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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

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  • Øivind Solberg

    (Department of Health Sciences, Red Cross University College, 141 21 Huddinge, Sweden
    Division for Implementation and Treatment Research, Norwegian Centre for Violence and Traumatic Stress Studies, 0484 Oslo, Norway)

  • Mathilde Sengoelge

    (Department of Health Sciences, Red Cross University College, 141 21 Huddinge, Sweden)

  • Alexander Nissen

    (Department of Health Sciences, Red Cross University College, 141 21 Huddinge, Sweden
    Division for Forced Migration and Refugee Health, Norwegian Centre for Violence and Traumatic Stress Studies, 0484 Oslo, Norway)

  • Fredrik Saboonchi

    (Department of Health Sciences, Red Cross University College, 141 21 Huddinge, Sweden
    Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden)

Abstract

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.

Suggested Citation

  • Øivind Solberg & Mathilde Sengoelge & Alexander Nissen & Fredrik Saboonchi, 2021. "Coping in Limbo? The Moderating Role of Coping Strategies in the Relationship between Post-Migration Stress and Well-Being during the Asylum-Seeking Process," IJERPH, MDPI, vol. 18(3), pages 1-16, January.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:3:p:1004-:d:485818
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    References listed on IDEAS

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    2. Mathilde Sengoelge & Øivind Solberg & Alexander Nissen & Fredrik Saboonchi, 2020. "Exploring Social and Financial Hardship, Mental Health Problems and the Role of Social Support in Asylum Seekers Using Structural Equation Modelling," IJERPH, MDPI, vol. 17(19), pages 1-14, September.
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