Evidence map›Paper›PMID 41327287›Full record

ArticleConflict and health2025

Carrying what came after: post-migration difficulties and depression among refugees and asylum seekers.

Arwin Nemani, Schahryar Kananian, Annabelle Starck, Ahlke Kip, Dana Churbaji, Nexhmedin Morina, Ricarda Nater-Mewes, Cornelia Weise, Hannah Preiß, Thomas Ehring and 1 more

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Article in Conflict and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Arwin NemaniDepartment of Psychology, Goethe University Frankfurt, Varrentrappstraße 40-42, 60486, Frankfurt, Germany. nemani@psych.uni-frankfurt.de.
Schahryar KananianDepartment of Psychology, Goethe University Frankfurt, Varrentrappstraße 40-42, 60486, Frankfurt, Germany.
Annabelle StarckDepartment of Psychology, Goethe University Frankfurt, Varrentrappstraße 40-42, 60486, Frankfurt, Germany.
Ahlke KipMedical Psychology and Medical Sociology, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Dana ChurbajiInstitute of Psychology, University of Münster, Münster, Germany.
Nexhmedin MorinaInstitute of Psychology, University of Münster, Münster, Germany.
Ricarda Nater-MewesInstitute of Psychology, Clinical Psychology and Psychotherapy, University of Klagenfurt, Universitätsstraße 65-67, Klagenfurt, 9020, Austria.
Cornelia WeiseDept. of Psychology, Clinical Psycho- logy and Behavioral Health Technology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Nägelsbachstr. 49b, 91052, Erlangen, Germany.
Hannah PreißDepartment of Psychology, LMU Munich, Leopoldstr. 13, 80802, Munich, Germany.
Thomas EhringDepartment of Psychology, LMU Munich, Leopoldstr. 13, 80802, Munich, Germany.
Ulrich StangierDepartment of Psychology, Goethe University Frankfurt, Varrentrappstraße 40-42, 60486, Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRefugees and asylum seekers encounter numerous post-migration living difficulties (PMLDs) that can substantially affect their mental health. However, the role of PMLDs remains insufficiently explored, particularly in clinical refugee populations. This study aimed to identify subgroups based on patterns of PMLD by examining their relationship with depressive symptoms and determining which stressors function as key bridges.

methodsThis study reports a secondary analysis of baseline data from the ReTreat trial. Data were collected from 141 refugees and asylum seekers enrolled in a multicentre randomized controlled trial of a culturally adapted CBT program in Germany. Participants completed measures of depressive symptoms (PHQ-9) and post-migration stressors (27-item checklist). Latent Profile Analysis (LPA) was used to identify distinct burden profiles. Exploratory Factor Analysis (EFA) examined the dimensionality of PMLDs. Network analysis was conducted to investigate symptom-stressor connectivity.

resultsThree latent profiles emerged: Class 1 showed elevated distress across all domains; Class 2 was characterized by family separation and homesickness; and Class 3 exhibited minimal post-migration stress. EFA of PMLDS supported a four-factor solution: institutional/legal stressors, structural hardship, health/service access, and emotional/family-related strain. Depressive symptoms differed significantly across profiles, with highest scores in the high burden group (Class 1). Network analysis identified institutional/legal and emotional/family-related stressors as central bridge nodes linking PMLDs to depressive symptoms.

conclusionsPMLDs are multidimensional and heterogeneously distributed among forcibly displaced individuals. Legal insecurity and emotional strain are particularly influential in connecting environmental hardship to depressive symptoms.

trial registrationThis study uses baseline data from a registered randomized controlled trial (DRKS00021536).

Indexed as

Depressive symptomsLatent profile analysisNetwork analysisPost-migration stressorsRefugee mental health

Identifiers

PMID41327287
PMCPMC12670758

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.