Perceived need for mental health care among non-western labour migrants

Fassaert, Thijs; Wit, Matty A. S. de; Tuinebreijer, Wilco C.; Verhoeff, Arnoud P.; Beekman, Aartjan T.F.; Dekker, Jack

doi:10.1007/s00127-008-0418-x

Cited by 61 publications

(50 citation statements)

References 42 publications

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“…Besides illness beliefs, the level of suffering is another possible predictor of motivation for psychotherapy [21,[72][73][74]. While our finding of higher symptom levels among Turkish immigrant inpatients is in line with other studies [39, 75], it is noteworthy that this did not influence the motivation for psychotherapy. We can assume that the other factors (e.g., illness beliefs) had a stronger effect on decreasing the motivation for psychotherapy than suffering did on increasing it.…”

Section: Discussionsupporting

confidence: 90%

Motivation for Psychotherapy and Illness Beliefs in Turkish Immigrant Inpatients in Germany: Results of a Cultural Comparison Study

Reich

Bockel

Mewes

2014

J. Racial and Ethnic Health Disparities

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Objective Some immigrant populations, for instance, Turkish immigrants, suffer from worse mental health than the general population. Moreover, psychotherapeutic treatment does not work well in this group. This might be explained by lower motivation for psychotherapy and particular illness beliefs as important early predictors of treatment outcome. We investigate differences in these predictors between Turkish immigrant inpatients and inpatients without a migration background and evaluate whether particular illness beliefs have a negative impact on motivation for psychotherapy. Method Turkish immigrant inpatients and inpatients without a migration background (N=100), suffering from depressive disorder, somatoform disorder, and/or adjustment disorder, completed questionnaires assessing motivation for psychotherapy, depressive and somatic symptoms, illness perception, illness-related locus of control, and causal illness attributions. Results Despite a higher symptom burden, motivation for psychotherapy was lower in Turkish immigrant inpatients than in inpatients without a migration background (d=0.54). This was fully explained by stronger beliefs in supernatural causes of illness and higher fatalistic-external illness-related locus of control in the Turkish immigrant sample (mediation analysis; R 2 =0.27). Conclusions Turkish immigrants believe in supernatural or fatalistic causes of illness and fatalistic-external locus of control to a greater extent than German inpatients without a migration background. These beliefs reduce motivation for psychotherapy and need to be addressed in psychotherapeutic treatment in order to secure positive treatment outcomes.

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Section: Discussionsupporting

confidence: 90%

Motivation for Psychotherapy and Illness Beliefs in Turkish Immigrant Inpatients in Germany: Results of a Cultural Comparison Study

Reich

Bockel

Mewes

2014

J. Racial and Ethnic Health Disparities

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“…Moreover, different problems that are characteristic of comparative research, such as selective non-response, different modes of data collection, translation and conduct cannot be ruled out entirely and will lead to slightly biased estimates, when they are related to depressive symptoms or one of the independents [85]. It is very likely that the less acculturated immigrants and ethnic minorities did not take part in the study, as suggested by the lower response rates reported for certain immigrant groups in the Netherlands [86]. Also, in some countries the absence of statistical significant differences in depressive symptoms might be due to a lack of statistical power as a consequence of the small amount of immigrants and ethnic minorities taking part in the survey, leading again to an underestimation.…”

Section: Discussionmentioning

confidence: 99%

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

Missinne

Bracke

2010

Soc Psychiatry Psychiatr Epidemiol

188

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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“…The result of ageing of the first-generation immigrants will be a higher prevalence of chronic illnesses and lower physical well-being, causing higher rates of mental illnesses. Another explanation for differences in prescribed drug usage is a lower perceived need for care by Moroccan and Turkish ethnic groups in the Netherlands, which leads to less help-seeking behaviour and hence fewer prescriptions [4]. Finally, there is little systematic knowledge of professionals' approaches to the behaviour of different ethnic groups and their mental illnesses [19].…”

Section: Discussionmentioning

confidence: 99%

Differences in psychotropic drug prescriptions among ethnic groups in the Netherlands

Wittkampf

Smeets

Knol

et al. 2009

Soc Psychiat Epidemiol

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Background Psychotropic drug use in Europe and the USA has increased in the past 20 years. The rise in mental health-care use instigated a debate about possible differences in prevalence rates between different ethnic groups in the Netherlands, although the exact differences were unknown. The aim of this study was to determine whether these minority groups were more or less likely than the native population to receive psychotropic drugs. Methods A descriptive population study was conducted using the Agis Health Database, containing demographic and health-care consumption data of approximately 1.5 million inhabitants of the Netherlands. Rates of prescriptions of psychotropic drugs from 2001 to 2006 and adjusted odds ratios for psychotropic drug prescriptions among native Dutch, Turkish and Moroccan ethnic groups were calculated. These data were analysed using logistic regression, after being adjusted for age, gender and socioeconomic status. Results The mean year prevalence of psychotropic drug prescriptions from 2001 to 2006 was 14.0%. Except for a decrease in anxiolytic drugs, the prescriptions of psychotropic drugs increased from 2001 to 2006. These trends were the same for all of the ethnic groups considered. Among both the Moroccan and Turkish populations, there was a higher risk of antidepressant and antipsychotic drug prescriptions, and a pronounced lower risk of ADHD medication and lithium prescriptions compared to the native population. Among the Turkish population, the risk of anxiolytic drug prescriptions was greater than in the native population. Conclusions Compared to the native population in the Netherlands, first-and second-generation Turkish and Moroccan immigrants had an increased risk of antidepressant and antipsychotic drug prescriptions and a decreased risk of ADHD medication and Lithium prescriptions. Further research is needed to clarify whether patients of different ethnic backgrounds with the same symptoms receive similar diagnosis and adequate treatment.

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Perceived need for mental health care among non-western labour migrants

Cited by 61 publications

References 42 publications

Motivation for Psychotherapy and Illness Beliefs in Turkish Immigrant Inpatients in Germany: Results of a Cultural Comparison Study

Motivation for Psychotherapy and Illness Beliefs in Turkish Immigrant Inpatients in Germany: Results of a Cultural Comparison Study

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

Differences in psychotropic drug prescriptions among ethnic groups in the Netherlands

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