Everyday life experiences and mental health among conflict-affected forced migrants: A meta-analysis

Hou, Wai Kai; Liu, Huinan; Liang, Li; Ho, Jeffery; Kim, Hyojin; Seong, Eunice; Bonanno, George A.; Hobfoll, Stevan E.; Hall, Brian J.

doi:10.1016/j.jad.2019.11.165

Cited by 130 publications

(143 citation statements)

References 106 publications

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“…The proportion of F4 diagnoses in this study was higher than that for Japanese national data ( Figure 2). This result suggests that acculturation stress in daily living surrounded by different cultures and habits affects foreign residents, as previous studies have reported [10,17]. The proportion of schizophrenia, schizotypal and delusional disorders (ICD-10 code: F2), which was the second most common diagnosis in this study, was almost equal to that for Japanese national data ( Figure 2).…”

Section: Diagnosissupporting

confidence: 67%

“…The age distribution of the foreign resident population in Japan peaks at individuals in their twenties, which corresponds to an age of increased susceptibility to mental illnesses (Figure 1) [7,41,42]. Since immigrants are known to have greater mental vulnerability than the majority populations in a community [10,15,16,23], a number of foreign residents in Japan are thought to be at a high risk of mental illness.…”

Section: Distribution Of Foreign Patients According To Agementioning

confidence: 99%

“…Immigration is a stressful experience that involves signi cant obstacles in many aspects of individual lives [10][11][12]. Immigrants face cultural distances in their new society, such as di culties accessing various social resources as well as language problems [13].…”

mentioning

confidence: 99%

“…Previous studies have reported the vulnerability of immigrants and refugees to mental health [16]. Immigrants' distress in their daily lives is thought to cause various psychiatric symptoms [10], and immigration is recognized as a risk factor for psychiatric disorders such as stress-related disorders, mood disorders, substance abuse, and psychoses [11,15,20,21]. Systematic reviews and meta-analyses have revealed that the incidence of psychotic disorders among immigrants and ethnic minority populations is about 1.5 to 3.0 times as high as that in ethnic majority populations [15].…”

mentioning

confidence: 99%

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Demographic and clinical characteristics of foreign residents who visited hospitals for mental health problems in Japan: A multicenter study in a metropolitan area

Takubo

Nemoto

Iwai

et al. 2020

Preprint

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Background: International immigration to Japan, where homogeneous ethnicity is a population characteristic, has been growing. Although immigration is recognized as a risk factor for multiple mental-health related issues, there are few regional reports on foreign residents who visit a hospital for mental health problems in Japan. We aimed to examine such patients’ characteristics.Methods: A multicenter retrospective study using medical records was conducted. The subjects were foreign patients who presented at the psychiatry departments in three core regional hospitals in the Keihin region, which faces Tokyo Bay and is well known to include the largest traditional industrial zone in Japan, over a period of three years. We investigated the patients’ demographic and clinical information including country/region of origin, spoken language, use of a medical interpreter, pathway to hospitals, and outcome.Results: The percentage of foreign individuals among all patients was 1.4% (205/14511). The mean age of the foreign patients was 45.8 years, and the sex ratio was 1:1.9 (men: women). Regarding the country/region of origin, China (35.1%) was the most common country, followed by the Philippines (18.5%), Korea (16.1%), and Brazil (4.9%). Several subjects (22.9%) could not speak Japanese; therefore, interpretation was required by family members/friends (17.1%) or a professional interpreter (5.4%). Neurotic disorder (ICD-10 code: F4) was the most common diagnosis (24.4%).Conclusions: The percentage of foreign patients seeking psychiatric treatment (1.4%) was relatively low, compared with the percentage of foreign residents living in the Keihin region (4.4%). The age distribution of foreign residents who visited psychiatric department was dissociated from the age distribution of foreign residents in Japan. This suggests that young foreign residents with a relatively high risk for mental illness are not accessing appropriate services. The development of a community-based integrated care system accessible to foreign residents seems to be indispensable.

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Section: Diagnosissupporting

confidence: 67%

Section: Distribution Of Foreign Patients According To Agementioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Demographic and clinical characteristics of foreign residents who visited hospitals for mental health problems in Japan: A multicenter study in a metropolitan area

Takubo

Nemoto

Iwai

et al. 2020

Preprint

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“…Although there are different coping styles and resiliencies to acculturative stress among immigrant groups [12], immigrants usually feel strong distress during the rst ve years after immigration [14,18,19]. Previous studies have reported the vulnerability of immigrants and refugees to mental health [10,[14][15][16]. Immigrants' distress in their daily lives is thought to cause various psychiatric symptoms [10], and immigration is recognized as a risk factor for psychiatric disorders such as stress-related disorders, mood disorders, substance abuse, and psychoses [11,15,20,21].…”

mentioning

confidence: 99%

Demographic and clinical characteristics of foreign nationals accessing psychiatric services in Japan: A multicenter study in a metropolitan area

Takubo

Nemoto

Iwai

et al. 2020

Preprint

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Background: International immigration to Japan, where homogeneous ethnicity is a population characteristic, has been growing. Although immigration is recognized as a risk factor for multiple mental-health related issues, there are few regional reports on foreign nationals accessing the psychiatric services in Japan. We aimed to reveal their current status and provide information to develop an optimal service system.Methods: A multicenter retrospective chart review research was conducted. The subjects were foreign residents who presented at the psychiatry departments in three core regional hospitals in the Keihin region, which faces Tokyo Bay and is well known to include the largest traditional industrial zone in Japan, over a period of three years. We investigated the patients’ demographic and clinical information including country/region of origin, spoken language, use of a medical interpreter, pathway to hospitals, and outcome.Results: The percentage of foreign patients among all patients (1.4%) was quite low. Their age distribution (45.8 years on average) was dissociated from the age distribution of foreign residents in Japan Regarding the country/region of origin, China (35.1%) was the most common country, followed by the Philippines, Korea, and Brazil. Several subjects (22.9%) could not speak Japanese; therefore, interpretation was required by family members/friends (17.1%) or a professional interpreter (5.4%). Neurotic and stress-related disorders were the most common diagnosis (24.4%). The proportion of psychoactive substance use was higher than that for Japanese national data as immigrants are known to be at risk for it.Conclusions: The results suggest that foreign residents in Japan are less likely to contact appropriate services for mental illness, especially young people at relatively high risk of mental illness do not access services. Furthermore, lack of medical interpreters may impede the mental health conditions of foreign residents. The development of a community-based integrated care system accessible to foreign residents seems to be indispensable.

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How does chronic multimorbidity affect daily routines? An experience sampling study of community‐dwelling adults in Hong Kong

Lai

Hou

2020

Journal Community Psychology

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Limited by conventional data collection methods, it is unclear how community‐dwelling multimorbid people's daily routines are affected by their co‐occurring illnesses. This study investigated the differences in everyday life schedules between multimorbid and nonmultimorbid people. Three hundred community‐dwelling adults, representative of the Hong Kong Chinese population, provided real‐time self‐reports of daily routines over a 7‐day study period. Stratified by baseline multimorbidity status, we implemented generalized linear mixed models (binomial) for each of the four outcomes: meal, chores, conversation, and work/school, with time intervals as independent variable and potential confounders adjusted. The odds of engaging in these activities were compared between multimorbid and nonmultimorbid participants by time intervals. Significant differences were identified. Unlike nonmultimorbid participants, late evening (22:00–24:00) was estimated to be the most frequently observed meal time among multimorbid participants (adjusted odds ratio [AOR] = 8.21, 95% confidence interval [CI] = 2.59–26.01 vs. 14:00–16:00), who also did chores significantly earlier in the morning (AOR = 1.97, 95% CI = 1.09–3.58 in 8:00–10:00 vs. 14:00–16:00). Conversations were significantly less likely among multimorbid participants throughout the day. Last, multimorbid participants seemed to have less typical working/schooling hours. Further studies are warranted to investigate how these disruptions may lead to lower levels of quality of life and poorer mental health.

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Everyday life experiences and mental health among conflict-affected forced migrants: A meta-analysis

Cited by 130 publications

References 106 publications

Demographic and clinical characteristics of foreign residents who visited hospitals for mental health problems in Japan: A multicenter study in a metropolitan area

Demographic and clinical characteristics of foreign residents who visited hospitals for mental health problems in Japan: A multicenter study in a metropolitan area

Demographic and clinical characteristics of foreign nationals accessing psychiatric services in Japan: A multicenter study in a metropolitan area

How does chronic multimorbidity affect daily routines? An experience sampling study of community‐dwelling adults in Hong Kong

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