Beeinflusst der türkische Migrationshintergrund das Behandlungsergebnis?

Mösko, Mike; Schneider, Jens; Koch, Uwe; Schulz, Holger

doi:10.1055/s-2008-1067352

Cited by 24 publications

(8 citation statements)

References 10 publications

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“…A previous study that did not assess language capacities has shown that Turkish migration background is an independent predictor for an unsuccessful rehabilitation treatment of patients with psychological or psychosomatic disorders in Germany [19]. The worrying finding of our study that 46.3% of T have the impression that their understanding of information given by the physician was “mediocre” or worse (G: 13.5%, see Table 3) could be an explanation to an unsuccessful treatment.…”

Section: Discussionmentioning

confidence: 54%

How do hospitalised patients with Turkish migration background estimate their language skills and their comprehension of medical information – a prospective cross-sectional study and comparison to native patients in Germany to assess the language barrier and the need for translation

Giese

Uyar

Uslucan

et al. 2013

BMC Health Serv Res

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BackgroundToday more than two million people with Turkish migration background live in Germany making them the largest ethnic minority in the country. Data concerning language skills and the perception of medical information in hospitalised patients with Turkish migration background (T) are scarce. Our study is the first to gather quantitative information on this important subject.MethodsT and hospitalised German patients without migration background (G) of our university hospital were prospectively included into a cross-sectional study and completed a questionnaire - each group in the appropriate language (T: Turkish, G: German).Results121 T and 121 G were included. Groups significantly differed in age (T: 44.9 ± 17.8, G: 56.9 ± 16.7y) and proportion of males (T: 37.2, G: 54.5%) but not regarding the proportion of college graduates (T: 19.3, G: 15.7%). The majority of T was born in Turkey (71%) and is of Turkish nationality (66%). 74% of T speak mainly Turkish at home; however, 73% speak German at work. 74.4% of T self-rated their German linguistic proficiency as “average” or better while 25.6% reported it as “very bad” or “bad”. 10.7% of T need translation in order to pursue everyday activities. T were significantly less satisfied with the physician’s information on disease and estimated to understand significantly less of what the physician told them: 46.3% of T estimated their reception of the physician’s information to be “average” or worse. 43.3% of T had the impression that it would have helped them “much” or “very much” to be aided by an interpreter at the hospital. The information transmitted while giving informed consent to invasive medical procedure was judged to be “mostly” or “completely” sufficient by the majority of T (76%) and G (89.8%). In this setting 37 of 96 T (38.5%) reported being helped by an interpreter – in most cases (64.9%) a family member.ConclusionAlthough the majority of patients with Turkish migration background have spent most of their lives in Germany (28.94 ± 10.41y) a large part of this population has limited German language skills and difficulties obtaining medical information when hospitalised.

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Section: Discussionmentioning

confidence: 54%

How do hospitalised patients with Turkish migration background estimate their language skills and their comprehension of medical information – a prospective cross-sectional study and comparison to native patients in Germany to assess the language barrier and the need for translation

Giese

Uyar

Uslucan

et al. 2013

BMC Health Serv Res

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“…Doch gerade für die Versichertengruppen, die aufgrund ihrer Sozialisation, ihrer Herkunft, ihres Ausbildungsstandes, ihres beruflichen Status, aber auch wegen ihrer Erkrankung oder Persönlichkeitsstruktur entweder in einer schwierigen sozialen oder beruflichen Situation stehen oder schon eine problematische beziehungsweise brüchige Erwerbsbiografie mitbringen, ist das psychosomatische Rehabilitationsangebot manchmal weniger nützlich oder Erfolg versprechend. Zur Gruppe der "schwierigen Patienten" in der psychosomatischen Rehabilitation gehören neben den Migranten zum Beispiel auch Arbeitslose, Erwerbsgeminderte, Versicherte mit somatoformen oder Persönlichkeitsstörungen und auch Langzeiterkrankte und Rentenantragsteller [19,27,31,32,33,34].…”

Section: Erreichbarkeit Von Und Effektivität Medizinisch-psychosomatiunclassified

“…Und auch Kobelt et al [17] beschreiben, dass die Schichtzugehörig-keit für die subjektive Prognose der Erwerbsfähigkeit eine größere Bedeutung hat als der Migrationshintergrund. [19,20,21,22]. In einer Untersuchung bei türkischstämmigen Rehabilitanden zeigte sich bei diesen -im Vergleich zu deutschstämmigen Versicherten -signifikant häufiger ein Rentenwunsch, oder es lag ein bereits gestellter Rentenantrag vor [22].…”

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Die Bedarfsfrage in der Rehabilitation und die Versorgung neuer Zielgruppen

Kobelt

Göbber

Petermann

2011

Bundesgesundheitsbl.

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Treatment of patients with migration background in psychosomatic rehabilitation is gaining in importance. Cultural differences and increased barriers are considered the most important causes for the inferior effective treatment results in psychosomatic rehabilitation and a higher percentage of pensions due to impairment. We discuss perspectives in psychosomatic rehabilitation which not only focus on the migration background as the main cause for inferior effective treatment results, but place greater focus on typical barriers of this patient group. For this reason, the need for more integrative and adapted forms of psychosomatic rehabilitation becomes more evident. Psychosomatic rehabilitation can be adapted by introducing case management, psychosomatic aftercare, and outpatient information groups.

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“…Keywords: Culture, immigration, mental health, depression, psychotherapy ABSTRACT (13,14,15). For instance, studies conducted in Germany report lower rates of immigrant admissions to mental health care services than the admission rates of native population (13).…”

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confidence: 99%

One Size Does Not Fit All in Psychotherapy: Understanding Depression Among Patients of Turkish Origin in Europe

Neftci¹,

Barnow²

2016

Arch Neuropsychiatr

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Over the last decades, Europe has become an immigration country hosting an estimated 56 million international immigrants. Yet, a large amount of literature suggests that migration is associated with a higher risk of common mental disorders, such as depression and anxiety. As representatives of one of the largest immigrant groups in Europe, various studies have shown that Turkish immigrants exhibit a higher prevalence of depression and anxiety disorders than do the background population. Nevertheless, it is also well demonstrated that this particular patient group is more likely to terminate treatment prematurely and displays lower rates of treatment compliance than their native counterparts. This reluctance for service utilization might be partially because of the fact that people from non-Western ethno-cultural backgrounds (e.g., Turkey) often have a different notion and comprehension of mental health and illness as compared with those of the people from Western societies. Such mismatch often results in discrepancies between the needs and expectations of immigrant patients and clinicians, which attenuate the communication and effectiveness of treatment and lead to unexplained high dropout rates. To provide continued provision of culture-sensitive, high quality, evidence-based mental health care, the advancement of researches exploring such sociocultural differences between the patients' and the clinicians' notions of mental health must occur. In response to these problems, the current review aims to explore the interplay between culture and mental processes that associate with the etiology, maintenance, and management of depression among Turkish immigrant patients. This is to inform clinicians regarding culture-specific correlates of depression among Turkish patients to enable them to present interventions that fit the needs and expectations of this particular patient group.

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Beeinflusst der türkische Migrationshintergrund das Behandlungsergebnis?

Cited by 24 publications

References 10 publications

How do hospitalised patients with Turkish migration background estimate their language skills and their comprehension of medical information – a prospective cross-sectional study and comparison to native patients in Germany to assess the language barrier and the need for translation

How do hospitalised patients with Turkish migration background estimate their language skills and their comprehension of medical information – a prospective cross-sectional study and comparison to native patients in Germany to assess the language barrier and the need for translation

Die Bedarfsfrage in der Rehabilitation und die Versorgung neuer Zielgruppen

One Size Does Not Fit All in Psychotherapy: Understanding Depression Among Patients of Turkish Origin in Europe

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