Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Mental Wellbeing and Social Resilience of Eritrean Refugees living in Germany

Version 1 : Received: 28 July 2022 / Approved: 1 August 2022 / Online: 1 August 2022 (05:27:03 CEST)

A peer-reviewed article of this Preprint also exists.

Gebresilassie, T.; Beiersmann, C.; Ziegler, S.; Keck, V.; Kidane, Y.S.; Jahn, A.; Benson-Martin, J. Mental Wellbeing and Social Resilience of Eritrean Refugees Living in Germany. Int. J. Environ. Res. Public Health 2022, 19, 11099. Gebresilassie, T.; Beiersmann, C.; Ziegler, S.; Keck, V.; Kidane, Y.S.; Jahn, A.; Benson-Martin, J. Mental Wellbeing and Social Resilience of Eritrean Refugees Living in Germany. Int. J. Environ. Res. Public Health 2022, 19, 11099.

Abstract

Mental health and social resilience play a significant role in refugees’ adaptation during the resettlement process in the host country. Maintaining good mental wellbeing helps the refugees to respond to stressful experiences with healthy life choices. This study aimed to explore the mental wellbeing and social resilience of Eritrean refugees living in Germany and to identify social conditions and enablers to foster adaptation. This study employs a qualitative approach with a semi-structured, in-depth interview data collection method. Informants were identified among mostly young adult refugees living in Heidelberg, Germany, with a migration history of 3-6 years. In total, 15 informants were recruited through snowball sampling. Data were sorted and analyzed using the five pillars of the Adaptation and Development after Persecution and Trauma (ADAPT) model. The findings suggest that Eritrean refugees experience psychological distress after resettlement in Germany, however with time, their mental health has improved. The study revealed conditions that were experienced as hindrances, as well as ones that were considered to be resources of positive mental wellbeing and social resilience for resettled refugees. Challenges described were the language barrier, discrimination, unemployment, insecure residence status, loss of family and friends, conflict within the diaspora community, and isolation. The main sources of mental wellbeing and social resilience include the feeling of being welcomed by local communities, access to social services, adopting new relationships, and educational opportunities. These experiences encouraged refugees to have a favorable view of their lives and futures as well as also found to facilitate better integration and adaptation. Understanding refugee mental wellbeing and social resilience require a multidimensional perspective. Eritrean refugees living in Germany have experienced and still are experiencing resettlement challenges, as for example loss of family and friends, negative perception of the German system, loss of past achievements, or unemployment. But they have developed adaptive and resilience mechanisms, too, such as seeing an opportunity for a better life, adopting new roles, and accepting Germany as a “second home”. In addressing those by the refugees as hindrances reported issues, these could be turned into sources of mental well-being and resilience.

Keywords

Eritrean refugees; mental wellbeing; social resilience; Germany; ADAPT model

Subject

Medicine and Pharmacology, Psychiatry and Mental Health

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