Klinische und soziodemografische Unterschiede zwischen Patienten mit und ohne Migrationshintergrund in einer Psychiatrischen Institutsambulanz

Brandl, Eva J.; Dietrich, Nora; Mell, Nicoleta; Winkler, Johanna; Gutwinski, Stefan; Bretz, Joachim; Schouler‐Ocak, Meryam

doi:10.1055/s-0043-123735

Cited by 7 publications

(7 citation statements)

References 39 publications

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“…This was valid across both participants with and without a migration background, although the effect on those with a migration background was stronger. This is perhaps because they more often have children than female outpatients without a migrant background (37). This supports hypotheses that females were more affected by the socioeconomic aspects of the pandemic (28).…”

Section: Discussionsupporting

confidence: 70%

The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany

et al. 2021

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The COVID-19 pandemic could have major effects on already vulnerable individuals with psychiatric disorders. It is important to assess how different patient groups respond to stress related to the pandemic, and what additional factors influence it, including family-related stress, migration background, and sex. We conducted a survey in a sample of 294 psychiatric patients in a large outpatient clinic in Berlin, measuring level of distress in relation to COVID-19 lockdown as well as family-related distress. We also measured potential influencing factors such as media consumption and medical support. In the migration background group, we found that women had more lockdown related psychological distress than men. This was not apparent in those patients with a German background. We found that females were more strongly affected by family-related distress, particularly those with a migration background. People with PTSD were most strongly affected by family-related distress, whereas people with psychotic disorders and addiction reported the least distress. There were no effects of media consumption. There were no differences in ability to abide by the lockdown related restrictions across diagnoses. Our results support earlier findings on differential vulnerability of diagnostic groups to these stressors. Thus, clinicians can optimize treatment by taking family-related stressors into account particularly for females and people with a migrant background.

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Section: Discussionsupporting

confidence: 70%

The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany

et al. 2021

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“…So bestanden signifikante Unterschiede in der Berufstätigkeit bei Erstvorstellung (p = 0,002): Patientinnen ohne Migrati- Die Daten zeigen eine geringere Rate an Personen mit schweren psychischen Erkrankungen (insbesondere Suchterkrankungen sowie Schizophrenien und andere psychotische Störungen) im Patient*innenkollektiv der Elternsprechstunde. Insbesondere besteht ein großer Unterschied zur Häufigkeit dieser Erkrankungen im Vergleich der Patient*innen, welche die Psychiatrische Institutsambulanz im Rahmen der allgemeinen Sprechstunden aufsuchen [14]. Hierfür kommen mehrere Gründe in Frage.…”

Section: Unterschiede Zwischen Personen Mit Und Ohne Migrationshinter...unclassified

Inanspruchnahme einer Spezialsprechstunde für psychisch kranke Eltern

Brandl

Reiche

Hullmeine

et al. 2023

Psychother Psychosom Med Psychol

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Zusammenfassung Hintergrund Eltern mit psychischen Erkrankungen haben in der Peripartalzeit einen großen Unterstützungsbedarf. Bislang gibt es nur wenige spezialisierte Angebote. In dieser Untersuchung wird eine Spezialsprechstunde für psychisch kranke Eltern ausgewertet. Methoden Es wurden demographische und krankheitsbezogene Daten der Patient*innen der Elternsprechstunde in der Psychiatrischen Universitätsklinik der Charité im St. Hedwig Krankenhaus (N=279) aus dem Zeitraum 06/2017 bis 12/2021 ausgewertet. Ergebnisse Die Sprechstunde wurde vor allem von Personen mit affektiven Störungen, hohem Bildungsgrad und guter Therapieadhärenz in Anspruch genommen. Personen mit Migrationshintergrund erhielten seltener eine ambulante Psychotherapie. Diskussion Die Daten zeigen eine hohe Inanspruchnahme des ambulanten Angebots, jedoch eher durch eine Population mit höherem sozioökonomischem Status. Aufgrund der klinischen Relevanz wäre ein Ausbau von Angeboten für Eltern wünschenswert.

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“…Moreover, psychiatric patients with a migration background had a significantly higher current symptom load, especially by somatic symptoms, compared with those without migration background. 14 …”

Section: Introductionmentioning

confidence: 99%

Social inequalities in aggravating factors of somatic symptom persistence (SOMA.SOC): study protocol for a mixed-method observational study focusing on irritable bowel syndrome and fatigue

2023

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IntroductionSome studies indicate that persistent somatic symptoms (PSS) are more prevalent among individuals with a low socioeconomic status (SES) and a migration background. However, factors explaining social inequalities in PSS are largely unknown. It is expected that aggravating factors of PSS like illness perception, illness beliefs (health literacy, stigma), illness behaviour and health anxiety may play an important role for this explanation. The SOMA.SOC study will examine social inequalities (according to SES and migration) in factors contributing to symptom persistence in irritable bowel syndrome (IBS) and fatigue.Methods and analysisThe project will collect both quantitative and qualitative data. Quantitative data will be gathered via a representative telephone survey in Germany (N=2400). A vignette design will be used depicting patients varying in sex, condition (IBS/fatigue), occupational status (low/high) and migration (yes/no). In the survey, we will assess public knowledge and beliefs (eg, health literacy), attitudes (stigma) and personal experiences with the condition (eg, somatic symptom burden). Complementary, longitudinal qualitative interviews will be conducted with patients (n=32 at three time points, resulting in N=96 interviews) who will also vary according to sex, condition, occupational status and migration. Patients will be recruited from primary care practices in Hamburg. The interviews will cover origin and development of the condition, coping and help-seeking as well as social interactions and perception of the disease by others (eg, perceived stigma). SOMA.SOC is part of the interdisciplinary SOMACROSS (Persistent SOMAtic Symptoms ACROSS Diseases) research unit.Ethics and disseminationThe study protocol was approved by the Ethics Committee of the Hamburg Medical Association on 25 January 2021 (reference number: 2020–10194- BO-ff). Informed consent will be obtained from all participants. The main findings will be submitted for publication in peer-reviewed journals within 12 months of study completion.

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Klinische und soziodemografische Unterschiede zwischen Patienten mit und ohne Migrationshintergrund in einer Psychiatrischen Institutsambulanz

Abstract: The data underline the large differences between patients with and without migration background regarding sociodemographic and clinical factors. These differences should be considered in psychiatric treatment of these patients.

Cited by 7 publications

References 39 publications

The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany

The Differential Impact of Lockdown Measures Upon Migrant and Female Psychiatric Patients – A Cross-Sectional Survey in a Psychiatric Hospital in Berlin, Germany

Inanspruchnahme einer Spezialsprechstunde für psychisch kranke Eltern

Social inequalities in aggravating factors of somatic symptom persistence (SOMA.SOC): study protocol for a mixed-method observational study focusing on irritable bowel syndrome and fatigue

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