of trauma exposure and posttraumatic stress disorder on emotion regulation strategies of operation Iraqi freedom, operation enduring freedom, and operation new Dawn veterans. Cognitive Behaviour Therapy, 45(5), 339–350. https://doi.org/10.1080/16506073.2016.1183037
Sondergaard, H. P., Ekblad, S., & Theorell, T. (2003). Screening for post-traumatic stress disorder among refugees in Stockholm. Nordic Journal of Psychiatry, 57(3), 185–189. https://doi.org/10.1080/08039480310001328
Sondergaard, H. P., & Theorell, T. (2004). Alexithymia, emotions and PTSD; findings from a longitudinal study of refugees. Nordic Journal of Psychiatry, 58(3), 185–191. https://doi.org/10.1080/08039480410006214
Speckens, A. E., Ehlers, A., Hackmann, A., Ruths, F. A., & Clark, D. M. (2007). Intrusive memories and rumination in patients with post-traumatic stress disorder: A phenomenological comparison. Memory, 15(3), 249–257. https://doi.org/10.1080/09658210701256449
Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: A systematic review and meta-analysis. Journal of the American Medical Association, 302(5), 537–549. https://doi.org/10.1001/jama.2009.1132
Tay, A. K., Rees, S., Chen, J., Kareth, M., & Silove, D. (2015). The coherence and correlates of intermittent explosive disorder amongst West Papuan refugees displaced to Papua New Guinea. Journal of Affective Disorders, 177, 86–94. https://doi.org/10.1016/j.jad.2015.02.009
Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38(3), 303–313. https://doi.org/10.1016/j.beth.2006.10.001
UNHCR. (2017). Global trends in forced displacement in 2016. Geneva, Switzerland: UNHCR.
Walsh, K., DiLillo, D., & Scalora, M. J. (2011). The cumulative impact of sexual revictimization on emotion regulation difficulties: An examination of female inmates. Violence Against Women, 17(8), 1103–1118. https://doi.org/10.1177/1077801211414165
Woud, M. L., Holmes, E. A., Postma, P., Dalgleish, T., & Mackintosh, B. (2012). Ameliorating intrusive memories of distressing experiences using computerized reappraisal training. Emotion, 12(4), 778–784. https://doi.org/10.1037/a0024992
Woud, M. L., Postma, P., Holmes, E. A., & Mackintosh, B. (2013). Reducing analogue trauma symptoms by computerized reappraisal training – Considering a cognitive prophylaxis? Journal of Behavior Therapy & Experimental Psychiatry, 44(3), 312–315. https://doi.org/10.1016/j.jbtep.2013.01.003
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Nickerson, A. (2018). Pathways to Recovery: Psychological Mechanisms Underlying Refugee Mental Health. In: Morina, N., Nickerson, A. (eds) Mental Health of Refugee and Conflict-Affected Populations. Springer, Cham. https://doi.org/10.1007/978-3-319-97046-2_5
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