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Quality of Life Among Iranian Refugees Resettled in Sweden

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Abstract

The relationships between quality of life, psychopathological manifestations and coping related variables (coping resources, social support, sense of coherence) were examined among individuals who have perceived several severe traumata. One hundred Iranian refugees resettled in Sweden have been investigated by the Symptom Checklist (SCL-90-R), the Beck Depression Inventory (BDI), the Coping Resources Inventory (CRI), and the Interview Schedule for Social Interaction (ISSI), the Sense of Coherence Scale (SOC), and the WHOQoL-100 questionnaire in a cross-sectional study. Individuals, traumatized by combat experiences as a soldier during the war, with low BDI scores showed on average the significantly highest overall quality of life, the best physical health, the highest scores according to the sense of coherence most pronounced for “Meaningfulness,” and the best availability of social integration compared to participants who did not had these experiences in combats and those with the experience but scored high in the BDI. Quality of life, coping resources, and social support were found closely related to psychopathological manifestations. Motivational orientations (highly developed Meaningfulness—SOC) and various coping competencies probably enable some traumatized individuals to resist against several traumata and to live in a good quality of life without psychopathological disturbances.

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REFERENCES

  • Petevi, M: Forced displacement. Refugees trauma, protection and assistance. The contribution of the United Nation High Commissioner for Refugees: In: Danieli, NS, Weisaeth, L, eds. International Responses to Traumatic Stress. Amityville, NY: Baywood; 1996:161-192

    Google Scholar 

  • Dybdahl, R: Bosnian women and children in war: Experiences, psychological consequences and psychological intervention. In: Dissertation at the Faculty of Social Science, Department of Psychology, University of Tromsoe, Norway; 2001

    Google Scholar 

  • World Health Organization: Mental health of refugees. Published by the World Health Organization in collaboration with the office of the United Nation High Commissioner for Refugees. Geneva: WHO; 1996

    Google Scholar 

  • Mollica, RF: Waging a new kind of war: Invisible wounds. Sci Am 2000; 282:54-57

    Google Scholar 

  • Bat-Zion, N, Levy-Shiff, R: Children in war: Stress and coping reactions under the threat of the Scud missile attacks and the effect of proximity: In: Lewis, L, Fox, N, eds. The Psychological Effects of War and Violence in Children. Hillsdale, NJ: Erlbaum; 1993:143-161

    Google Scholar 

  • Kuterovac, G, Dyregrov, A, Stuvland, R: Children in war: A silent majority under stress. Br J Med Psychol 1994; 67:363-375

    Google Scholar 

  • Clark, DC, Pynoos, RS, Goebel, AE: Mechanisms and processes of adolescents bereavement: In: Haggerty, RJ, Garmezy, N, Rutter, M, Sherrod, L, eds. Stress, Risk, and Resilience in Children and Adolescents: Process Mechanism and Interventions. Cambridge, England: Cambridge University Press; 1994:100-146

    Google Scholar 

  • Herman, LJ: Trauma and Recovery. New York: Basic Books; 1992

    Google Scholar 

  • Thulesius, H, Haakansson, A: A screening for posttraumatic stress disorder symptoms among Bosnian refugees. J Trauma Stress 1999; 12:167-174

    Google Scholar 

  • Carlson, EB, Rosserhogan, R: Trauma experiences, posttraumatic stress, dissociation, and depression in Cambodian refugees. Am J Psychiatry 1991; 148:1548-1551

    Google Scholar 

  • De Vries, J: Mental health issues in Tamil refugees and displaced persons. Counselling implications. Patient Educ Couns 2001; 42:15-24

    Google Scholar 

  • Ferrada-Noli, M: Post-traumatic stress disorder and suicidal behavior in immigrants to Sweden. An epidemiological, cross-cultural and psychiatric study. Dissertation at the Department of Clinical Neuroscience, Karolinska Institut, Stockholm, Sweden; 1996

    Google Scholar 

  • American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorder, 4th edn. Washington, DC: APA; 1994

    Google Scholar 

  • Coyne, J, Lazarus, R: Cognition, stress and coping: A transactional perspective: In: Kutash, I, Schlesinger, L, eds. Pressure point: Perspectives on stress and anxiety. San Francisco: Jossey-Bass; 1980:144-158

    Google Scholar 

  • Lazarus, R, Launier, R: Stress-related transaction between person and environment: In: Pervin, L, Lewis, M, eds. Perspectives in Interactional Psychology. New York: Plenum; 1978:287-327

    Google Scholar 

  • Lazarus, R, Folkman, S: Stress, Appraisal and Coping. New York: Springer; 1984.

    Google Scholar 

  • Folkman, S, Lazarus, RS: Coping as a mediator of emotion. J Pers Soc Psychol 1988; 54:466-475

    Google Scholar 

  • Carver, CS: How should multifaceted constructs be tested? Issues illustrated by self-monitoring, attributional style, and hardiness. J Pers Soc Psychol 1989; 56:577-585

    Google Scholar 

  • Kobasa, SC, Maddi, SR, Courington, S: Personality and constitution as mediators in the stress—illness relationship. J Health Soc Behav 1981; 22:368-378

    Google Scholar 

  • Kobasa, SC, Maddi, SF, Kahn, S: Hardiness and health: A prospective study. J Pers Soc Psychol 1982; 42:168-177

    Google Scholar 

  • Folkman, S, Lazarus, RS, Dunkel-Schetter, CD, DeLongis, A, Gruen, RJ: Dynamics of a stressful encounter: Cognitive appraisal, coping and encounter outcomes. J Pers Soc Psychol 1986; 50:992-1003

    Google Scholar 

  • Menaghan, EG: Individual coping efforts and family studies: Conceptual and methodological issues. Marriage Fam Rev 1983; 61:113-135

    Google Scholar 

  • Pearlin, LI, Schooler, C: The structure of coping. J Health Soc Behav 1978; 19:2-21

    Google Scholar 

  • Wheaton, B: Stress, personal coping resources, and psychiatric symptoms: An investigation of interactive models. J Health Soc Behav 1983; 24:208-229

    Google Scholar 

  • Hammer, AL, Marting, MS: Manual for the Coping Resources Inventory. Palo Alto, CA: Consulting Psychologists Press; 1988

    Google Scholar 

  • Antonovsky, A: Unravelling the Mystery of Health: How People Manage Stress and Stay Well. San Francisco: Jossey-Bass; 1987

    Google Scholar 

  • Bengtsson-Tops, A, Hansson, L: The validity of Antonovsky's Sense of Coherence measure in a sample of schizophrenic patients living in the community. J Adv Nurs 2001; 33:432-438

    Google Scholar 

  • Flannery, RB, Flannery, GJ: Sense of coherence, life stress and psychological distress: A prospective methodological inquiry. J Clin Psychol 1990; 46:415-420

    Google Scholar 

  • Antonovsky, A: The structure and properties of the Sense of Coherence scale. Soc Sc Med 1993; 36:725-733

    Google Scholar 

  • Dunkel-Schetter, CD, Folkman, S, Lazarus, RS: Correlates of social support receipt. J Pers Soc Psychol 1987; 53:71-80

    Google Scholar 

  • Sarason, IG, Sarason, BR: Test anxiety: In: Leitenberg, H ed. Handbook of Social and Evaluation Anxiety. New York: Plenum; 1990:475-496

    Google Scholar 

  • Pierce, G, Sarason, IG, Sarason, BR: General and relationship—based perception of social support: Are two constructs better than one? J Pers Soc Psychol 1991; 61:1028-1039

    Google Scholar 

  • Cohen, S: Psychosocial models of the role of social support in the etiology of physical disease. Health Psychol 1988; 7:269-297

    Google Scholar 

  • Rodin, J, Salovey, P: Health psychology. Ann Rev Psychol 1989; 40:533-579

    Google Scholar 

  • Aronson, KJ: Quality of life among persons with multiple sclerosis and their caregivers. Neurology 1997; 48:74-80

    Google Scholar 

  • Allard, E: Att ha att älska att vara. Om välfärd i Norden. [Swedish—Having, loving, being. About welfare in the North]. Lund, Sweden: Argos Förlag AB; 1993

    Google Scholar 

  • Naess, S: Quality of Life Research, Concept, Method and Applications. Oslo:Institute of Applied Social Research; 1979

    Google Scholar 

  • Strain, JJ: The evaluation of quality life evaluations in cancer therapy. Oncology 1990; 5:22-26

    Google Scholar 

  • Nordeson, A: Quality of life for patients with progressive neurological disorders. Dissertation at the Department of Advanced Nursing and the Department of Clinical Neuroscience, Umeå University, Umeå, Sweden; 1998

    Google Scholar 

  • Ferrans, CE, Powers, MJ: Psychometric assessment of the quality of life index. Res Nurs Health 1992; 15:29-38

    Google Scholar 

  • Meeberg, G: Quality of life: A concept analysis. J Adv Nurs 1993; 18:32-38

    Google Scholar 

  • WHOQoL Group: The World Health Organization quality of life assessment. (WHOQOL): Position paper from the World Health Organization. Soc Sci Med 1995; 41:1403-1409

    Google Scholar 

  • Noerholm, V, Bech, P: The WHO Quality of Life (WHOQOL) questionnaire: Danish validation study. Nord J Psychiatry 2001; 55:229-235

    Google Scholar 

  • Frenz, AW, Carey, MP, Jorgensen, RS: Psychometric evaluation of Antonovsky's Sence of Coherence Scale. Psychol Assess 1993; 5:145-153

    Google Scholar 

  • Sammallahti, PR, Holi, MJ, Komulainen, EJ, Aalberg, VA: Comparing two self/report measures of coping: The Sense of Coherence Scale and the Defence Style Questionnaire. J Clin Psychol 1996; 52:517-524

    Google Scholar 

  • Henderson, S, Byrne, DG: Neurosis and the Social Environment. Sydney, NSW: Academic Press; 1982

    Google Scholar 

  • Duncan-Jones, P: The interview measurement of social interaction: In: Proceeding of the Research Committee on the Sociology of Mental Health, 9th World Congress of Sociology, Uppsala; 1978

  • Unden, AL, Orth-Gomer, K: Development of a social support on instrument for use in population surveys. Soc Sci Med 1989; 29:1387-1392

    Google Scholar 

  • Beck, AT, Ward, CH, Mendelson, M, Mock, J, Erbaugh, J: An inventory for measuring depression. Arch Gen Psychiatry 1961; 4:53-63

    Google Scholar 

  • Kendall, PC, Hollon, SD, Beck, AT, Hammen, CL, Ingram, RE: Issues and recommendations regarding use of the Beck Depression Inventory. Cogn Ther Res 1987; 11:289-299

    Google Scholar 

  • Hautzinger, M: Depression und Kognition: In: Hautzinger, M, Greif, S, eds. Kognitionpsychologie der Depression [German—Cognitive Psychology of Depression]. Stuttgart, Berlin Köln Mainz: W. Kohlhammer; 1981:1-36

    Google Scholar 

  • Richter, G, Richter, J: Komplexität von Depressivität. [German—Complexity of Depressivity). Münster, New York: Waxmann; 1995

    Google Scholar 

  • Derogatis, LR, Cleary, P: Confirmation of the dimensional structure of the SCL-90: A study in construct validation. J Clin Psychol 1977; 33:981-989.

    Google Scholar 

  • Schmitz, N, Hartkamp, N, Franke, GH: Assessing clinically significant change: Application to the SCL-90-R. Psychol Rep 2000; 86:264-274

    Google Scholar 

  • Derogatis, LR: The SCL-90-R: Administration, Scoring and Procedures Manual for the Revised Version of the SCL-90. Baltimore, MD: The John Hopkins University School of Medicine; 1994

    Google Scholar 

  • Dimeo, F, Stieglitz, RD, Novelli-Fischer, U, Fetscher, S, Mertelsmann, R, Keul, J: Correlation between physical performance and fatigue in cancer patients. Ann Oncol 1997; 8:1252-1255

    Google Scholar 

  • Wiebe, S, Rose, K, Derry, P, McLachlan, R: Outcome assessment in epilepsy: Comparative responsivness of quality of life and psychosocial instruments. Epilepsia 1997; 38:430-438

    Google Scholar 

  • Jacobson, NS, Truax, P: Clinical significance: A statistical approach to defining meaningful changes in psychotherapy research. J Consult Clin Psychol 1991; 59:12-19

    Google Scholar 

  • Bonicatto, SC, Drew, MA, Zaratiegui, R, Lorenzo, L, Pecina, P: Adult outpatients with depression: Worse quality of life than in other chronic medical diseases in Argentina. Soc Sci Med 2001; 52:911-919

    Google Scholar 

  • Sarnoff, I, Zimbardo, P: Anxiety, fear, and social affiliation. J Abnorm Soc Psychol 1961; 62:356-363

    Google Scholar 

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Correspondence to Mehdi Ghazinour.

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Ghazinour, M., Richter, J. & Eisemann, M. Quality of Life Among Iranian Refugees Resettled in Sweden. Journal of Immigrant Health 6, 71–81 (2004). https://doi.org/10.1023/B:JOIH.0000019167.04252.58

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  • DOI: https://doi.org/10.1023/B:JOIH.0000019167.04252.58

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