Health Realization (HR) is a strengths-based stress and coping intervention used to promote the use of internal and external coping resources. Our three-arm comparison group trial examined the effects of a culturally adapted Somali HR interven- tion on coping and mental health outcomes in 65 Somali refugee women post-resettlement. Subjects participated one of three conditions: HR intervention, nutrition attention-control, and evaluation-control. The HR intervention significantly affected multiple dimensions of coping: WAYS-distancing (p = 0.038), seeking social support (p = 0.042), positive reap- praisal (p = 0.001); and Refugee Appraisal and Coping Experience Scale-Internal subscale (p = 0.045). The HR intervention also demonstrated improvement in depression symptom ratings (p = 0.079). We discuss findings from the pilot, challenges encountered conducting a three-arm comparison group trial, and implications for further research involving the HR interven- tion with culturally diverse refugee communities. Keywords Somali · Refugee · Health Realization · Coping intervention · Resilience Background on the perception of the stressor and the subsequent circum- stances of stress that affect physiological and psychological Somali refugees encounter a range of post-trauma mental responses . Effective strategies of coping with stress- health outcomes [1–3]. These include depression and anxi- ors demonstrate an important and positive impact on the
Journal of Immigrant and Minority Health – Springer Journals
Published: Aug 24, 2018
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