Mülteci ergenlerin gelecek umutları, damgalanmaları ve ruhsal sorunları

Yıl 2024, Cilt: 10 Sayı: 2, 179 - 188, 30.08.2024

Mehmet Emin Düken , Filiz Solmaz , Hediye Utli , Hülya Karataş , Fethiye Kılıçaslan

https://doi.org/10.30569/adiyamansaglik.1484320

Öz

Amaç: Bu araştırmada, mülteci ergenlerin geleceğe dair umutları, damgalanma durumları ve ruhsal sağlık sorunlarını belirlemek amaçlanmıştır.
Gereç ve Yöntem: Araştırmanın modeli; tanımlayıcı, ilişkisel ve aracı modeldir. Araştırmanın örneklemini 11-18 yaşları arasında mülteci ergenler oluşturmaktadır. Verilerin toplanmasında Ergen Bilgi Formu, Kısa Semptom Envanteri, Çocuklar ve Ergenler için İçselleştirilmiş Damgalanma Ölçeği ve Çocukların Umut Ölçeğini kullanılmıştır. Toplamda 78 mülteci ergen kapsam dışı bırakılmış ve 484 mülteci ergen ile yürütülmüştür.
Bulgular: Mülteci ergenlerin ruhsal belirtilerinin (anksiyete, depresyon, hostilite, somatizasyon ve olumsuz benlik) yaşadıkları damgalanmalarının %54.6'sını açıkladığı tespit edilmiştir. Ayrıca, mülteci ergenlerin ruhsal sorunlarının geleceğe dair umut düşüncelerinin %42.7'sini açıkladığı belirlenmiştir.
Sonuç: Ergenlerin geleceğe dair umutlarının, yaşadıkları ruhsal semptomları ile damgalanma arasındaki ilişkide aracı rol oynadığı söylenebilir.

Anahtar Kelimeler

Damgalanma, Mülteci ergen, Ruhsal semptomlar, Umut

Etik Beyan

Ethics committee approval number (2023/06-23) of this research was obtained from Harran University. The research was conducted according to the Declaration of Helsinki principles.

Destekleyen Kurum

The research did not receive any support from any institution or company.

Teşekkür

We would like to thank all refugee adolescents and their families who participated in the study.

Refugee adolescents' future hopes, stigmatisation and mental health problems

Öz

Aim: In this study, it is aimed that refugee adolescents' hopes for the future, their stigmatisation status and mental health problems.
Materials and Methods: The research was conducted as descriptive, relational and instrumental. Research sample of the study was refugee adolescents between the ages of 11-18. It was used the Adolescent Information Form, Brief Symptom Inventory, Internalised Stigma Scale for Children and Adolescents and Children's Hope Scale to collect the data. In total, it was excluded 78 refugee adolescents and conducted with 484 refugee adolescents.
Results: It was found that refugee adolescents’ mental symptoms (anxiety, depression, hostility, somatisation and negative self) explained 54.6% of the stigmatisation they experienced. In addition, It was determined refugee adolescents’ mental problems explained 42.7% of their hope for the future.
Conclusion: It can be said that adolescents' hopes for the future play a mediating role in the relationship between their psychological symptoms and stigma.

Anahtar Kelimeler

Stigma, Refugee adolescent, Mental symptoms, Hope

Etik Beyan

Ethics committee approval number (2023/06-23) of this research was obtained from Harran University. The research was conducted according to the Declaration of Helsinki principles.

Destekleyen Kurum

The research did not receive any support from any institution or company.

Teşekkür

We would like to thank all refugee adolescents and their families who participated in the study.

Kaynakça

• Özdemir A, Budak F. Göçün çocuk ruh sağlığı üzerine etkileri. Kadem Kadın Araştırmaları Derg. 2017;3(2):212-223.
• Hacıhasanoğlu A, Yıldırım A. Göçün sosyal ve ruhsal etkileri ve hemşirelik. In: Göç ve Göçmen Sağlığı. 1. Baskı. Türkiye Klinikleri; 2018:10-20.
• Sarvan S, Efe E. Suriyeli Çocuk Mülteciler ve Sorunları. Balıkesir Sağlık Bilim Derg. 2020;10(1):55-62.
• UNICEF. United Nations Children’s Fund. 1. Published 2023. https://www.unicef.org/turkiye/basın-bültenleri/türkiye-ve-suriyeyi-etkileyen-ölümcül-depremlerin-üzerinden-bir-ay-geçti-ve-hala
• UN. United Nations. 1. Published 2023. https://news.un.org/en/focus/syria
• UNHCR. United Nations Refugee Agency. 1. Published 2023. https://donate.unhcr.org/int/en/turkiye-syria-earthquake-emergency#_ga=2.163563256.550622083.1679034707-1111216869.1669789907
• GİGM. İçişleri Bakanlığı Göç İdaresi Başkanlığı. 1. Published 2023. https://www.goc.gov.tr/gecici-koruma5638
• Dangmann C, Dybdahl R, Solberg Ø. Mental health in refugee children. Curr Opin Psychol. 2022;48:101460. doi:10.1016/j.copsyc.2022.101460
• Solmaz F, Karataş H, Kandemir H, Solmaz A. Depression, loneliness and factors influencing in Syrian refugee children. Int J Clin Pract. 2021;75(5). doi:10.1111/ijcp.14039
• Demirbaş H, Bekaroğlu E. Evden Uzakta Olmak: Sığınmacıların/Mültecilerin Psikolojik Sorunları ve Alınacak Önlemler. Kriz Derg. 2013;21((1-2-3)):11-24.
• Ünver H, Çeri V, Poyraz Findik OT, Rodopman Arman A. 3-year data of the refugee child mental health unit (tur). J Clin Psychiatry. 2021;24(1):15-22. doi:10.5505/kpd.2020.57614
• Selcuk R, Sirin LR. The Educational and Mental Health Needs of Syrian Refugee Children: Young Children in Refugee Families. DC: Migration Policy Institute.; 2015. https://www.migrationpolicyinstitute-europe.com/sites/default/files/publications/FCD-Sirin-Rogers-FINAL.pdf
• Koç A, Tok H. Does the relationship between internalized stigmatization, perceived social support and dependence dimensions change by preference substance? Anatol J Psychiatry. 2020;21:1. doi:10.5455/apd.91431
• Cihanyurdu İ, İlbasmış Ç, Toksoy Aksoy A, Ünver H, Rodopman Arman A. The Anxiety and Hope Levels of Adolescents for the Future in the COVID-19 Outbreak. Turkish J Child Adolesc Ment Heal. 2021;28(1):19-26. doi:10.4274/tjcamh.galenos.2020.68552
• Dehnel R, Dalky H, Sudarsan S, Al-Delaimy WK. Resilience and Mental Health Among Syrian Refugee Children in Jordan. J Immigr Minor Heal. 2022;24(2):420-429. doi:10.1007/s10903-021-01180-0
• Karasar N. Bilimsel Araştırma Yöntemi: Kavramlar İlkeler Teknikler. 32nd ed. Nobel Akademik Yayıncılık; 2017.
• Kilic S. Sampling methods. J Mood Disord. 2013;3(1):44. doi:10.5455/jmood.20130325011730
• Derogatis L. Clearly Confirmation of The Dimensional Structure of The SCL–90: A Study in Construct Validation. J Clin Psychol. 1997;33:981-989.
• Şahin HN, Uğurtaş S. Kisa Semptom Envanteri (Brief Symptom Invetory-BSI): Turk Gencleri Icin Uyarlanmasi. Türk Psikol Derg. 1994;9(34):44-56.
• Çağlayan İ. Dikkat Eksikliği Ve Hiperaktivite Bozukluğu Tanısı Almış Çocuk Ve Ergenlerde İçselleştirilmiş Damgalanmanın Benlik Saygısı, Umut Ve Depresyon İle İlişkisi. Hacettepe Üniversitesi; 2019.
• Snyder CR, Hoza B, Pelham WE, et al. The Development and Validation of the Children’s Hope Scale. J Pediatr Psychol. 1997;22(3):399-421. doi:10.1093/jpepsy/22.3.399
• Atik G, Kemer G. Çocuklarda Umut Ölçeği’nin Psikometrik Özellikleri: Geçerlik ve Güvenirlik Çalışması. İlköğretim Online. 2009;8(2):379-390.
• Reed R V, Fazel M, Jones L, Panter-Brick C, Stein A. Mental health of displaced and refugee children resettled in low-income and middle-income countries: risk and protective factors. Lancet. 2012;379(9812):250-265. doi:10.1016/S0140-6736(11)60050-0
• Barenbaum J, Ruchkin V, Schwab-Stone M. The psychosocial aspects of children exposed to war: practice and policy initiatives. J Child Psychol Psychiatry. 2004;45(1):41-62. doi:10.1046/j.0021-9630.2003.00304.x
• Mels C, Derluyn I, Broekaert E, Rosseel Y. The psychological impact of forced displacement and related risk factors on Eastern Congolese adolescents affected by war. J Child Psychol Psychiatry. 2010;51(10):1096-1104. doi:10.1111/j.1469-7610.2010.02241.x
• Werner P, Aviv A, Barak Y. Self-stigma, self-esteem and age in persons with schizophrenia. Int Psychogeriatrics. 2008;20(1):174-187. doi:10.1017/S1041610207005340
• Brohan E, Elgie R, Sartorius N, Thornicroft G. Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: The GAMIAN-Europe study. Schizophr Res. 2010;122(1-3):232-238. doi:10.1016/j.schres.2010.02.1065
• Boyd CA, Quigley MA, Brocklehurst P. Donor breast milk versus infant formula for preterm infants: systematic review and meta-analysis. Arch Dis Child - Fetal Neonatal Ed. 2007;92(3):F169-F175. doi:10.1136/adc.2005.089490
• Livingston JD, Boyd JE. Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Soc Sci Med. 2010;71(12):2150-2161. doi:10.1016/j.socscimed.2010.09.030
• Krajewski C, Burazeri G, Brand H. Self-stigma, perceived discrimination and empowerment among people with a mental illness in six countries: Pan European stigma study. Psychiatry Res. 2013;210(3):1136-1146. doi:10.1016/j.psychres.2013.08.013
• Corrigan PW, Larson JE, Rüsch N. Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry. 2009;8(2):75-81. doi:10.1002/j.2051-5545.2009.tb00218.x
• Chan RCH, Mak WWS, Lam MYY. Self-stigma and empowerment as mediating mechanisms between ingroup perceptions and recovery among people with mental illness. Stigma Heal. 2018;3(3):283-293. doi:10.1037/sah0000100
• Vogel DL, Wade NG, Hackler AH. Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. J Couns Psychol. 2007;54(1):40-50. doi:10.1037/0022-0167.54.1.40
• Bekiroğlu S. Türkiye’de Mülteci ve Sığınmacı Ağır Ruhsal Hastalığa Sahip Birey Olmak. Tıbbi Sos Hizmet Derg. 2019;0(13):56-69.
• Varahrami A, Arnau RC, Rosen DH, Mascaro N. The Relationships between meaning, hope, and psychological development. Int J Exist Psychol Psychother. 2010;3(1):1.
• Chang EC. A Critical Appraisal and Extension of Hope Theory In Middle-Aged Men and Women: is it Important to Distinguish Agency and Pathways Components? J Soc Clin Psychol. 2003;22(2):121-143. doi:10.1521/jscp.22.2.121.22876
• Yalçındağ B, Kahya Y. Psikolojik Belirti ve Duygulanımda Özgün Yönelim, Umut ve Canlılığın Rolü: Bir Klinik Örneklem İncelemesi. Türk Psikol Derg. 2019;34(84):93-106.
• Chang EC, DeSimone SL. The Influence of Hope on Appraisals, Coping, and Dysphoria: A Test of Hope Theory. J Soc Clin Psychol. 2001;20(2):117-129. doi:10.1521/jscp.20.2.117.22262
• Eggerman M, Panter-Brick C. Suffering, hope, and entrapment: Resilience and cultural values in Afghanistan. Soc Sci Med. 2010;71(1):71-83. doi:10.1016/j.socscimed.2010.03.023
• Snyder CR. The Past and Possible Futures of Hope. J Soc Clin Psychol. 2000;19(1):11-28. doi:10.1521/jscp.2000.19.1.11
• Valle MF, Huebner ES, Suldo SM. An analysis of hope as a psychological strength. J Sch Psychol. 2006;44(5):393-406. doi:10.1016/j.jsp.2006.03.005
• Perry BM, Taylor D, Shaw SK. “You’ve got to have a positive state of mind”: An interpretative phenomenological analysis of hope and first episode psychosis. J Ment Heal. 2007;16(6):781-793. doi:10.1080/09638230701496360
• Ridgway P. ReStorying psychiatric disability: Learning from first person recovery narratives. Psychiatr Rehabil J. 2001;24(4):335-343. doi:10.1037/h0095071
• Edwards LM, Lopez SJ. Making hope happen for kids. Unpubl Protoc. Published online 2000.
• Betancourt TS. Stressors, Supports and the Social Ecology of Displacement: Psychosocial Dimensions of an Emergency Education Program for Chechen Adolescents Displaced in Ingushetia, Russia. Cult Med Psychiatry. 2005;29(3):309-340. doi:10.1007/s11013-005-9170-9
• Green S, Grant AM, Rynsaardt J. Evidence‐Based Life Coaching for Senior High School Students. In: Coaching Researched. Wiley; 2020:257-268. doi:10.1002/9781119656913.ch13
• Anand T, Kandasamy A, Suman L. Self-stigma, hope for future, and recovery: An exploratory study of men with early-onset substance use disorder. Ind Psychiatry J. 2022;31(2):299. doi:10.4103/ipj.ipj_52_21
• Goodman JH. Coping With Trauma and Hardship Among Unaccompanied Refugee Youths From Sudan. Qual Health Res. 2004;14(9):1177-1196. doi:10.1177/1049732304265923
• Hellman CM, Gwinn C. Camp HOPE as an Intervention for Children Exposed to Domestic Violence: A Program Evaluation of Hope, and Strength of Character. Child Adolesc Soc Work J. 2017;34(3):269-276. doi:10.1007/s10560-016-0460-6
• Raij TT, Korkeila J, Joutsenniemi K, Saarni SI, Riekki TJJ. Association of stigma resistance with emotion regulation — Functional magnetic resonance imaging and neuropsychological findings. Compr Psychiatry. 2014;55(3):727-735. doi:10.1016/j.comppsych.2013.10.010