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. 2021 Jun 10;9(1):96.
doi: 10.1186/s40359-021-00599-2.

An exploratory study of embitterment in traumatized refugees

Julia Spaaij #  1 , Matthis Schick #  2 , Richard A Bryant  3 , Ulrich Schnyder  4 , Hansjörg Znoj  5 , Angela Nickerson  3 , Naser Morina  2
Affiliations

An exploratory study of embitterment in traumatized refugees

Julia Spaaij et al. BMC Psychol. .

Abstract

Background: Refugees and asylum seekers are frequently exposed to violence, human rights violations and unstable living conditions before, during, and after their displacement. Elevated prevalence rates of psychiatric disorders in forcibly displaced persons are well documented. However, less is known about other problems related to common refugee experiences, such as embitterment, moral injury, and diminished self-efficacy, and how they are related to trauma exposure and post-migration living difficulties.

Methods: A cross-sectional sample of 71 refugees and asylum seekers in treatment were examined regarding exposure to potentially traumatic events, post-migration living difficulties, moral injury appraisals, self-efficacy, and embitterment.

Results: Elevated levels of embitterment were reported by 68% of participants. The regression analysis revealed that greater moral injury appraisals and low levels of self-efficacy were significantly associated with higher levels of embitterment.

Conclusion: The results provide first insights into embitterment and associated factors in refugee populations. Furthermore, they highlight the significance of moral transgressions and low levels of self-efficacy emerging from displacement and traumatic experiences for the development of mental health problems in a clinical sample of refugees. The findings have implications for future research, policy development and clinical practice.

Keywords: Asylum seekers; Embitterment; Moral injury; Post-migration living difficulties; Refugees; Self-efficacy.

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Conflict of interest statement

The authors declare that they have no competing interests.

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