Ethnic Differences and Similarities in Outpatient Treatment for Depression in the Netherlands

Fassaert, Thijs; Peen, Jaap; Straten, Annemieke van; Wit, Matty de; Schrier, Agnes C.; Heijnen, H.; Cuijpers, Pim; Verhoeff, Arnoud P.; Beekman, Aartjan T.F.; Dekker, Jack

doi:10.1176/ps.2010.61.7.690

Cited by 18 publications

(9 citation statements)

References 53 publications

(6 reference statements)

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“…In the Netherlands, like in other European countries, there is a growing number of patients with different ethnic backgrounds which offers an opportunity for cross-cultural comparison. A recent study indicated that stigma and taboo are similar for patients with a depressive or anxiety disorder from Turkey, Morocco, or Surinam [34]. This may be related to the fact that there has been a considerable history of adapting mental health services to suit patients from different cultures.…”

Section: The Netherlandsmentioning

confidence: 99%

Fighting stigma of mental illness in midsize European countries

Beldie

Boer

Brain

et al. 2012

Soc Psychiatry Psychiatr Epidemiol

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Section: The Netherlandsmentioning

confidence: 99%

Fighting stigma of mental illness in midsize European countries

Beldie

Boer

Brain

et al. 2012

Soc Psychiatry Psychiatr Epidemiol

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“…(Fassaert et al, 2010, Murray et al, 2010, Ou et al, 2010, Ponce et al, 2006, Poureslami et al, 2010, Puthussery et al, 2010, Sokal, 2010, Timmins, 2002) Research suggests that language barriers adversely affect patients in their access to health services (Jacobs et al, 2006, Pippins et al, 2007, Robert Wood Johnson Foundation, 2001); comprehension and adherence(Cheng et al, 2007, Jacobs et al, 2006); quality of care (Cohen et al, 2005, Diamond et al, 2009, Jacobs et al, 2003, Jacobs et al, 2006); and patient and provider satisfaction. (Arthur et al, 2014, Baker et al, 1996, Jacobs et al, 2006)…”

Section: Introductionmentioning

confidence: 99%

Changes in research on language barriers in health care since 2003: A cross-sectional review study

Schwei

Pozo

Agger-Gupta

et al. 2016

International Journal of Nursing Studies

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Background Understanding how to mitigate language barriers is becoming increasingly important for health care providers around the world. Language barriers adversely affect patients in their access to health services; comprehension and adherence; quality of care; and patient and provider satisfaction. In 2003, the United States (US) government made a major change in national policy guidance that significantly affected limited English proficient patients’ ability to access language services. Objective The objectives of this paper are to describe the state of the language barriers literature inside and outside the US since 2003 and to compare the research that was conducted before and after a national policy change occurred in the US. We hypothesize that language barrier research would increase inside and outside the US but that the increase in research would be larger inside the US in response to this national policy change. Methods We reviewed the research literature on language barriers in health care and conducted a cross sectional analysis by tabulating frequencies for geographic location, language group, methodology, research focus and specialty and compared the literature before and after 2003. Results Our sample included 136 studies prior to 2003 and 426 studies from 2003–2010. In the 2003–2010 time period there was a new interest in studying the providers’ perspective instead of or in addition to the patients’ perspective. The methods remained similar between periods with greater than 60% of studies being descriptive and 12% being interventions. Conclusions There was an increase in research on language barriers inside and outside the US and we believe this was larger due to the change in the national policy. We suggest that researchers worldwide should move away from simply documenting the existence of language barriers and should begin to focus their research on documenting how language concordant care influences patient outcomes, providing evidence for interventions that mitigate language barriers, and evaluating the cost effectiveness of providing language concordant care to patients with language barriers. We think this is possible if funding agencies around the world begin to request proposals for these types of research studies. Together, we can begin document meaningful ways to provide high quality health care to patients with language barriers.

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“…This was the case in the Netherlands [ 17 , 37 – 48 ], where the highest prevalence of depressive disorders was observed for Turkish-Dutch, followed by Moroccan-Dutch, while the lowest rates were observed in the native-Dutch group. These figures represented the estimates of mostly first-generation, low educated, Turkish and Moroccan individuals.…”

Section: Resultsmentioning

confidence: 98%

“…Furthermore, evidence-based therapies for depression, such as pharmacotherapy, Cognitive Behavioral Therapy, and Interpersonal Psychotherapy have barely been investigated in Turkish and Moroccan immigrant groups [ 13 ], with the little existing evidence suggesting low effectiveness in treating depression in Turkish migrant populations [ 14 – 16 ]. Moreover, Turkish and Moroccan patients in secondary care tend to receive less intense psychological treatment and to drop out more often of treatment than the native-born in the Netherlands, partly related to gender, age, and illness characteristics [ 17 ]. The second aim of the review is to describe the factors that are associated to depressive disorders and symptoms (defined in the present paper as “correlates”) in these groups.…”

Section: Introductionmentioning

confidence: 99%

Depression among Turkish and Moroccan immigrant populations in Northwestern Europe: a systematic review of prevalence and correlates

et al. 2023

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Background This systematic review aimed to synthesize the prevalence and correlates of depressive disorders and symptoms of Turkish and Moroccan immigrant populations in Northwestern Europe, formulating evidence-informed recommendations for clinical practice. Methods We conducted a systematic search in PsycINFO, MEDLINE, Science Direct, Web of Knowledge, and Cochrane databases for records up to March 2021. Peer-reviewed studies on adult populations that included instruments assessing prevalence and/or correlates of depression in Turkish and Moroccan immigrant populations met inclusion criteria and were assessed in terms of methodological quality. The review followed the relevant sections of the Preferred Reporting Items for Systematic Reviews and Meta-analyses reporting (PRISMA) guideline. Results We identified 51 relevant studies of observational design. Prevalence of depression was consistently higher among people who had an immigrant background, compared to those who did not. This difference seemed to be more pronounced for Turkish immigrants (especially older adults, women, and outpatients with psychosomatic complaints). Ethnicity and ethnic discrimination were identified as salient, positive, independent correlates of depressive psychopathology. Acculturation strategy (high maintenance) was related to higher depressive psychopathology in Turkish groups, while religiousness appeared protective in Moroccan groups. Current research gaps concern psychological correlates, second- and third-generation populations, and sexual and gender minorities. Conclusion Compared to native-born populations, Turkish immigrants consistently showed the highest prevalence of depressive disorder, while Moroccan immigrants showed similar to rather moderately elevated rates. Ethnic discrimination and acculturation were more often related to depressive symptomatology than socio-demographic correlates. Ethnicity seems to be a salient, independent correlate of depression among Turkish and Moroccan immigrant populations in Northwestern Europe.

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Ethnic Differences and Similarities in Outpatient Treatment for Depression in the Netherlands

Cited by 18 publications

References 53 publications

Fighting stigma of mental illness in midsize European countries

Fighting stigma of mental illness in midsize European countries

Changes in research on language barriers in health care since 2003: A cross-sectional review study

Depression among Turkish and Moroccan immigrant populations in Northwestern Europe: a systematic review of prevalence and correlates

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