Research on mental disorders and their care in immigrant populations: a review of publications from Germany, Italy and the UK

Claassen, Dirk; Ascoli, Micol; Berhe, Tzeggai; Priebe, Stefan

doi:10.1016/j.eurpsy.2005.02.010

Cited by 60 publications

(56 citation statements)

References 156 publications

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“…Comorbid PTSD and chronic pain have been reported in 76 percent of traumatized refugees seeking treatment [60]. Factors complicating treatment for this population include culturespecific symptom presentations, language barriers, and differences between patients' and therapists' expectations about treatment [61]. These factors can also be translated to the provision of care for servicemembers and Veterans.…”

Section: Steps To Integrated Care Approachmentioning

confidence: 99%

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Gibson¹

2012

JRRD

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Abstract-With the large number of Veterans experiencing posttraumatic stress disorder (PTSD) and chronic pain, the purpose of this article is to review the prevalence of PTSD and chronic pain, the theoretical models that explain the maintenance of both conditions, and the challenges faced by providers and families who care for these patients. The Department of Veterans Affairs (VA)/Department of Defense (DOD) VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress with special attention to chronic pain is presented. Limited scientific evidence supports specific care and treatment of PTSD and chronic pain, and this challenges providers to investigate and research potential treatment options. Integrated care models designed for working with these patients are reviewed, including a focus on the techniques and strategies to address not only PTSD and chronic pain, but other conditions, including substance dependence and depression. A specific focus on headaches, back pain, and neuropathic pain follows, including treatment recommendations such as pharmacological, psychotherapeutic, and complementary approaches, given the high rates of these pain complaints for Veterans in PTSD clinical programs. Integrated care is presented as a viable solution and approach that challenges clinicians and researchers to develop innovative, scientifically based therapeutics and treatments to enhance the recovery and quality of life for Veterans with PTSD and chronic pain.

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Section: Steps To Integrated Care Approachmentioning

confidence: 99%

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Gibson¹

2012

JRRD

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“…Immigrants are often excluded from epidemiological studies, due to methodological difficulties such as language problems and a lack of cross-culturally validated instruments [1;17]. Most European studies are carried out in the United Kingdom [18] and focused mainly on psychotic disorders [13;19](for an overview, see Cantor-Graee & Selten [20]). Somewhat surprisingly, very few have concentrated on depression [8], despite its more widespread manifestation [21].…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms among immigrants and ethnic minorities: a population based study in 23 European countries

Missinne

Bracke

2010

Soc Psychiatry Psychiatr Epidemiol

189

145

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Purpose European studies about ethnic inequalities in depressive symptoms are scarce, show inconclusive results and are complicated by the discussion of what constitute (im)migrant and ethnic minority groups. Moreover, comparisons across countries are hampered by a lack of comparable measures of depressive symptoms. This study aims to assess the prevalence and determinants of depressive symptoms among immigrants, ethnic minorities and natives in 23 European countries. Methods Multilevel analyses are performed using data from the third wave of the European Social Survey (ESS-3). This dataset comprises information about 36 970 respondents, aged 21 years or older, of whom 13,3 % immigrants and 6,2 % ethnic minorities. Depressive symptoms were assessed with an eightitem version of the Center for Epidemiologic Studies-Depression scale. Main determinants are immigrant status, socio-economic conditions and the experience of ethnic discrimination in the host country. ResultsThe results show that immigrants and ethnic minorities do experience more depressive symtoms than natives in an essential part of the countries. Moreover, socio-economic conditions and the experience of ethnic discrimination are important risk factors. Immigrant status seems irrelevant, once the other risk factors are accounted for. Finally, immigrant and ethnic minority groups do not consist of the same individuals and therefore have different prevalence rates of depressive symptoms. ConclusionsThe prevalence rates of depressive symptoms are higher for immigrant and ethnic minority groups in a substantial part of the European countries. A clear definition is indispensable for developing policies that address the right targeted population.

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“…Also, rates of suicide and self-harm within ethnic minority groups may fluctuate according to area, with a decline in relative risk of suicide and self-harm where there is a larger density of minority populations. 8,9 Previous research on BME groups in the UK has generally been conducted in single geographical areas, 10 and self-harm studies have been limited by small sample size, with few studies of people of African-Caribbean origin. 11 A report on suicide prevention for BME groups in England calls for better information on rates and risk factors for suicide or behaviours that increase the likelihood of suicide.…”

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confidence: 99%

Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study

et al. 2010

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Variation in rates of suicide in Black and minority ethnic (BME) groups have been reported in different countries.1,2 Rates of suicide 3,4 and self-harm 5-7 may be lower in BME groups than White groups overall, but this finding may obscure differences in age-and gender-specific groups. Also, rates of suicide and self-harm within ethnic minority groups may fluctuate according to area, with a decline in relative risk of suicide and self-harm where there is a larger density of minority populations. 8,9 Previous research on BME groups in the UK has generally been conducted in single geographical areas, 10 and self-harm studies have been limited by small sample size, with few studies of people of African-Caribbean origin.11 A report on suicide prevention for BME groups in England calls for better information on rates and risk factors for suicide or behaviours that increase the likelihood of suicide. 12 We have conducted a study of self-harm in different minority ethnic groups using a multicentre database of self-harm in three geographical areas in England. Our objectives were to compare ethnic groups (that is, White, South Asian and Black African-Caribbean) with regard to: age-and gender-specific rates of self-harm in different cities; sociodemographic and clinical characteristics; clinical management following self-harm; and risk of repetition of self-harm. Method Study design and data collectionWe conducted a prospective, multicentre cohort study, identifying all episodes of self-harm presenting to emergency departments in general hospitals in Manchester (three hospitals), Derby (two hospitals) and Oxford (one hospital). The study hospitals were chosen on a pragmatic basis -the centres included were those that had established monitoring systems. The cities of Manchester, Derby and Oxford have different profiles (Table 1), with ethnic groups forming a greater proportion of the general population in Manchester. According to the UK government's Index of Multiple Deprivation, where 353 local authority areas in England were scored on a number of indicators (covering a range of economic, social and health issues) into a single deprivation score, 13 Manchester was ranked fourth (worst), Derby sixty-ninth and Oxford one hundred and fifty-fifth.Data were collected using established monitoring systems in the three centres, described in full elsewhere.14,15 Self-harm attendances were identified via detailed examination of computerised emergency department records and defined consistently across all three centres as intentional self-poisoning or self-injury, irrespective of motivation and degree of suicidal intent.16 Most participants received a psychosocial assessment from emergency department staff and/or mental health specialists. For assessed participants, clinicians recorded a wide range of sociodemographic and clinical information using research assessment forms. For participants who were not assessed (for example, because they refused or took early discharge), basic information was collected by research clerks from medi...

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Research on mental disorders and their care in immigrant populations: a review of publications from Germany, Italy and the UK

Abstract: Overall the evidence base to guide the development of mental health services for immigrant populations appears limited. Future research requires appropriate funding, should be of sufficient methodological quality and may benefit from collaboration across Europe.

Cited by 60 publications

References 156 publications

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Review of posttraumatic stress disorder and chronic pain: The path to integrated care

Depressive symptoms among immigrants and ethnic minorities: a population based study in 23 European countries

Ethnic differences in self-harm, rates, characteristics and service provision: three-city cohort study

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