Epidemiology of depression among displaced people: A systematic review and meta-analysis

Bedaso, Asres; Duko, Bereket

doi:10.1016/j.psychres.2022.114493

Cited by 30 publications

(27 citation statements)

References 134 publications

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“…While little is known about the mental health of this broader group in Germany, we do know that high-income labor migrants originating from Arab states experience higher rates of depressive symptoms compared to non-migrant Arabs in Qatar 10 . Current literature on the association between depression and migration shows that around one in four migrants globally suffer from depression, which exceeds the prevalence of depression reported by community samples in different nations and demonstrates a need for culturally fitting and targeted responses from migrant host nations and their serving clinicians 11 .…”

Section: Introductionmentioning

confidence: 90%

Implementing Arabic-language digital interventions for depression in German routine health care: log data analysis of the iFightDepression (iFD) tool and awareness website

Reich¹,

Hegerl²,

Rosenthal³

et al. 2023

Preprint

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Migrants face many barriers to mental health care, such as different cultural concepts of distress, unfamiliar pathways to care, and language. Digital mental health interventions are effective and scalable in multi-language versions. However, their implementation into routine care is in its infancy. Here, we report on the Arabic- and German-language implementation of two digital interventions in Germany: The iFightDepression® website, providing information about depression to the public, and the iFightDepression® tool, offering guided self-management for depression. Their acceptability (time on page, usage behavior) was comparable between the two user groups. The website penetration of the target populations was nine times lower among Arab migrants in Germany than Germans (89 vs. 834 unique page views/ 100,000). The adoption of the tool was lower among Arabic than German users (conversion rate from invitation to completed registration: 30.8% vs. 59.0%, p<.001). Our results show that uptake of digital interventions for migrants requires facilitation.

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Section: Introductionmentioning

confidence: 90%

Implementing Arabic-language digital interventions for depression in German routine health care: log data analysis of the iFightDepression (iFD) tool and awareness website

Reich¹,

Hegerl²,

Rosenthal³

et al. 2023

Preprint

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“…Depression is a particularly important health outcome to investigate in the context of the Russo-Ukrainian war. First, although there is well-established grounding in existing research of depression as an adverse consequence of forced displacement (e.g., see Bedaso & Duko, 2022), little research has focused on the experiences of those Ukrainians who were forced to flee their homes. Second, the elevated levels of depression among war-affected groups tend to have violent conflict-related risk factors, which can be used to both detect and document the extent of their mental health needs (Johnson et al, 2009(Johnson et al, , 2017Timmer et al, 2022).…”

Section: Depressionmentioning

confidence: 99%

“…Past research has repeatedly emphasized the high prevalence of mental health problems among IDPs. For example, a recent meta-analysis of 81 studies revealed that the prevalence of depression among displaced individuals was 26.4% (Bedaso & Duko, 2022). This meta-analysis also reported that females, single individuals, and those with lower perceived levels of social support were at the greatest risk of depression.…”

mentioning

confidence: 99%

Forced to flee out and down: Depression following the Russian invasion and displacement of the Ukrainian people.

Timmer¹,

Johnson²,

Antonaccio³

et al. 2023

Peace and Conflict: Journal of Peace Psychology

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During wartime, individuals suffer from high levels of mental health disorders, with depression being one of the most common mental health issues. Even as peace returns, the loss of personal, social, and emotional resources can make widespread depression difficult to overcome. Internally displaced people (IDPs) are a particularly vulnerable group, which has received relatively little attention in the peace and conflict literature. Thus, there is an urgent need to better understand and address mental health issues of IDPs. Focusing on Ukraine, we use survey data collected from 300 IDPs in two major urban areas who were forced to flee their homes due to the Russian invasion that started in 2014. Specifically, we examine the influences of war trauma, daily stressors, and social support on depression. We find that having been exposed to war, both directly and indirectly, is not significantly associated with depression among IDPs in Ukraine, suggesting that war exposure may have reached a ceiling effect. On the other hand, experiencing daily stressors (e.g., prejudice, financial problems etc.) significantly increases depressive symptoms. Finally, social support, including emotional, task, and financial support from family (but not from other sources), reduces depression among IDPs. This study lays the foundation for the development of policies aimed at reducing daily stress among Ukrainian IDPs and reuniting them with their family members. Public Significance StatementOur research findings demonstrate that various daily hassles (e.g., financial problems, discrimination and prejudice, issues at work/study) increase depressive symptoms among IDPs in Ukraine, whereas different forms of social support from family serve as protective factors against depression. This suggests the need for the development of new initiatives that focus on stress management and family reunification among IDPs in war-torn societies.

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“…Consequently, the migrant population often has poor social, economic, psychological and health outcomes, making migration a troubling global human rights and public health issue [3]. In fact, a robust body of evidence shows that migrants are disproportionately affected by mental health conditions, chronic diseases, antimicrobial resistance, occupational hazards, and oral diseases compared to the host population [4][5][6][7]. Additionally, migrants have been shown to have lower immunization rates compared to the host populations [8].…”

Section: Introductionmentioning

confidence: 99%

Sexual and reproductive health and gender-based violence among female migrants in Morocco: a cross sectional survey

et al. 2023

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Background Over the past decade, Morocco has increasingly become the chosen destination for a growing number of migrants from neighbouring countries and especially from Sub-Saharan Africa. The aim of this study is to describe the sexual and reproductive health (SRH), as well as sexual and gender-based violence (SGBV) among female migrants in Morocco. Methods This is a descriptive cross-sectional study conducted between July and December 2021. Female migrants were recruited from one university maternity hospital and two primary healthcare centres in Rabat. Data were collected using a structured face-to-face questionnaire, which included information about sociodemographic characteristics, SRH, history of SGBV and its impact, as well as the utilization of preventive and supportive SGBV services. Results A total of 151 participants were included in this study. The majority of participants (60.9%) were aged 18 to 34 years old and 83.3% were single. Many participants (62.1%) did not use contraceptives. More than half (56%) of the participants who were pregnant at the time of the study were receiving pre-natal care. About 29.9% of interviewed participants reported experiencing female genital mutilation, and a significant majority (87.4%) experienced SGBV at least once during their lifetimes, while 76.2% experienced SGBV during migration. The most commonly reported form of violence was verbal abuse (75.8%). Among the victims of SGBV, a minority have visited a health facility (7%) or filed a complaint (9%) in the aftermath of violence. Conclusion Overall, our findings showed low contraception coverage, moderate access to prenatal care, high prevalence of SGBV, and low utilization of preventive and supportive SGBV services among migrant women in Morocco. Further studies are needed to understand the contextual barriers to access, and utilization of SRH care and additional efforts should be undertaken to strengthen SGBV prevention and support systems.

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Epidemiology of depression among displaced people: A systematic review and meta-analysis

Cited by 30 publications

References 134 publications

Implementing Arabic-language digital interventions for depression in German routine health care: log data analysis of the iFightDepression (iFD) tool and awareness website

Implementing Arabic-language digital interventions for depression in German routine health care: log data analysis of the iFightDepression (iFD) tool and awareness website

Forced to flee out and down: Depression following the Russian invasion and displacement of the Ukrainian people.

Sexual and reproductive health and gender-based violence among female migrants in Morocco: a cross sectional survey

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