This household survey of Cambodian refugees residing in the United States will constitute the first-ever community based, epidemiologic study concerning the prevalence and mental health correlates of exposure to pre-migration trauma and post-migration community violence. The major purposes of this study are to document the nature and severity of torture, trauma and violence exposure, to more fully understand the link between exposure and its sequelae, and to provide insight into the coping resources that might explain successful adjustment to life in resettlement. Using a two-stage random sampling strategy, 500 adult male and female refugees, ages 35-70, will be recruited for participation from Cambodian residents in Long Beach, California. Study participants will complete a face-to-face interview, conducted by lay interviewers, of approximately 120 minutes duration. A subset of 50 participants will complete a clinician-administered diagnostic instrument for posttraumatic stress disorder (PTSD). The diagnostic re-interview will provide information to assist in interpreting PTSD prevalence rates that emerge from the use of a lay administered PTSD diagnostic interview in the household survey. The broad aims of the proposed research are: 1) To estimate the prevalence of pre-migration torture and related trauma, and post-migration community violence experienced by a community-based sample of Cambodian refugees residing in the United States; 2) To describe the association of pre-existing sociodemographic and family characteristics, pre-migration torture and related trauma exposure, and post-migration life circumstances with current mental health and health-related quality of life outcomes; and 3) To evaluate the association of personal and social coping resources (i.e., dispositional optimism, social support, and temporal orientation) with mental health and health-related quality of life outcomes, after accounting for pre-existing socio-demographic and family characteristics, pre-migration torture and related trauma exposure, and post-migration life circumstances (including contemporaneous life events and both lifetime and recent exposure to community violence in the United States).

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH059555-02
Application #
6392434
Study Section
Special Emphasis Panel (ZRG1-SNEM-4 (04))
Program Officer
Tuma, Farris K
Project Start
2000-08-10
Project End
2004-07-31
Budget Start
2001-08-01
Budget End
2002-07-31
Support Year
2
Fiscal Year
2001
Total Cost
$637,727
Indirect Cost
Name
Rand Corporation
Department
Type
DUNS #
City
Santa Monica
State
CA
Country
United States
Zip Code
90401
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Wong, Eunice C; Marshall, Grant N; Schell, Terry L et al. (2015) Characterizing the Mental Health Care of U.S. Cambodian Refugees. Psychiatr Serv 66:980-4
Wong, Eunice C; Marshall, Grant N; Schell, Terry L et al. (2011) The unusually poor physical health status of Cambodian refugees two decades after resettlement. J Immigr Minor Health 13:876-82
Elliott, Marc N; McCaffrey, Daniel; Perlman, Judith et al. (2009) USE OF EXPERT RATINGS AS SAMPLING STRATA FOR A MORE COST-EFFECTIVE PROBABILITY SAMPLE OF A RARE POPULATION. Public Opin Q 73:56-73
D'Amico, Elizabeth J; Schell, Terry L; Marshall, Grant N et al. (2007) Problem drinking among Cambodian refugees in the United States: how big of a problem is it? J Stud Alcohol Drugs 68:11-7
Palmieri, Patrick A; Marshall, Grant N; Schell, Terry L (2007) Confirmatory factor analysis of posttraumatic stress symptoms in Cambodian refugees. J Trauma Stress 20:207-16
Marshall, Grant N; Berthold, S Megan; Schell, Terry L et al. (2006) Rates and correlates of seeking mental health services among Cambodian refugees. Am J Public Health 96:1829-35
Marshall, Grant N; Schell, Terry L; Elliott, Marc N et al. (2005) Mental health of Cambodian refugees 2 decades after resettlement in the United States. JAMA 294:571-9