Risk factors for mental disorder development in asylum seekers and refugees resettled in Western Europe and Turkey: Participant-level analysis of two large prevention studies.

Humans Refugees / psychology Turkey / epidemiology Stress Disorders, Post-Traumatic / epidemiology Europe / epidemiology Risk Factors
Asylum seekers high-income countries low-income countries mental disorders mental health migrants refugees

Journal

The International journal of social psychiatry
ISSN: 1741-2854
Titre abrégé: Int J Soc Psychiatry
Pays: England
ID NLM: 0374726

Informations de publication

Date de publication:
05 2023
Historique:
medline: 1 5 2023
pubmed: 4 11 2022
entrez: 3 11 2022
Statut: ppublish

Résumé

In asylum seekers and refugees, the frequency of mental disorders, such as depression, anxiety and post-traumatic stress disorder, is higher than the general population, but there is a lack of data on risk factors for the development of mental disorders in this population. This study investigated the risk factors for mental disorder development in a large group of asylum seekers and refugees resettled in high- and middle-income settings. Participant-level data from two randomized prevention studies involving asylum seekers and refugees resettled in Western European countries and in Turkey were pooled. The two studies randomized participants with psychological distress, but without a diagnosis of mental disorder, to the Self-Help Plus psychological intervention or enhanced care as usual. At baseline, exposure to potentially traumatic events was measured using the Harvard Trauma Questionnaire-part I, while psychological distress and depressive symptoms were assessed with the General Health Questionnaire and the Patient Health Questionnaire. After 3 and 6 months of follow-up, the proportion of participants who developed a mental disorder was calculated using the Mini International Neuropsychiatric Interview. A total of 1,101 participants were included in the analysis. At 3- and 6-month follow-up the observed frequency of mental disorders was 13.51% (115/851) and 24.30% (207/852), respectively, while the frequency estimates after missing data imputation were 13.95% and 23.78%, respectively. After controlling for confounders, logistic regression analysis showed that participants with a lower education level ( This study identified several risk factors for the development of mental disorders in asylum seekers and refugees, some of which may be the target of risk reduction policies. The identification of asylum seekers and refugees at increased risk of mental disorders should guide the implementation of focused preventative psychological interventions.

Sections du résumé

BACKGROUND
In asylum seekers and refugees, the frequency of mental disorders, such as depression, anxiety and post-traumatic stress disorder, is higher than the general population, but there is a lack of data on risk factors for the development of mental disorders in this population.
AIM
This study investigated the risk factors for mental disorder development in a large group of asylum seekers and refugees resettled in high- and middle-income settings.
METHODS
Participant-level data from two randomized prevention studies involving asylum seekers and refugees resettled in Western European countries and in Turkey were pooled. The two studies randomized participants with psychological distress, but without a diagnosis of mental disorder, to the Self-Help Plus psychological intervention or enhanced care as usual. At baseline, exposure to potentially traumatic events was measured using the Harvard Trauma Questionnaire-part I, while psychological distress and depressive symptoms were assessed with the General Health Questionnaire and the Patient Health Questionnaire. After 3 and 6 months of follow-up, the proportion of participants who developed a mental disorder was calculated using the Mini International Neuropsychiatric Interview.
RESULTS
A total of 1,101 participants were included in the analysis. At 3- and 6-month follow-up the observed frequency of mental disorders was 13.51% (115/851) and 24.30% (207/852), respectively, while the frequency estimates after missing data imputation were 13.95% and 23.78%, respectively. After controlling for confounders, logistic regression analysis showed that participants with a lower education level (
CONCLUSIONS
This study identified several risk factors for the development of mental disorders in asylum seekers and refugees, some of which may be the target of risk reduction policies. The identification of asylum seekers and refugees at increased risk of mental disorders should guide the implementation of focused preventative psychological interventions.

Identifiants

DOI: 10.1177/00207640221132430 PMID: 36326024
pubmed: 36326024
doi: 10.1177/00207640221132430
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

664-674

Subventions

Organisme : World Health Organization
ID : 001
Pays : International

Auteurs

Corrado Barbui (C)

WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Italy.
ORCID: 0000-0003-1073-9282

Federico Tedeschi (F)

WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Italy.

Ceren Acarturk (C)

Department of Psychology, Koc University, Istanbul, Turkey.
ORCID: 0000-0001-7093-1554

Minna Anttila (M)

University of Turku, Department of Nursing Science, University of Turku, Finland.

Teresa Au (T)

Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland.

Josef Baumgartner (J)

Clinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.

Ken Carswell (K)

Department of Mental Health and Substance Use, World Health Organization, Geneva, Switzerland.

Rachel Churchill (R)

Centre for Reviews and Dissemination, University of York, UK.

Pim Cuijpers (P)

Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, The Netherlands.
WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, The Netherlands.
Babeș-Bolyai University, International Institute for Psychotherapy, Cluj-Napoca, Romania.

Eirini Karyotaki (E)

Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, The Netherlands.
WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, The Netherlands.

Thomas Klein (T)

Department of Psychiatry II, Ulm University, Germany.

Markus Koesters (M)

Department of Psychiatry II, Ulm University, Germany.

Tella Lantta (T)

University of Turku, Department of Nursing Science, University of Turku, Finland.

Michela Nosè (M)

WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Italy.

Giovanni Ostuzzi (G)

WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Italy.

Massimo Pasquini (M)

Department of Human Neurosciences, Sapienza University of Rome, Italy.

Eleonora Prina (E)

WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Italy.

Marit Sijbrandij (M)

Department of Clinical, Neuro and Developmental Psychology, Amsterdam Public Health research institute, Vrije Universiteit Amsterdam, The Netherlands.
WHO Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, The Netherlands.

Lorenzo Tarsitani (L)

Department of Human Neurosciences, Sapienza University of Rome, Italy.
ORCID: 0000-0002-1752-966X

Giulia Turrini (G)

WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Italy.

Ersin Uygun (E)

Trauma and Disaster Mental Health, Istanbul Bilgi University, Turkey.

Maritta Välimäki (M)

University of Turku, Department of Nursing Science, University of Turku, Finland.
Xiangya Nursing School, Central South University, Xiangya Center for Evidence-Based Practice and Healthcare Innovation, Changsha, China.

Lauren Walker (L)

Department of Health Sciences, University of York, UK.

Johannes Wancata (J)

Clinical Division of Social Psychiatry, Department of Psychiatry and Psychotherapy, Medical University of Vienna, Austria.

Ross G White (RG)

School of Psychology, Queen's University Belfast, UK.

Marianna Purgato (M)

WHO Collaborating Centre for Research and Training in Mental Health and Service Evaluation, Department of Neuroscience, Biomedicine and Movement Sciences, Section of Psychiatry, University of Verona, Italy.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Risk factors for mental disorder development...
questionsmedicales.fr › Personnes › Réfugiés › Risk factors for mental disorder development...
questionsmedicales.fr › Régions géographiques › Asie › Asie de l'Ouest › Moyen Orient › Turquie › Risk factors for mental disorder development...
questionsmedicales.fr › Troubles mentaux › Troubles liés aux traumatismes et au stress › Troubles de stress traumatique › Troubles de stress post-traumatique › Risk factors for mental disorder development...
questionsmedicales.fr › Régions géographiques › Europe › Risk factors for mental disorder development...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › Risk factors for mental disorder development...