This study assessed the self-reported mental health, physical health, and social functioning of young adult political exiles and relates their psychiatric symptoms to their trauma and survival strategies.
A 1992/93 survey of Burmese who fled to Bangkok, Thailand, after participating in a 1988 uprising against Burma's government elicited information on employment, education, disability, trauma, survival strategies, and depressive and post-traumatic stress symptoms.
The 104 participants reported a mean of 30 trauma events, including interrogation (89%), imprisonment (78%), threats of deportation (70%), and torture (38%). Many reported poor health and lack of social supports, but few reported substantial social disability.
The prevalence of elevated symptom scores was 38% for depressive symptoms and 23% for criterion symptoms of posttraumatic stress disorder.
Symptoms of avoidance and of increased arousal were the most strongly related to cumulative trauma.
Two survival strategies, camaraderie and a Buddhist concept of self-confidence (weria), were associated with somewhat reduced levels of both classes of symptoms.
Burmese political exiles in Thailand are young adults adversely affected by severe trauma.
Their psychosocial well-being may deteriorate further without legal protections to reduce the continuing stress and violence.
Mots-clés Pascal : Réfugié, Politique, Immigrant, Santé mentale, Trouble psychiatrique, Comportement social, Traumatisme, Violence, Adulte jeune, Homme, Thaïlande, Asie, Myanmar
Mots-clés Pascal anglais : Refugee, Policy, Immigrant, Mental health, Mental disorder, Social behavior, Trauma, Violence, Young adult, Human, Thailand, Asia, Myanmar
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0032167
Code Inist : 002B18C14. Création : 21/05/1997.