Study | Country in which the Study was Conducted | Migrant Country of Origin | N | Type of Migrant | Study Design | Recruitment Site | Self-Rating Scale for QoL | Other validated Assessment Measures | Summary of Significant Associations with QoL | Non-significant Associations with QoL (p > .005) |
---|---|---|---|---|---|---|---|---|---|---|
Carlsson et al. 2010a [17] | Denmark | Iraq, Iran, Afghanistan | 45 | Refugees | Longitudinal | Rehabilitation and research center for torture victims | WHOQOL-Bref (WHOQOL Group, 1998) | HTQ, HSCL-25, HDS | ● WHOQOL Environment Time (Baseline vs. 9-month follow-up)(p = .029) ● WHOQOL Environment Time (Baseline vs. 23-month follow-up)(p = .017) | • No significant difference between baseline and 9 month, or 23 month follow-up for WHOQOL Physical, mental or social. |
Carlsson, Mortensen & Kastrupa [18] | Denmark | Iraq, Iran, Afghanistan | 55 | Refugees | Longitudinal | Rehabilitation and research center for torture victims | WHOQOL-Bref (WHOQOL Group, 1998) [4] | HTQ, HSCL-25, HDS | ● Changes in mental health ○ Evaluation of improved mental health (vs. those evaluating no improvement) during treatment had higher health-related quality of life in the ‘mental’ domain (t = 2.46, p = .017) ● Those with the lowest baseline QoL showed the largest increase in QoL. | • No significant changes over time for the WHOQOL domains. • The Spearman rank correlations between years from exposure to torture and baseline scores were nonsignificant for all QoL domains • The Spearman rank correlation between total number of treatment sessions and difference scores was low and nonsignificant for all QoL domains • Expressing expectations to improve during treatment was not associated with changes in QoL domains |
Carlsson, Mortensen & Kastrup [19] | Denmark | Iraq, Iran, Afghanistan, other (not specified) | 63 | Refugees | Cross-Sectional | Rehabilitation and research center for torture victims | WHOQOL-Bref [4] | HSCL-25, HDS, HTQ | ● Overall variance accounted for by the regression model was not reported ● WHOQOL Physical ○ Occupation (β = 0.23, p < .05) ○ Social relations (β = 0.33, p < .01) ○ Pain (β = − 0.42, p < .01) ● WHOQOL psychological ○ Social relations (β = 0.31, p < .05) ● WHOQOL Social ○ Social relations (β = 0.39, p < .01) ● WHOQOL Environment ○ Social relations (β = 0.40, p < .01) ▫ Pain (β = − 0.35, p < .05) | o Number of years since last exposure to torture was not associated with QoL o Age and proficiency in Danish were not significant associated with QoL Regression (Model 2) • Education, torture, or having been on the run were not significantly associated with any of the QoL domains • Occupation was not significantly associated with mental, social or environmental QoL • Pain was not significantly associated with mental or social QoL |
Carlsson, Olsen, Mortensen & Kastrup* [20] | Denmark | Iran, Iraq, Lebanon | 139 | Refugees | Longitudinal | Rehabilitation and research center for torture victims | WHOQOL-Bref [4] | HTQ, HSCL-25 | ● Overall variance accounted for by the regression model was not reported ● WHOQOL Physical ○ Pain upper extremities (β = 0.20, p < .05) ○ Employment (β = 0.49, p < .001) ▫ Headache (β = − 0.31, p < .001) ● WHOQOL Mental ○ Social relations (β = 0.21, p < .05) ○ Employment (β = 0.40, p < .001) ● WHOQOL Social ○ Social relations (β = 0.40, p < .001) ○ Employment (β = 0.27, p < .01) ▫ Headache (β = − 0.20, p < .05) ● WHOQOL Environment ○ Social relations (β = 0.24, p < .01) ○ Employment (β = 0.36, p < .001) ▫ Headache (β = − 0.19, p < .05) | Regression (Model 2) • Education, marked mood shifts, and years in Denmark were not associated with any of the QoL domains • Pain in upper extremities was not associated with mental, social or environmental QoL • Headache was not associated with mental QoL • Social relations was not associated with physical QoL |
Correa-Velez, Green, Murray [21] | Australia | Africa, South Asia, Middle East, West Asia, South East Asia | 104 | Refugees | Cross-Sectional | Agency involved in refugee resettlement | WHOQOL-Bref | HTQ, PMLD, SASCAT | ● Regressing WHOQOL Physical domain on predictor variables was significant (r2 = .30, p < .001) ○ Region of birth (Africa) (β = 0.32, 95% CI = [5.44, 19.83], p = .001) ○ Education (2y/3y) (β = 0.32, 95% CI = [3.80, 16.94], p = .002) ○ Community can be trusted (β = 0.20, 95% CI = [.79, 12.49], p = .027) ● Regressing WHOQOL Psychological domain on predictor variables was significant (r2 = .19, p = .008) ○ Community can be trusted (β = 0.20, 95% CI = [.33, 13.02], p = .039) ▫ Number of people no support (β = − 0.24, 95% CI = [− 5.80, −.57], p = .018) | • Age, Children (1 or more), English skills and trauma types were non-significant predictors of the physical domain • Age, region of birth (Africa), children (1 or more), education (2y/3y), English skills, and trauma types were non-significant predictors of the psychological domain • The hierarchical logistic regression predicting overall QOL found no significant associations |
Correa-Velez, Barnett, Gifford & Sackey* [22] | Australia | Sudan, Burma (Myanmar), Iraq, Burundi, the Democratic Republic of Congo, Rwanda, Liberia, Afghanistan, Congo-Brazzaville, Iran, Tanzania, Uganda | 233 | Refugees | Cross-Sectional | Community | WHOQOL-Bref [4] | HSCL-25, HTQ, Items to assess use of Health Services & Medication | ● WHOQOL Environment ▫ Living in regional areas (OR = 0.4, 95% CI = [0.2, 0.9], p < .05) | • Area of settlement did not predict significant poorer QoL in the physical, mental or social domain |
Georgiadeu et al. [23] | Germany | Syrian | 119 | Refugees | Cross-sectional | Registry | WHOQOL-Bref | ETI, PHQ-9, GAD-7, SOC-13, F-SozU, | ● WHOQOL Psychological Married with partner in Germany scored higher than married without partner in Germany, t(117) = 2.91, p = .004 ● WHOQOL Social Married with partner in Germany scored higher than married without partner in Germany, U = -3.02, p = .002 ● WHOQOL Environment Married with partner in Germany scored higher than married without partner in Germany, t(117) = 2.27, p = .025. ● WHOQOL Overall Married with partner in Germany scored higher than married without partner in Germany, t(117) = 2.78, p = .006. ● Regressing overall QoL on predictor variables was significant (r2 = .66) ○ Sense of coherence (β = 0.15, 95% CI = [− 0.00, 0.33], p = .049) ○ Social support (β = 0.25, 95% CI = [0.15, 0.46], p < .001) ▫ Depression (β = − 0.44, 95% CI = [− 1.52, − 0.61], p < .001) ● Regressing WHOQOL psychological domain on predictor variables was significant (r2 = .61) ○ Gender (β = 0.15, 95% CI = [0.32, 11.04], p = .038) ○ Residence of partner (β = 0.17, 95% CI = [1.39, 13.95], p = .017) ○ Sense of coherence (β = 0.22, 95% CI = [0.07, 0.47], p = .008) ○ Social support (β = 0.17, 95% CI = [0.04, 0.41], p = .016) ▫ Depression (β = − 0.40, 95% CI = [− 1.66, − 0.56], p < .001) | • No significant differences in WHOQOL Physical (married with partner vs. married without partner) • Sex, age, residence of partner, residence of minor child, anxiety, number of traumatic events, trauma inventory, and satisfaction with marriage were non-significant predictors of overall QoL • Age accommodation, residence of minor child, anxiety, number of traumatic events, trauma inventory, and satisfaction with marriage were non-significant predictors of WHOQOL psychological. |
Ghazinour, Richter & Eisemann [24] | Sweden | Iran | 100 | Refugees | Cross-Sectional | Half were recruited as outpatients at a psychiatric clinic and half were recruited as interested volunteers. | WHOQOL-100 [18] | CRI, ISSI, BDI, SCL-90 | ● Gender: Males reported lower overall QoL (t = − 2.99, p = .004) than females ● Males reported lower levels of Independence (Psychological domain), (t = − 2.00, p = .049) than females ● Males reported lower social QoL than females (t = − 2.40, p = .018) ● Males reported lower environmental QoL (t = − 2.06, p = .043) ● Males reported lower spirituality (psychological domain) (t = − 2.82, p = .006) ● Having a BDI score below the mean and having been in the army showed the highest significant overall QoL F(19,70) = 60.06, p < .001 ● Sense of coherence, coping resources, and social support had various significant relationships with QoL (see paper for details) | • Gender: no significant differences found for physical health or psychological health • No significant correlation was found between spirituality (psychological domain) and adequacy of attachment (social support scale) |
Hengst, Smid & Labanb [25] | Netherlands | Iraq | 294 | Asylum Seekers | Cross-Sectional | Central Organ of Asylum (COA) | WHOQOL-Bref [4] | HTQ, PMLP, WHO-CIDI, BDQ | ● Mediation model of psychopathology, disability and quality of life χ2(12) = 10.52, p = .570 ▫ Unnatural loss of a child (β = −.05, 95% CI = [−.44, −.03], p < .05) ▫ N° of lost family members (β = −.04, 95% CI = [−.01, .00], p < .05) ▫ Other traumatic events (β = −.13, 95% CI = [−.06, −.02], p < .05) ▫ Long asylum procedure (β = −.18, 95% CI = [−.66, −.13], p < .05) ▫ Psychopathology (β = −.33, 95% CI = [−.42, −.20], p < .05) | • Age, female sex, education level and postmigration stressors were not significantly associated with QoL • Unnatural loss of family, unnatural loss of friends, witnessing the loss of family or friend, number of lost children, and number of lost friends were not significantly associated with QoL |
Huijts, Kleijn, van Emmerik, Noordhof, and Smith [26] | Netherlands | 38 different countries in the Middle East, former Yugoslavia, or other regions of which 50 were Asian, 35 African, and 4 South American. | 335 | Refugees | Cross-Sectional | Foundation Centrum ‘45, a specialist institute for diagnosis and treatment of posttraumatic stress. | WHOQOL-Bref [4] | COPE-EASY-32, HTQ | ● Regressing overall QoL on predictor variables was significant (r2 = .42, p < .05) ○ Social Support Seeking (β = 0.12, 95% CI = [.03, .21], p < .05) ○ Emotion-Focused Coping (β = 0.13, 95% CI = [.04, .23], p < .01) ○ Self-reported PTSD (β = − 0.61, 95% CI = [−.68, −.54], p < .001) ● Post-hoc analyses revealed that emotion-focused coping and social support seeking differed per country of origin, and per gender. | Subgroup analysis of regression o Males: emotion-focused coping, was not significantly related to QoL o Females: social support seeking was not significantly related to QoL Multigroup analyses • No significant differences found regarding length of stay in the Netherlands. |
Jesuthasan et al.* [27] | Germany | Afghanistan, Syria, Iraq, Somalia, Iran, Eritrea | 663 | Refugees + European Reference Sample | Cross-Sectional | Shared reception facilities | EUROHIS-QOL questionnaire [24] | HTQ, HSCL-25, ICSEY | ● Female refugees rated their overall QoL significantly lower than the EU reference simple, t(5508) = 16.9, p < .0001 ● Residence and mission in a war zone, and being sick without any access to health care significantly affected all four domains of QoL ● Near death experience affected physical and psychological domains. ● Aggression from family members affected the physical and social domain ● Forced isolation affected the physical, psychological, and environmental domains. ● Within Group (Refugees) Predictors: Regressing overall reduced QoL on socio-demographic and traumatic predictor variables (Overall variance accounted for by the regression model was not reported) A) Reduced QoL ● Age > 30 (OR = 1.6, 95% CI = [1.2–2.3], p = .004) ● Near-Death Experience (OR = 1.7, 95% CI = [1.2, 2.4], p = .001) ● Mission/Residence in War Zone (OR = 0.7, 95% CI = [0.5–1.0], p = .04) ● Attack by Family Member (OR = 2, 95% CI = [1.3, 3.1], p = .001) | • Having had sexual contacts as a minor did not signfiicantly correlate with overall QoL • No significant association was found between near death experience and the social and environmental domains • No significant association was found between aggression from family members and the psychological and environmental domains • No signiciant association was found between forced isolation and the social domain. |
Kinzie et al. [28] | USA | Ethiopia, Somalia, Iran and Afghanistan | 22 | Refugees | Longitudinal | Refugee psychiatric clinic | WHOQOL-BREF | HTQ, SDS, CES-D | ● WHOQOL Physical ○ Time (baseline vs. 1-year follow-up) (p < .001) ● WHOQOL Psychological ○ Time (baseline vs. 1-year follow-up) (p < .001) ● WHOQOL Environment ○ Time (baseline vs. 1-year follow-up) (p = .004) | None reported |
Laban, Gernaat, Komproe & de Jongb [29] | Netherlands | Iraq | 294 | Asylum Seekers Group 1: living in the Netherlands < 6 months Group 2: living in the Netherlands for at least 2 years. | Cross-Sectional | Agency for the reception of asylum seekers | WHOQOL-Bref [4] | PMLP, WHO-CIDI, Physical Health Rating | ● Overall QoL group 1 vs. group 2 (p < .0005, Z(294) = − 5.29) with group 2 scoring lower than group 1 ● Perceived QoL General Health group 1 vs. group 2 (p = .017, Z(294) = − 2.39) with group 2 scoring lower than group 1. | None reported |
Laban, Komproe, Gernaat & de Jongb [30] | Netherlands | Iraq | 294 | Asylum Seekers Group 1: living in the Netherlands < 6 months Group 2: living in the Netherlands for at least 2 years. | Cross-Sectional | Agency for the reception of asylum seekers | WHOQOL-Bref [4] | HTQ, PMLP, WHO-CIDI | ● Overall QoL was significantly lower in group 2 Z(294) = − 5.29, p = .0005 ● WHOQOL physical was significantly lower in group 2, t(292) = 3.21, p = .001 ● WHOQOL psychological was significantly lower in group 2, t(292) = 2.33, p = .020 ● WHOQOL environment was significantly lower in group 2, t(292) = 5.26, p = .001 ● Regressing overall QoL on predictor variables was significant (r2 = 0.13, p < .001) ▫ Long Asylum Procedure (β = − 0.17, p < .01) ▫ Adverse life events after arrival in the Netherlands (β = − 0.13, p < .05) ▫ WHOQOL Physical (r2 = .31, p < .01) ▫ Adverse life events after arrival (β = − 0.15, p < .05) ▫ Depression (β = − 0.19, p < .01) ▫ Somatoform disorders (β = − 0.12, p < .05) ▫ One or more psychiatric disorders (β = − 0.19, p < .05) ▫ Older age (β = − 0.14, p < .01) ▫ Socio-economic living conditions (β = − 0.20, p < .01) ● WHOQOL Psychological (r2 = .18, p < .01) ▫ Self-reported PTSD (β = − 0.17, p < .05) ▫ Somatoform disorders (β = − 0.15, p < .01) ▫ Socio-economic living conditions (β = − 0.14, p < .05) ▫ Anxiety (β = − 0.17, p < .05) ● WHOQOL Social (r2 = .12, p < .01) ● WHOQOL Environmental (r2 = .15, p < .01) ○ Socio-religious aspects (β = 0.12, p < .05) ▫ Self-rated PTSD (β = − 0.14, p < .05) ▫ Socio-economic living conditions (β = − 0.27, p < .01) | • WHOQOL social was not significantly different between group 1 and group 2. Regression • Psychopathology and socio-economic living conditions were not associated with overall QoL • Anxiety disorders, PTSD, long asylum procedure, adverse life events after arrival, and family issues were not associated with physical QoL • Having one or more psychiatric disorders, depressive disorders, a long asylum procedure, adverse events after arrival and family issues were not associated with psychological QoL • Psychopathology, adverse events after arrival, family issues and socioeconomic living conditions were not associated with social QoL • One or more psychiatric disorders, depressive disorders, anxiety disorders, somatoform disorders, long asylum procedure, adverse events after arrival, and family issues were not associated with environmental QoL |
Lee et al. [31] | Japan | North Korea | 81 | Refugees (resettled in Japan vs. resettled in South Korea) | Cross -sectional | Support center | WHOQOL-Bref | BDI | ● Resettled in Japan vs. Resettled in South Korea ● Overall QOL (p < .05), Korea scoring higher ● WHOQOL Physical (p < .05), Korea scoring higher ● WHOQOL Mental (p < .01), Korea scoring higher ● WHOQOL social (p < .05), Korea scoring higher ● WHOQOL environment (p < .001), Korea scoring higher | None reported |
Leiler et al. [32] | Sweden | Afghanistan, Syria, Iraq, Iran, Eritrea, Somalia | 510 | AS&R | Cross-sectional | Housing facilities | WHOQOL-BREF | PHQ-9, GAD-7, PC-PTSD | ● WHOQOL Physical ▫ Depression (r = − 0.58, p < .001) ▫ Anxiety (r = − 0.52, p < .001) ▫ PTSD (r = − 0.36, p < .001) ● WHOQOL Psychological ▫ Depression (r = − 0.38, p < .001) ▫ Anxiety (r = − 0.32, p < .001) ▫ PTSD (r = − 0.21, p < .001) ● WHOQOL Social ▫ Depression (r = − 0.37, p < .001) ▫ Anxiety (r = − 0.37, p < .001) ▫ PTSD (r = − 0.27, p < .001) ● WHOQOL Environment ▫ Depression (r = − 0.34, p < .001) ▫ Anxiety (r = − 0.33, p < .001) ▫ PTSD (r = − 0.23, p < .001) | No significant differences found between asylum seekers and refugees neither in the domain scores nor in overall QoL score. |
Löfvander, Rosenblad, Wiklund, Bennström & Leppert [33] | Sweden | Somalia, Iraq, Syria | 66 pairs of refugees and matched Swedish born | Refugees | Longitudinal Case-Control | Asylum and integration healthcare center | WHOQOL-Bref [4] | GHQ-12, GAF | ● Between Groups (Men) ○ Psychological (Baseline; p = .020) ○ Social Relations (Baseline; p = .002, 6 Months p < .001, 12 Months p = .001) ● Between Groups (Women) ○ Social Relations (6 Months; p = .030) ● Between Groups (Mixed) ○ Psychological (Baseline; p = .004, 6 Months; p = .025, 12 Months; p = .041) ○ Social (Baseline; p = .002, 6 Months; p < .001, 12 Months; p = .001) | Between groups (men) • No significant differences for physical QoL or environmental QoL at any timepoint. • No significant differences at 6-months or 12-months for psychological QoL. Between groups (women) • No significant differences for physical, psychological or environmental QoL at any timepoint. • No significant differences at baseline or at 12 months for social QoL Between groups (mixed) • No significant differences for physical or environmental QoL at any timepoint |
Regev & Slonim-Nevo [34] | Israel | Sudan | 300 | AS&R | Cross-sectional | Community | WHOQOL-Bref | HTQ, PCL-C, BSI, MSPSS | ● Overall model for WHOQOL was significant (r2 = 0.07, p < .001) ○ Social support (β = 0.32, p < .001) ○ Other’s traumatic events (β = 0.27, p < .001) ▫ Gender (β = − 0.32, p < .001) ▫ Self-traumatic events (β = − 0.20, p < .001) | ● Length of stay was not a significant predictor of QoL |
Slonim-Nevo [35] | Israel | Sudan | 340 | AS&R | Cross-sectional | Community | WHOQOL-Bref | HTQ, Language proficiency in Hebrew, PMLD, perceived discrimination, PCL-C, BSI, AIS, CSQ, FAD, MSPSS | ● Overall model for WHOQOL Physical was significant (r2 = 0.32, p < .001) ○ Legal status (β = 0.14, p < .01) ▫ PTSD (β = − 0.40, p < .001) ▫ Perceived discrimination (β = − 0.30, p < .001) ● Overall model for WHOQOL Psychological was significant (r2 = 0.31, p < .001) ▫ PTSD status (β = − 0.29, p < .001) ▫ Perceived discrimination (β = − 0.38, p < .001) ● Overall model for WHOQOL Social was significant (r2 = 0.12, p < .001) ▫ PTSD (β = − 0.27, p < .001) ▫ Perceived discrimination (β = − 0.15, p < .05) ● Overall model for WHOQOL Environment was significant (r2 = 0.25, p < .001) ▫ Perceived discrimination (β = − 0.24, p < .001) ▫ Post-migration living difficulties (β = − 0.38, p < .001) | ● WHOQOL Physical ○ Gender ○ Post-migration living difficulties ● WHOQOL psychological ○ Gender ○ Legal status ○ Post-migration living difficulties ● WHOQOL Social ○ Gender ○ Legal status ○ Post-migration living difficulties ● WHOQOL Environment ○ Gender ○ Legal status ○ PTSD diagnosis |
Stammel et al. [36] | Germany | Iran, Chechnya, Turkey, Syria, Kosovo, Afghanistan, Iraq, Other countries of the russian Federation, Armenia, Kenya, Angola, Chile, Lebanon | 76 | AS&R | Longitudinal | Center for torture victims | EUROHIS-QOL | MINI, PDS, HSCL-25, SCL-90-R | ● Multilevel analysis revealed QoL increased significantly after an average of 14 months of treatment (Pseudo R2 = .14, β = 0.42, 95% CI [0.29, 0.55], p < .001). | ● Not specified |
Teodorescu, Siqveland, Heir, Hauff, Wentzel-Larsen & Lien [37] | Norway | Eastern Europe, Africa, Middle East, Far East, Latin America | 55 | Refugees | Cross-Sectional | Hospital outpatient department | WHOQOL-Bref [4] | LEC, CAPS, SCID-PTSD, MINI, IES-R, HSCL-25, PTGI-SF | ● Bivariate correlations ● WHOQOL Physical ○ Posttraumatic growth (rs = .51, p < ..001) ▫ Weak social network (rs = −.35, p < .01) ▫ Poor social integration (rs = −.32, p < .05) ▫ Unemployment (rs = −.34, p < .05) ▫ Posttraumatic stress (rs = −.45, p < .01) ▫ Depression (rs = −.59, p < .001) ● WHOQOL Psychological ○ Posttraumatic growth (rs = .58, p < ..001) ○ Physical QoL (rs = .73, p < .001) ▫ Weak social network (rs = −.53, p < .001) ▫ Poor social integration (rs = −.37, p < .01) ▫ Unemployment (rs = −.31, p < .05) ▫ Posttraumatic stress (rs = −.53, p < .001) ▫ Depression (rs = −.58, p < .001) ● WHOQOL social ○ Posttraumatic growth (rs = .41, p < .01) ○ Physical QoL (rs = .46, p < .001) ○ Psychological QoL (rs = .54, p < .001) ▫ Weak social network (rs = −.61, p < .001) ▫ Poor social integration (rs = −.48, p < .001) ▫ Unemployment (rs = −.37, p < .01) ▫ Posttraumatic stress (rs = −.45, p < .01) ▫ Depression (rs = −.54, p < .001) ● WHOQOL environment ○ Posttraumatic growth (rs = .49, p < .001) ○ Physical QoL (rs = .48, p < .001) ○ Psychological QoL (rs = .53, p < .001) ○ Social QoL (rs = .62, p < .001) ▫ Weak social network (rs = −.56, p < .001) ▫ Poor social integration (rs = −.40, p < .01) ▫ Unemployment (rs = −.38, p < .01) ▫ Posttraumatic stress (rs = −.38, p < .01) ▫ Depression (rs = −.51, p < .001) ● Overall QoL ○ Posttraumatic growth (rs = .47, p < .001) ○ Physical QoL (rs = .62, p < .001) ○ Psychological QoL (rs = .71, p < .001) ○ Social QoL (rs = .39, p < .01 ○ Environmental QoL (rs = .48, p < .001) ▫ Weak social network (rs = −.39, p < .01) ▫ Poor social Integration (rs = −.38, p < .01) ▫ Posttraumatic stress (rs = −.65, p < .001) ▫ Depression (rs = −.70, p < .001) ● Regression ● WHOQOL Physical (ΔR2 = 0.49, F (4,46) = 13.15, p < .001) ○ Posttraumatic growth (β = 0.37, 95% CI = [.04, 16.22], p < .01) ● WHOQOL Psychological (ΔR2 = 0.56, F (4,46) = 17.97, p < .001) ○ Posttraumatic growth (β = 0.39, 95% CI = [9.18, 16.37], p < .001) ▫ Depression (β = − 0.31, 95% CI = [9.18, 16.37], p < .05) ● WHOQOL Social (ΔR2 = 0.34, F (4,46) = 7.51, p < .001) ▫ Depression (β = − 0.43, 95% CI = [11.21, 21.41], p < .05) ● WHOQOL Environmental (ΔR2 = 0.38, F (4,46) = 8.79, p < .001) ○ Posttraumatic growth (β = 0.33, 95% CI = [11.28, 18.86], p < .01) ▫ Depression (β = − 0.33, 95% CI = [11.28, 18.86], p < .05) ▫ Gender (β = − 0.26, 95% CI = [11.28, 18.86], p < .05) ▫ Unemployment (β = − 0.25, 95% CI = [11.28, 18.86], p < .05) | Correlations ● Non-significant correlations reported between age and physical, psychological, social, environmental and overall QoL. ● Non-significant correlations reported between gender and physical, psychological, social, environmental and overall QoL. ● Non-significant correlation reported between overall QoL and unemployment Regression model ● Posttraumatic stress symptoms did not significantly predict any of the four domains of QoL ● Gender did not significantly predict physical, psychological or social QoL. ● Depressive symptoms did not significantly predict physical QoL ● Posttraumatic growth did not significantly predict social QoL ● Unemployment did not significantly predict physical, psychological or social QoL |
Trilesnik et al. [38] | Germany | Not specified | 133 | Refugees | Cross-sectional | Psychosocial counseling centers | WHOQOL-BREF | WEMWBS, HSCL-25, HTQ, SCL-90, PMLDC, | ● Post-migration living difficulties and overall WHOQOL (r = −.54, p < .001) | ● No significant difference between post-treatment and pre-treatment levels of well-being. |
Von Lersner et al. [39] | Germany | Bosnia, Serbia, Kosovo, Iraq, Turkey | 100 | Refugees (Stayers vs.returnees) | Cross-sectional | Refugee centres, language schools and doctors’ offices. | EUROHIS-QOL | PDS, MINI, | ● Stayers ○ Healthy participants vs. those with mental disorder(s) (t (37.4) = 5.65, p < .01) with healthy participants having higher QoL ▫ Age and QoL (r = −.39, p < .05) | ● No significant difference in returnees between mentally healthy participants and participants with at least one mental disorder on QoL |