Stresses of Passage, Balms of Resettlement, and Posttraumatic Stress Disorder among Sri Lankan Tamils in Canada

Author:

Beiser Morton1,Simich Laura2,Pandalangat Nalini3,Nowakowski Matilda4,Tian Fu5

Affiliation:

1. Professor of Distinction, Department of Psychology, Ryerson University, Toronto, Ontario; Professor Emeritus of Cultural Pluralism and Health, University of Toronto, Toronto, Ontario; Founding Director and Senior Scientist, Ontario Metropolis Centre of Excellence for Research on Immigration and Settlement, Toronto, Ontario

2. Scientist, Social Equity and Health Research, Centre for Addiction and Mental Health, Toronto, Ontario; Assistant Professor, Culture, Community and Health Studies, Department of Psychiatry, University of Toronto, Toronto, Ontario

3. Manager, Research, Knowledge Development and Exchange, Community Support and Research Unit, Centre for Addiction and Mental Health, Toronto, Ontario; Student, University of Toronto, Toronto, Ontario

4. Doctoral Student and PhD Student, Department of Psychology, Ryerson University, Toronto, Ontario

5. Research Assistant, Baycrest, Toronto, Ontario

Abstract

Objectives: To explore the salience of pre- and postmigration stresses as risk factors for posttraumatic stress disorder (PTSD) and to identify resilience factors and explore their mental health salience. Methods: We conducted a mental health survey of 1603 Sri Lankan Tamils in Toronto, incorporating the World Health Organization Composite International Diagnostic Interview for PTSD. Results: According to the International Classification of Diseases, 10th Revision, criteria, lifetime prevalence for PTSD was 12%; according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, criteria it was 5.8%. Female sex and the number of stresses of passage increased the probability of PTSD, whereas satisfaction with life and the availability of nonfamily social relations reduced it. Conclusions: Consideration of pre- and postmigration stresses of passage and of the nature of resilience contributes to an improved understanding of PTSD among refugees.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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