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Mental health of asylum seekers: a cross-sectional study of psychiatric disorders

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Zeitschriftentitel: BMC Psychiatry
Personen und Körperschaften: Heeren, Martina, Mueller, Julia, Ehlert, Ulrike, Schnyder, Ulrich, Copiery, Nadia, Maier, Thomas
In: BMC Psychiatry, 12, 2012, 1
Medientyp: E-Article
Sprache: Englisch
veröffentlicht:
Springer Science and Business Media LLC
Schlagwörter:
author_facet Heeren, Martina
Mueller, Julia
Ehlert, Ulrike
Schnyder, Ulrich
Copiery, Nadia
Maier, Thomas
Heeren, Martina
Mueller, Julia
Ehlert, Ulrike
Schnyder, Ulrich
Copiery, Nadia
Maier, Thomas
author Heeren, Martina
Mueller, Julia
Ehlert, Ulrike
Schnyder, Ulrich
Copiery, Nadia
Maier, Thomas
spellingShingle Heeren, Martina
Mueller, Julia
Ehlert, Ulrike
Schnyder, Ulrich
Copiery, Nadia
Maier, Thomas
BMC Psychiatry
Mental health of asylum seekers: a cross-sectional study of psychiatric disorders
Psychiatry and Mental health
author_sort heeren, martina
spelling Heeren, Martina Mueller, Julia Ehlert, Ulrike Schnyder, Ulrich Copiery, Nadia Maier, Thomas 1471-244X Springer Science and Business Media LLC Psychiatry and Mental health http://dx.doi.org/10.1186/1471-244x-12-114 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>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.</jats:p> </jats:sec> Mental health of asylum seekers: a cross-sectional study of psychiatric disorders BMC Psychiatry
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title Mental health of asylum seekers: a cross-sectional study of psychiatric disorders
title_unstemmed 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 Psychiatry and Mental health
url http://dx.doi.org/10.1186/1471-244x-12-114
publishDate 2012
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description <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>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.</jats:p> </jats:sec>
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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, Heeren, Martina, Mueller, Julia, Ehlert, Ulrike, Schnyder, Ulrich, Copiery, Nadia, Maier, Thomas
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description <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>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.</jats:p> </jats:sec>
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spelling Heeren, Martina Mueller, Julia Ehlert, Ulrike Schnyder, Ulrich Copiery, Nadia Maier, Thomas 1471-244X Springer Science and Business Media LLC Psychiatry and Mental health http://dx.doi.org/10.1186/1471-244x-12-114 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>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.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>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.</jats:p> </jats:sec> Mental health of asylum seekers: a cross-sectional study of psychiatric disorders BMC Psychiatry
spellingShingle Heeren, Martina, Mueller, Julia, Ehlert, Ulrike, Schnyder, Ulrich, Copiery, Nadia, Maier, Thomas, BMC Psychiatry, Mental health of asylum seekers: a cross-sectional study of psychiatric disorders, Psychiatry and Mental health
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
title_unstemmed Mental health of asylum seekers: a cross-sectional study of psychiatric disorders
topic Psychiatry and Mental health
url http://dx.doi.org/10.1186/1471-244x-12-114