Mental health outcomes and shared experiences of refugee and migrant women following exposure to xenophobic violence: a mixed methods study

Abstract

Disasters are global phenomena, often occurring without warning and with physical and psychological consequences among those affected. In May 2008, refugee and migrants living in South Africa were exposed to xenophobic violence, which may be described as a human caused disaster using the Shultz, Espinel et al. (2008) definition of disaster. Refugee and migrant women were particularly vulnerable during this time due to heightened risk for exposure to violence and pathology. During 2014, a mixed methods convergent study was conducted in Johannesburg to determine the presence of acute stress disorder symptoms (ASD), posttraumatic growth (PTG) and experiences of xenophobic violence among refugee and migrant women. One hundred and three refugee and migrant women completed a selfadministered questionnaire, while semi-structured individual interviews were conducted with a sub-set of 22 women.The quantitative results showed a positive, linear association between moderate ASD-total symptoms, as assessed by the Stanford Acute Stress Reaction Questionnaire (SASRQ) (Cardeña, Classen, Koopman, & Spiegel, 2014) and moderate posttraumatic growth-total, assessed by the posttraumatic growth inventory (PTGI) (Tedeschi & Calhoun, 1996). All ASD symptom subscales were predictors of posttraumatic growth. The qualitative results from both the SASRQ open-ended responses and semi-structured responses showed that refugee and migrant women were adversely affected by the xenophobic violence, with a prevailing fear that the xenophobic violence would re-occur. There was convergence in the quantitative findings and the qualitative findings for the pathological and adaptive outcomes. Policymakers must address xenophobic violence by working towards prevention of this type of violence. In instances where policies fail to address or prevent xenophobic violence, disaster programmes should consider xenophobic violence in disaster planning. Further to this, mental health intervention programmes should not only focus on alleviating ASD symptoms but also emphasise enhancing PTG.