The possible protective effect of family and activity (including work and employment training) on posttraumatic reactions in traumatized refugees living in a host society was explored. A total of 966 refugees participated in the study, the majority of whom had been exposed to war and/or torture trauma prior to arrival in Norway. The study sample consisted of two groups: one had been referred to a psychiatric outpatient clinic for evaluation or treatment, the other consisted of refugees interviewed in connection with a health examination upon arrival in the municipalities to which they were allocated. The study showed that presence of family and employment/training had positive effects on posttraumatic symptoms regardless of level of traumatic exposure. But the results also showed that the higher the level of exposure to traumatic events, the stronger the effect of family (spouse and/or children) seemed to be. The study illustrates the importance of implementing psychosocial measures with special emphasis on activity and strengthening of family systems, in the integration of traumatized refugees in a host community. © 2004 Taylor & Francis Ltd.

Exile psychosocial factors Refugees Posttraumatic symptoms work Community Family

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