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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

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 mo...

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Autores principales: Solberg, Øivind, Sengoelge, Mathilde, Nissen, Alexander, Saboonchi, Fredrik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908179/
https://www.ncbi.nlm.nih.gov/pubmed/33498731
http://dx.doi.org/10.3390/ijerph18031004
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author Solberg, Øivind
Sengoelge, Mathilde
Nissen, Alexander
Saboonchi, Fredrik
author_facet Solberg, Øivind
Sengoelge, Mathilde
Nissen, Alexander
Saboonchi, Fredrik
author_sort Solberg, Øivind
collection PubMed
description 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.
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spelling pubmed-79081792021-02-27 Coping in Limbo? The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process Solberg, Øivind Sengoelge, Mathilde Nissen, Alexander Saboonchi, Fredrik Int J Environ Res Public Health Article 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. MDPI 2021-01-23 2021-02 /pmc/articles/PMC7908179/ /pubmed/33498731 http://dx.doi.org/10.3390/ijerph18031004 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Solberg, Øivind
Sengoelge, Mathilde
Nissen, Alexander
Saboonchi, Fredrik
Coping in Limbo? The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process
title Coping in Limbo? The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process
title_full Coping in Limbo? The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process
title_fullStr Coping in Limbo? The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process
title_full_unstemmed Coping in Limbo? The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process
title_short Coping in Limbo? The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process
title_sort coping in limbo? the moderating role of coping strategies in the relationship between post-migration stress and well-being during the asylum-seeking process
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908179/
https://www.ncbi.nlm.nih.gov/pubmed/33498731
http://dx.doi.org/10.3390/ijerph18031004
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