Long-term mental health of Vietnamese refugees in the aftermath of trauma

Abstract

BackgroundThere is no long-term prospective study (> 20 years) of the mental health of any refugee group.AimsTo investigate the long-term course and predictors of psychological distress among Vietnamese refugees in Norway.MethodEighty Vietnamese refugees, 57% of the original cohort previously interviewed in 1982 (T1) and 1985 (T2), completed a self-report questionnaire prior to a semi-structured interview. Mental health was measured using the Symptom Checklist–90–Revised (SCL–90–R).ResultsThe SCL–90–R mean Global Severity Index (GSI) decreased significantly fromT1toT3(2005–6), but there was no significant change in the percentage reaching threshold scores (GSI =1.00). Trauma-related mental disorder on arrival and the trajectory of symptoms over the first 3 years of resettlement predicted mental health after 23 years.ConclusionsAlthough the self-reported psychological distress decreased significantly over time, a substantial higher proportion of the refugee group still remained reaching threshold scores after 23 years of resettlement compared with the Norwegian population. The data suggest that refugees reaching threshold scores on measures such as the SCL–90–R soon after arrival warrant comprehensive clinical assessment.