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Mental health of asylum seekers: a cross-sectional study of psychiatric disorders
BACKGROUND: Asylum procedures are known to be protracted, stretching to over ten years in many host countries. International research shows high levels of distress for asylum seekers. Little is known about actual psychiatric morbidity in this population, especially during the first few years postmig...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490796/ https://www.ncbi.nlm.nih.gov/pubmed/22900706 http://dx.doi.org/10.1186/1471-244X-12-114 |
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author | Heeren, Martina Mueller, Julia Ehlert, Ulrike Schnyder, Ulrich Copiery, Nadia Maier, Thomas |
author_facet | Heeren, Martina Mueller, Julia Ehlert, Ulrike Schnyder, Ulrich Copiery, Nadia Maier, Thomas |
author_sort | Heeren, Martina |
collection | PubMed |
description | BACKGROUND: Asylum procedures are known to be protracted, stretching to over ten years in many host countries. International research shows high levels of distress for asylum seekers. Little is known about actual psychiatric morbidity in this population, especially during the first few years postmigration. METHODS: The mental health status of two groups of asylum seekers was assessed: Group 1 (n = 43) had arrived in Switzerland 2.9 (SD 1.1) months prior to assessment, while Group 2 (n = 43) had arrived 15.5 (SD 3.2) months prior to assessment. Psychiatric disorders were diagnosed using the Mini International Neuropsychiatric Interview (MINI). Symptom severity of posttraumatic stress disorder (Posttraumatic Diagnostic Scale), anxiety (Hopkins Symptom Checklist), depression (Hopkins Symptom Checklist), and pain (Verbal Rating Scale) were assessed using self-report questionnaires. Postmigratory factors such as German language proficiency and social contacts were also assessed. Interviews were conducted with the assistance of trained interpreters. RESULTS: Four out of ten participants met diagnostic criteria for at least one DSM-IV disorder. Groups did not differ with respect to psychiatric morbidity or symptom levels. Major depression (31.4%) and PTSD (23.3%) were diagnosed most frequently. The number of experienced traumatic event types was highly correlated with psychiatric morbidity. CONCLUSIONS: Psychiatric morbidity in asylum seekers in the first two years after arrival is high, with no indication of a decrease in mental distress over time. Traumatic experiences seem to play a major role in morbidity during this time. Considering the magnitude of clinically relevant distress, a short psychological screening upon arrival with a focus on traumatic experiences may be warranted. |
format | Online Article Text |
id | pubmed-3490796 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-34907962012-11-07 Mental health of asylum seekers: a cross-sectional study of psychiatric disorders Heeren, Martina Mueller, Julia Ehlert, Ulrike Schnyder, Ulrich Copiery, Nadia Maier, Thomas BMC Psychiatry Research Article BACKGROUND: Asylum procedures are known to be protracted, stretching to over ten years in many host countries. International research shows high levels of distress for asylum seekers. Little is known about actual psychiatric morbidity in this population, especially during the first few years postmigration. METHODS: The mental health status of two groups of asylum seekers was assessed: Group 1 (n = 43) had arrived in Switzerland 2.9 (SD 1.1) months prior to assessment, while Group 2 (n = 43) had arrived 15.5 (SD 3.2) months prior to assessment. Psychiatric disorders were diagnosed using the Mini International Neuropsychiatric Interview (MINI). Symptom severity of posttraumatic stress disorder (Posttraumatic Diagnostic Scale), anxiety (Hopkins Symptom Checklist), depression (Hopkins Symptom Checklist), and pain (Verbal Rating Scale) were assessed using self-report questionnaires. Postmigratory factors such as German language proficiency and social contacts were also assessed. Interviews were conducted with the assistance of trained interpreters. RESULTS: Four out of ten participants met diagnostic criteria for at least one DSM-IV disorder. Groups did not differ with respect to psychiatric morbidity or symptom levels. Major depression (31.4%) and PTSD (23.3%) were diagnosed most frequently. The number of experienced traumatic event types was highly correlated with psychiatric morbidity. CONCLUSIONS: Psychiatric morbidity in asylum seekers in the first two years after arrival is high, with no indication of a decrease in mental distress over time. Traumatic experiences seem to play a major role in morbidity during this time. Considering the magnitude of clinically relevant distress, a short psychological screening upon arrival with a focus on traumatic experiences may be warranted. BioMed Central 2012-08-17 /pmc/articles/PMC3490796/ /pubmed/22900706 http://dx.doi.org/10.1186/1471-244X-12-114 Text en Copyright ©2012 Heeren et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Heeren, Martina Mueller, Julia Ehlert, Ulrike Schnyder, Ulrich Copiery, Nadia Maier, Thomas Mental health of asylum seekers: a cross-sectional study of psychiatric disorders |
title | Mental health of asylum seekers: a cross-sectional study of psychiatric disorders |
title_full | Mental health of asylum seekers: a cross-sectional study of psychiatric disorders |
title_fullStr | Mental health of asylum seekers: a cross-sectional study of psychiatric disorders |
title_full_unstemmed | Mental health of asylum seekers: a cross-sectional study of psychiatric disorders |
title_short | Mental health of asylum seekers: a cross-sectional study of psychiatric disorders |
title_sort | mental health of asylum seekers: a cross-sectional study of psychiatric disorders |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3490796/ https://www.ncbi.nlm.nih.gov/pubmed/22900706 http://dx.doi.org/10.1186/1471-244X-12-114 |
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