Pathways to Recovery: Psychological Mechanisms Underlying Refugee Mental Health

  • Angela NickersonEmail author


It has been well-established that refugees evidence increased rates of psychological disorders such as posttraumatic stress disorder (PTSD) and depression. While the contribution of pre- and post-migration experiences to refugee mental health has been extensively examined, relatively less research has focused on the mechanisms that may contribute to the development and maintenance of psychological disorders in refugees. This chapter discusses three potential mechanisms that may impact on refugee mental health, namely emotion regulation, cognitive appraisals and memory processes. Examples of research to date with refugee populations on each of these mechanisms are presented, and potential future research directions are outlined. Implications for the development of psychological interventions tailored to the refugee context are discussed.


Refugees Posttraumatic stress disorder Depression Appraisals Memory Emotion regulation 


  1. Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. CrossRefPubMedGoogle Scholar
  2. Aldao, A., Sheppes, G., & Gross, J. J. (2015). Emotion regulation flexibility. Cognitive Therapy and Research, 39(3), 263–278. CrossRefGoogle Scholar
  3. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, Virginia: American Psychiatric Publishing.CrossRefGoogle Scholar
  4. Amstadter, A. B., & Vernon, L. L. (2006). Suppression of neutral and trauma targets: Implications for posttraumatic stress disorder. Journal of Traumatic Stress, 19(4), 517–526. CrossRefPubMedGoogle Scholar
  5. Amstadter, A. B., & Vernon, L. L. (2008). A preliminary examination of thought suppression, emotion regulation, and coping in a trauma-exposed sample. Journal of Aggression, Maltreatment & Trauma, 17(3), 279–295. CrossRefGoogle Scholar
  6. Basoglu, M., Livanou, M., & Crnobaric, C. (2007). Torture vs other cruel, inhuman, and degrading treatment: Is the distinction real or apparent? Archives of General Psychiatry, 64(3), 277–285. CrossRefPubMedGoogle Scholar
  7. Basoglu, M., Livanou, M., Crnobaric, C., Franciskovic, T., Suljic, E., Duric, D., & Vranesic, M. (2005). Psychiatric and cognitive effects of war in former Yugoslavia: Association of lack of redress for trauma and posttraumatic stress reactions. Journal of the American Medical Association, 294(5), 580–590. CrossRefPubMedGoogle Scholar
  8. Bass, J. K., Annan, J., McIvor Murray, S., Kaysen, D., Griffiths, S., Cetinoglu, T., … Bolton, P. A. (2013). Controlled trial of psychotherapy for Congolese survivors of sexual violence. New England Journal of Medicine, 368(23), 2182–2191. CrossRefGoogle Scholar
  9. Baumann, M., Zwissler, B., Schalinski, I., Ruf-Leuschner, M., Schauer, M., & Kissler, J. (2013). Directed forgetting in post-traumatic-stress-disorder: A study of refugee immigrants in Germany. Frontiers in Behavioral Neuroscience, 7, 94. CrossRefPubMedPubMedCentralGoogle Scholar
  10. Bolton, P., Bass, J. K., Zangana, G. A., Kamal, T., Murray, S. M., Kaysen, D., … Rosenblum, M. (2014). A randomized controlled trial of mental health interventions for survivors of systematic violence in Kurdistan, Northern Iraq. BMC Psychiatry, 14, 360. CrossRefPubMedPubMedCentralGoogle Scholar
  11. Brewin, C. R. (2011). The nature and significance of memory disturbance in posttraumatic stress disorder. Annual Review of Clinical Psychology, 7(1), 203–227. CrossRefPubMedGoogle Scholar
  12. Brewin, C. R., Dagleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670–686. CrossRefPubMedGoogle Scholar
  13. Catarino, A., Kupper, C. S., Werner-Seidler, A., Dalgleish, T., & Anderson, M. C. (2015). Failing to forget: Inhibitory-control deficits compromise memory suppression in posttraumatic stress disorder. Psychological Science, 26(5), 604–616. CrossRefPubMedPubMedCentralGoogle Scholar
  14. Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70(5), 1067–1074. CrossRefPubMedGoogle Scholar
  15. Cloitre, M., Stovall-McClough, K. C., Nooner, K., Zorbas, P., Cherry, S., Jackson, C. L., … Petkova, E. (2010). Treatment for PTSD related to childhood abuse: A randomized controlled trial. American Journal of Psychiatry, 167(8), 915–924. CrossRefPubMedGoogle Scholar
  16. Debiec, J. (2012). Memory reconsolidation processes and posttraumatic stress disorder: Promises and challenges of translational research. Biological Psychiatry, 71(4), 284–285. CrossRefPubMedGoogle Scholar
  17. Dunmore, E., Clark, D. M., & Ehlers, A. (2001). A prospective investigation of the role of cognitive factors in persistent posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy, 39(9), 1063–1084. [pii]CrossRefPubMedGoogle Scholar
  18. Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345. CrossRefPubMedGoogle Scholar
  19. Ehlers, A., Clark, D. M., Hackmann, A., McManus, F., & Fennell, M. (2005). Cognitive therapy for post-traumatic stress disorder: Development and evaluation. Behaviour Research and Therapy, 43(4), 413–431. CrossRefPubMedGoogle Scholar
  20. Ehlers, A., Hackmann, A., Grey, N., Wild, J., Liness, S., Albert, I., … Clark, D. M. (2014). A randomized controlled trial of 7-day intensive and standard weekly cognitive therapy for PTSD and emotion-focused supportive therapy. American Journal of Psychiatry, 171(3), 294–304. CrossRefPubMedGoogle Scholar
  21. Ehlers, A., Hackmann, A., & Michael, T. (2004). Intrusive re-experiencing in post-traumatic stress disorder: Phenomenology, theory, and therapy. Memory, 12(4), 403–415. CrossRefPubMedGoogle Scholar
  22. Ehlers, A., Mayou, R. A., & Bryant, B. (1998). Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. Journal of Abnormal Psychology, 107(3), 508–519. CrossRefPubMedGoogle Scholar
  23. Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: A systematic review. The Lancet, 365(9467), 1309–1314. CrossRefGoogle Scholar
  24. Foa, E. B., Dancu, C. V., Hembree, E. A., Jaycox, L. H., Meadows, E. A., & Street, G. P. (1999). A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims. Journal of Consulting and Clinical Psychology, 67(2), 194–200. CrossRefPubMedGoogle Scholar
  25. Foa, E. B., Ehlers, A., Clark, D. M., Tolin, D. F., & Orsillo, S. M. (1999). The posttraumatic cognitions inventory: Development and validation. Psychological Assessment, 11, 303–314. CrossRefGoogle Scholar
  26. Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 20–35. CrossRefPubMedGoogle Scholar
  27. Foa, E. B., Riggs, D. S., Massie, E. D., & Yarczower, M. (1995). Impact of fear activation and anger on the efficacy of exposure treatment for posttraumatic stress disorder. Behavior Therapy, 26(3), 487–499. CrossRefGoogle Scholar
  28. Foa, E. B., Steketee, G., & Rothbaum, B. O. (1989). Behavioral/cognitive conceptualizations of post-traumatic stress disorder. Behavior Therapy, 20(2), 155–176. CrossRefGoogle Scholar
  29. Forbes, D., Parslow, R., Creamer, M., Allen, N., McHugh, T., & Hopwood, M. (2008). Mechanisms of anger and treatment outcome in combat veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 21(2), 142–149. CrossRefPubMedGoogle Scholar
  30. Glover, E. M., Jovanovic, T., & Norrholm, S. D. (2015). Estrogen and extinction of fear memories: Implications for posttraumatic stress disorder treatment. Biological Psychiatry, 78(3), 178–185. CrossRefPubMedPubMedCentralGoogle Scholar
  31. Graham, B., Herlihy, J., & Brewin, C. R. (2014). Overgeneral memory in asylum seekers and refugees. Journal of Behavior Therapy and Experimental Psychiatry, 45(3), 375–380. CrossRefPubMedGoogle Scholar
  32. Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. CrossRefGoogle Scholar
  33. Hackmann, A., Ehlers, A., Speckens, A., & Clark, D. M. (2004). Characteristics and content of intrusive memories in PTSD and their changes with treatment. Journal of Traumatic Stress, 17(3), 231–240. CrossRefPubMedGoogle Scholar
  34. Halligan, S. L., Michael, T., Clark, D. M., & Ehlers, A. (2003). Posttraumatic stress disorder following assault: The role of cognitive processing, trauma memory, and appraisals. Journal of Consulting and Clinical Psychology, 71(3), 419–431. CrossRefPubMedGoogle Scholar
  35. Herlihy, J., Jobson, L., & Turner, S. (2012). Just tell us what happened to you: Autobiographical memory and seeking asylum. Applied Cognitive Psychology, 26(5), 661–676. CrossRefGoogle Scholar
  36. Herlihy, J., Scragg, P., & Turner, S. (2002). Discrepancies in autobiographical memories–implications for the assessment of asylum seekers: Repeated interviews study. BMJ, 324(7333), 324–327. CrossRefPubMedPubMedCentralGoogle Scholar
  37. Herlihy, J., & Turner, S. (2007). Memory and seeking asylum. European Journal of Psychotherapy and Counselling, 9(3), 267–276. CrossRefGoogle Scholar
  38. Herlihy, J., & Turner, S. W. (2007). Asylum claims and memory of trauma: Sharing our knowledge. The British Journal of Psychiatry, 191(1), 3–4. CrossRefPubMedGoogle Scholar
  39. Hinton, D. E. (2012). Multicultural challenges in the delivery of anxiety treatment. Depression and Anxiety, 29(1), 1–3. CrossRefGoogle Scholar
  40. Hinton, D. E., Chean, D., Pich, V., Safren, S., Hofmann, S., & Pollack, M. (2005). A randomized controlled trial of cognitive-behavior therapy for Cambodian refugees with treatment-resistant PTSD and panic attacks: A cross-over design. Journal of Traumatic Stress, 18(6), 617–629. CrossRefPubMedGoogle Scholar
  41. Hinton, D. E., Chhean, D., Hofmann, S. G., Orr, S. P., & Pitman, R. K. (2008). Dizziness and palpitations-predominant orthostatic panic: Physiology, flashbacks and catastrophic cognitions. Journal of Psychopathology and Behavioral Assessment, 30(2), 100–110. CrossRefGoogle Scholar
  42. Hinton, D. E., Field, N. P., Nickerson, A., Bryant, R. A., & Simon, N. (2013). Dreams of the dead among Cambodian refugees: Frequency, phenomenology, and relationship to complicated grief and posttraumatic stress disorder. Death Studies, 37(8), 750–767. CrossRefPubMedGoogle Scholar
  43. Hinton, D. E., Hinton, A. L., Pich, V., Loeum, J. R., & Pollack, M. H. (2009). Nightmares among Cambodian refugees: The breaching of concentric ontological security. Culture, Medicine and Psychiatry, 33(2), 219–265. CrossRefPubMedGoogle Scholar
  44. Hinton, D. E., Hinton, L., Tran, M., Nguyen, L., Hsia, C., & Pollack, M. H. (2006). Orthostatically induced panic attacks among Vietnamese refugees: Associated psychopathology, flashbacks, and catastrophic cognitions. Depression and Anxiety, 23(2), 113–115. CrossRefPubMedGoogle Scholar
  45. Hinton, D. E., Hinton, S., Pham, T., Chau, H., & Tran, M. (2003). ‘Hit by the wind’ and temperature-shift panic among Vietnamese refugees. Transcultural Psychiatry, 40(3), 342–376. CrossRefPubMedGoogle Scholar
  46. Hinton, D. E., Hofmann, S. G., Pitman, R. K., Pollack, M. H., & Barlow, D. H. (2008). The panic attack-posttraumatic stress disorder model: Applicability to orthostatic panic among Cambodian refugees. Cognitive Behaviour Therapy, 37(2), 101–116. CrossRefPubMedPubMedCentralGoogle Scholar
  47. Hinton, D. E., Hofmann, S. G., Pollack, M. H., & Otto, M. W. (2009). Mechanisms of efficacy of CBT for Cambodian refugees with PTSD: Improvement in emotion regulation and orthostatic blood pressure response. CNS Neuroscience & Therapeutics, 15(3), 255–263. CrossRefGoogle Scholar
  48. Hinton, D. E., Hofmann, S. G., Rivera, E., Otto, M. W., & Pollack, M. H. (2011). Culturally adapted CBT (CA-CBT) for Latino women with treatment-resistant PTSD: A pilot study comparing CA-CBT to applied muscle relaxation. Behaviour Research and Therapy, 49(4), 275–280. CrossRefPubMedGoogle Scholar
  49. Hinton, D. E., Nickerson, A., & Bryant, R. A. (2011). Worry, worry attacks, and PTSD among Cambodian refugees: A path analysis investigation. Social Science & Medicine, 72(11), 1817–1825. CrossRefGoogle Scholar
  50. Hinton, D. E., & Otto, M. (2006). Symptom presentation and symptom meaning among traumatized Cambodian refugees: Relevance to a somatically focused cognitive behavior therapy. Cognitive and Behavioral Practice, 13(4), 249–260. CrossRefPubMedPubMedCentralGoogle Scholar
  51. Hinton, D. E., Pham, T., Tran, M., Safren, S., Otto, M., & Pollack, M. (2004). CBT for Vietnamese refugees with treatment-resistant PTSD and panic attacks: A pilot study. Journal of Traumatic Stress, 17(5), 429–433. CrossRefPubMedPubMedCentralGoogle Scholar
  52. Hinton, D. E., Pich, V., Marques, L., Nickerson, A., & Pollack, M. H. (2010). Khyâl attacks: A key idiom of distress among traumatized Cambodia refugees. Culture, Medicine and Psychiatry, 34(2), 244–278. CrossRefPubMedGoogle Scholar
  53. Hinton, D. E., Rivera, E. I., Hofmann, S. G., Barlow, D. H., & Otto, M. W. (2012). Adapting CBT for traumatized refugees and ethnic minority patients: Examples from culturally adapted CBT (CA-CBT). Transcultural Psychiatry, 49(2), 340–365. CrossRefPubMedGoogle Scholar
  54. Holmes, E. A., & Bourne, C. (2008). Inducing and modulating intrusive emotional memories: A review of the trauma film paradigm. Acta Psychologica, 127(3), 553–566. CrossRefPubMedGoogle Scholar
  55. Hooberman, J., Rosenfeld, B., Rasmussen, A., & Keller, A. (2010). Resilience in trauma-exposed refugees: The moderating effect of coping style on resilience variables. American Journal of Orthopsychiatry, 80(4), 557–563. CrossRefPubMedGoogle Scholar
  56. Huijts, I., Kleijn, W. C., van Emmerik, A. A., Noordhof, A., & Smith, A. J. (2012). Dealing with man-made trauma: The relationship between coping style, posttraumatic stress, and quality of life in resettled, traumatized refugees in the Netherlands. Journal of Traumatic Stress, 25(1), 71–78. CrossRefPubMedGoogle Scholar
  57. Hussain, D., & Bhushan, B. (2011). Posttraumatic stress and growth among Tibetan refugees: The mediating role of cognitive-emotional regulation strategies. Journal of Clinical Psychology, 67(7), 720–735. CrossRefPubMedPubMedCentralGoogle Scholar
  58. Kanninen, K., Punamaki, R. L., & Qouta, S. (2002). The relation of appraisal, coping efforts, and acuteness of trauma to PTS symptoms among former political prisoners. Journal of Traumatic Stress, 15(3), 245–253. CrossRefPubMedGoogle Scholar
  59. Kulkarni, M., Pole, N., & Timko, C. (2013). Childhood victimization, negative mood regulation, and adult PTSD severity. Psychological Trauma: Theory, Research, Practice, and Policy, 5(4), 359–365. CrossRefGoogle Scholar
  60. Li, S. S., Liddell, B. J., & Nickerson, A. (2016). The relationship between post-migration stress and psychological disorders in refugees and ssylum seekers. Current Psychiatry Reports, 18(9), 82. CrossRefGoogle Scholar
  61. Lie, B. (2002). A 3-year follow-up study of psychosocial functioning and general symptoms in settled refugees. Acta Psychiatrica Scandinavica, 106(6), 415–425. CrossRefPubMedGoogle Scholar
  62. Lindencrona, F., Ekblad, S., & Hauff, E. (2008). Mental health of recently resettled refugees from the Middle East in Sweden: The impact of pre-resettlement trauma, resettlement stress and capacity to handle stress. Social Psychiatry and Psychiatric Epidemiology, 43(2), 121–131. CrossRefPubMedGoogle Scholar
  63. McNally, R. J. (2006). Cognitive abnormalities in post-traumatic stress disorder. Trends in Cognitive Sciences, 10(6), 271–277. CrossRefPubMedGoogle Scholar
  64. Mollica, R. F., Caridad, K. R., & Massagli, M. P. (2007). Longitudinal study of posttraumatic stress disorder, depression, and changes in traumatic memories over time in Bosnian refugees. Journal of Nervous and Mental Disease, 195(7), 572–579. CrossRefPubMedGoogle Scholar
  65. Mollica, R. F., McInnes, K., Pham, T., Smith Fawzi, M. C., Murphy, E., & Lin, L. (1998). The dose-effect relationships between torture and psychiatric symptoms in Vietnamese ex-political detainees and a comparison group. Journal of Nervous and Mental Disease, 186(9), 543–553. CrossRefGoogle Scholar
  66. Mollica, R. F., McInnes, K., Poole, C., & Tor, S. (1998). Dose-effect relationships of trauma to symptoms of depression and post-traumatic stress disorder among Cambodian survivors of mass violence. British Journal of Psychiatry, 173(6), 482–488. CrossRefPubMedGoogle Scholar
  67. Moradi, A. R., Herlihy, J., Yasseri, G., Shahraray, M., Turner, S., & Dalgleish, T. (2008). Specificity of episodic and semantic aspects of autobiographical memory in relation to symptoms of posttraumatic stress disorder (PTSD). Acta Psychologica, 127(3), 645–653. CrossRefPubMedGoogle Scholar
  68. Nicholson, E. L., Bryant, R. A., & Felmingham, K. L. (2014). Interaction of noradrenaline and cortisol predicts negative intrusive memories in posttraumatic stress disorder. Neurobiology of Learning and Memory, 112, 204–211. CrossRefPubMedGoogle Scholar
  69. Nickerson, A., Bryant, R. A., Schnyder, U., Schick, M., Mueller, J., & Morina, N. (2015). Emotion dysregulation mediates the relationship between trauma exposure, post-migration living difficulties and psychological outcomes in traumatized refugees. Journal of Affective Disorders, 173, 185–192. CrossRefPubMedGoogle Scholar
  70. Nickerson, A., Bryant, R. A., Silove, D., & Steel, Z. (2011). A critical review of psychological treatments of posttraumatic stress disorder in refugees. Clinical Psychology Review, 31(3), 399–417. CrossRefPubMedPubMedCentralGoogle Scholar
  71. Nickerson, A., Bryant, R. A., Steel, Z., Silove, D., & Brooks, R. (2010). The impact of fear for family on mental health in a resettled Iraqi refugee community. Journal of Psychiatric Research, 44(4), 229–235. CrossRefPubMedPubMedCentralGoogle Scholar
  72. Nickerson, A., Garber, B., Ahmed, O., Asnaani, A., Cheung, J., Hofmann, S. G., … Bryant, R. A. (2016). Emotional suppression in torture survivors: Relationship to posttraumatic stress symptoms and trauma-related negative affect. Psychiatry Research, 242, 233–239. CrossRefPubMedGoogle Scholar
  73. Nickerson, A., Garber, B., Liddell, B. J., Litz, B. T., Hofmann, S. G., Asnaani, A., … Bryant, R. A. (2017). Impact of cognitive reappraisal on negative affect, heart rate, and intrusive memories in traumatized refugees. Clinical Psychological Science, 5(3), 497–512. CrossRefGoogle Scholar
  74. Nickerson, A., Liddell, B. J., Maccallum, F., Steel, Z., Silove, D., & Bryant, R. A. (2014). Posttraumatic stress disorder and prolonged grief in refugees exposed to trauma and loss. BMC Psychiatry, 14(1), 106. CrossRefPubMedPubMedCentralGoogle Scholar
  75. Nickerson, A., Schnyder, U., Bryant, R. A., Schick, M., Mueller, J., & Morina, N. (2015). Moral injury in traumatized refugees. Psychotherapy and Psychosomatics, 84(2), 122–123. CrossRefPubMedPubMedCentralGoogle Scholar
  76. O’Donnell, M. L., Elliott, P., Wolfgang, B. J., & Creamer, M. (2007). Posttraumatic appraisals in the development and persistence of posttraumatic stress symptoms. Journal of Traumatic Stress, 20(2), 173–182. CrossRefPubMedGoogle Scholar
  77. Ono, M., Devilly, G. J., & Shum, D. H. (2016). A meta-analytic review of overgeneral memory: The role of trauma history, mood, and the presence of posttraumatic stress disorder. Psychological Trauma: Theory, Research, Practice, and Policy, 8(2), 157–164. CrossRefGoogle Scholar
  78. Otto, M., & Hinton, D. E. (2006). Modifying exposure-based CBT for Cambodian refugees with posttraumatic stress disorder. Cognitive and Behavioral Practice, 13(4), 261–270. CrossRefPubMedPubMedCentralGoogle Scholar
  79. Park, J., Jun, J. Y., Lee, Y. J., Kim, S., Lee, S. H., Yoo, S. Y., & Kim, S. J. (2015). The association between alexithymia and posttraumatic stress symptoms following multiple exposures to traumatic events in North Korean refugees. Journal of Psychosomatic Research, 78(1), 77–81. CrossRefPubMedGoogle Scholar
  80. Porter, M., & Haslam, N. (2005). Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons: A meta-analysis. Journal of the American Medical Association, 294(5), 602–612. CrossRefPubMedGoogle Scholar
  81. Rasmussen, A., Nguyen, L., Wilkinson, J., Vundla, S., Raghavan, S., Miller, K. E., & Keller, A. S. (2010). Rates and impact of trauma and current stressors among Darfuri refugees in Eastern Chad. American Journal of Orthopsychiatry, 80(2), 227–236. CrossRefPubMedPubMedCentralGoogle Scholar
  82. Resick, P. A., Galovski, T. E., O’Brien Uhlmansiek, M., Scher, C. D., Clum, G. A., & Young-Xu, Y. (2008). A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76(2), 243–258. CrossRefPubMedPubMedCentralGoogle Scholar
  83. Resick, P. A., Nishith, P., Weaver, T. L., Astin, M. C., & Feuer, C. A. (2002). A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology, 70(4), 867–879. CrossRefPubMedPubMedCentralGoogle Scholar
  84. Resick, P. A., & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60(5), 748–756. CrossRefPubMedGoogle Scholar
  85. Robjant, K., & Fazel, M. (2010). The emerging evidence for narrative exposure therapy: A review. Clinical Psychology Review, 30(8), 1030–1039. CrossRefGoogle Scholar
  86. Roemer, L., Litz, B. T., Orsillo, S. M., & Wagner, A. W. (2001). A preliminary investigation of the role of strategic withholding of emotions in PTSD. Journal of Traumatic Stress, 14(1), 149–156. CrossRefGoogle Scholar
  87. Sachs, E., Rosenfeld, B., Lhewa, D., Rasmussen, A., & Keller, A. (2008). Entering exile: Trauma, mental health, and coping among Tibetan refugees arriving in Dharamsala, India. Journal of Traumatic Stress, 21(2), 199–208. CrossRefPubMedPubMedCentralGoogle Scholar
  88. Schauer, M., Neuner, F., & Elbert, T. (2005). Narrative exposure therapy: A short-term intervention for traumatic stress disorders after war, terror or torture. Cambridge, MA: Hogrefe & Huber.Google Scholar
  89. Schulz, P. M., Resick, P. A., Huber, L. C., & Griffin, M. G. (2006). The effectiveness of cognitive processing therapy for PTSD with refugees in a community setting. Cognitive and Behavioral Practice, 13(4), 322–331. CrossRefGoogle Scholar
  90. Schweitzer, R., Melville, F., Steel, Z., & Lacharez, P. (2006). Trauma, post-migration living difficulties and social support as predictors of psychosocial adjustment in resettled Sudanese refugees. Australian and New Zealand Journal of Psychiatry, 40, 179–187. CrossRefPubMedGoogle Scholar
  91. Seligowski, A. V., Lee, D. J., Bardeen, J. R., & Orcutt, H. K. (2015). Emotion regulation and posttraumatic stress symptoms: A meta-analysis. Cognitive Behaviour Therapy, 44(2), 87–102. CrossRefPubMedGoogle Scholar
  92. Shipherd, J. C., & Beck, J. G. (1999). The effects of suppressing trauma-related thoughts on women with rape-related posttraumatic stress disorder. Behaviour Research and Therapy, 37(2), 99–112. CrossRefPubMedGoogle Scholar
  93. Sippel, L. M., Roy, A. M., Southwick, S. M., & Fichtenholtz, H. M. (2016). An examination of the roles of trauma exposure and posttraumatic stress disorder on emotion regulation strategies of operation Iraqi freedom, operation enduring freedom, and operation new Dawn veterans. Cognitive Behaviour Therapy, 45(5), 339–350. CrossRefPubMedGoogle Scholar
  94. Sondergaard, H. P., Ekblad, S., & Theorell, T. (2003). Screening for post-traumatic stress disorder among refugees in Stockholm. Nordic Journal of Psychiatry, 57(3), 185–189. CrossRefPubMedGoogle Scholar
  95. Sondergaard, H. P., & Theorell, T. (2004). Alexithymia, emotions and PTSD; findings from a longitudinal study of refugees. Nordic Journal of Psychiatry, 58(3), 185–191. CrossRefPubMedGoogle Scholar
  96. Speckens, A. E., Ehlers, A., Hackmann, A., Ruths, F. A., & Clark, D. M. (2007). Intrusive memories and rumination in patients with post-traumatic stress disorder: A phenomenological comparison. Memory, 15(3), 249–257. CrossRefPubMedGoogle Scholar
  97. Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009). Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: A systematic review and meta-analysis. Journal of the American Medical Association, 302(5), 537–549. CrossRefGoogle Scholar
  98. Tay, A. K., Rees, S., Chen, J., Kareth, M., & Silove, D. (2015). The coherence and correlates of intermittent explosive disorder amongst West Papuan refugees displaced to Papua New Guinea. Journal of Affective Disorders, 177, 86–94. CrossRefPubMedGoogle Scholar
  99. Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38(3), 303–313. CrossRefPubMedGoogle Scholar
  100. UNHCR. (2017). Global trends in forced displacement in 2016. Geneva, Switzerland: UNHCR.Google Scholar
  101. Walsh, K., DiLillo, D., & Scalora, M. J. (2011). The cumulative impact of sexual revictimization on emotion regulation difficulties: An examination of female inmates. Violence Against Women, 17(8), 1103–1118. CrossRefPubMedPubMedCentralGoogle Scholar
  102. Woud, M. L., Holmes, E. A., Postma, P., Dalgleish, T., & Mackintosh, B. (2012). Ameliorating intrusive memories of distressing experiences using computerized reappraisal training. Emotion, 12(4), 778–784. CrossRefPubMedGoogle Scholar
  103. Woud, M. L., Postma, P., Holmes, E. A., & Mackintosh, B. (2013). Reducing analogue trauma symptoms by computerized reappraisal training – Considering a cognitive prophylaxis? Journal of Behavior Therapy & Experimental Psychiatry, 44(3), 312–315. CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.School of PsychologyUniversity of New South WalesSydneyAustralia

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