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The mental health and help-seeking behaviour of resettled Afghan refugees in Australia


Slewa-Younan, S and Yaser, A and Guarjardo, MGU and Mannan, H and Smith, CA and Mond, JM, The mental health and help-seeking behaviour of resettled Afghan refugees in Australia, International Journal of Mental Health Systems, 11 Article 49. ISSN 1752-4458 (2017) [Refereed Article]


Copyright Statement

© 2017 The Authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

DOI: doi:10.1186/s13033-017-0157-z


Background: Psychological trauma, in particular, posttraumatic stress disorder (PTSD) and depression, are highly prevalent among resettled refugees. However, little is known regarding the mental health status and associated helpseeking behaviour of resettled Afghan refugees in Australia.

Methods: A sample of 150 resettled Afghan refugees (74 males; mean age 32.8 years, SD = 12.2) living in Adelaide, South Australia were recruited. Self-reported measures of PTSD, depression, exposure to traumatic events, functional impairment, self-recognition of PTSD symptomatology and help-seeking behaviours were completed. Multivariate analysis of variables associated with help-seeking was conducted.

Results: Forty-four percent of participants met criteria for clinically signifcant PTSD symptoms and all but one par‑ ticipant reported being exposed to 1 or more traumatic and/or confict related events, such as ‘losing your property and wealth’. Moreover, 14.7% of participants had symptoms suggestive of clinically signifcant depression. General practitioners were the most common source of help in relation to mental health problems, with very few participants (4.6%) seeking help from specialist trauma and torture mental health services. Self-recognition of having a PTSD related mental health problem and functional impairment levels were both found to be independent predictors of help-seeking (p ≤< 0.05).

Conclusions: The fndings provide further evidence for high rates of PTSD symptomatology and low uptake of mental care among resettled refugees. Poor self-recognition of the presence and/or adverse impact of PTSD symptoms may need to be targeted in mental health promotion programs designed to improve "mental health literacy" and thereby promote early and appropriate help-seeking where this is needed.

Item Details

Item Type:Refereed Article
Keywords:refugees, Afghanistan, mental health, trauma, help-seeking
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Mental health services
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Mental health
UTAS Author:Mond, JM (Dr Jon Mond)
ID Code:123077
Year Published:2017
Web of Science® Times Cited:34
Deposited By:UTAS Centre for Rural Health
Deposited On:2017-12-15
Last Modified:2018-08-24
Downloads:69 View Download Statistics

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