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Insomnia and the role of postmigration stress among Syrian refugees

Published online by Cambridge University Press:  01 September 2022

M. Straiton  and
A. Nissen
M. Straiton*
Affiliation:
Norwegian Institute of Public Health, Department Of Mental Health And Suicide, Oslo, Norway
A. Nissen
Affiliation:
Norwegian Centre for Violence and Traumatic Stress Studies, N/a, Nydalen, Norway
*
*Corresponding author.

Abstract

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Introduction

Research on the prevalence of and risk factors for insomnia among refugee populations is limited and tends to focus on pre-migratory trauma. Yet, post migratory stressors are just as important for mental health and may also relate to insomnia.

Objectives

Objective: To determine the association between different post-migration stressors and insomnia among Syrian refugees living in Norway.

Methods

We used data from the REUFGE study, a cross-sectional survey with 902 Syrian refugees who arrived in Norway between 2015 and 2017. Insomnia was measured with the Bergen Insomnia Scale and post-migrant stress with the Refugee Post-Migration Stress Scale (RPMS). We applied logistic regression analyses to investigate the association between seven different postmigration stressors and insomnia after controlling for demographics, traumatic experiences and post traumatic stress symptoms.

Results

Of the 873 participants who completed questions on insomnia, 515 (41%) reported insomnia. There was no significant difference between men and women. The most commonly reported postmigration stressors were Competency Strain [SML1], Family and Home Concerns, and Loss of Home Country. After controlling for demographics, traumatic experiences and post-traumatic stress symptoms, Financial Strain, Loss of Home Country, Family and Home Concerns and Social Strain were still associated with higher odds of insomnia.

Conclusions

Resettlement difficulties are related to poorer sleep among refugees. Measures to improve the social conditions and financial concerns of refugees in receiving countries could potentially reduce insomnia among refugees which in turn, may benefit mental and physical health.

Disclosure

No significant relationships.

Keywords

RefugeesInsomniaPostmigration stressForced migration
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S634
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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