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BMC Psychiatry
Published in: BMC Psychiatry 1/2017

Open Access 01-12-2017 | Research article

Acculturation and other risk factors of depressive disorders in individuals with Turkish migration backgrounds

Authors: Hanna Janssen-Kallenberg, Holger Schulz, Ulrike Kluge, Jens Strehle, Hans-Ulrich Wittchen, Uwe Wolfradt, Uwe Koch-Gromus, Andreas Heinz, Mike Mösko, Demet Dingoyan

Published in: BMC Psychiatry | Issue 1/2017

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Abstract

Background

Acculturation is a long-term, multi-dimensional process occurring when subjects of different cultures stay in continuous contact. Previous studies have suggested that elevated rates of depression among different migrant groups might be due to patterns of acculturation and migration related risk factors. This paper focused on prevalence rates of depressive disorders and related risk factors among individuals with Turkish migration backgrounds.

Methods

A population-based sample of 662 individuals with Turkish migration backgrounds were interviewed by bilingual interviewers using a standardised diagnostic interview for DSM-IV-TR and ICD-10 diagnoses (CIDI DIA-X Version 2.8). Associations between 12-month prevalence rates of depressive disorders with potential risk factors were assessed, including gender, age, socioeconomic status, acculturation status and migration status.

Results

12-month prevalence rates of any depressive disorder were 29.0%, 14.4% of major depressive disorder (MDD) and 14.7% of dysthymia. Older age and low socioeconomic status were most consistently related to higher risks of depressive disorders. Acculturation status showed associations with subtypes of depressive disorder. Associations differed between men and women. Symptom severity of MDD was linked to gender, with females being more affected by severe symptoms.

Conclusion

The prevalence of depressive disorders is high in individuals with Turkish migration backgrounds, which can be partly explained by older age, low socioeconomic status and acculturation pressures. Only a limited number of risk factors were assessed. Acculturation in particular is a complex process which might not be sufficiently represented by the applied measures. Further risk factors have to be identified in representative samples of this migrant group.
Literature
1.
2.
3.
Bade JK, Oltmer J. Normalfall Migration. ZeitBilder: Bonn; 2004.
4.
Ali J. Mental health of Canada’s immigrants. Suppl Heal Rep. 2002;13:101–11.
5.
Alegria M, Canino G, Shrout PE, Woo M, Duan N, Vila D, et al. Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. Am J Psychiatry. 2008;165:359–69.CrossRefPubMedPubMedCentral
6.
Wu Z, Schimmele CM. The healthy migrant effect on depression: variation over time? Can Stud Popul. 2005;32:271–95.CrossRef
7.
Salas-Wright CP, Kagotho N, Vaughn MG. Mood, anxiety, and personality disorders among first and second-generation immigrants to the United States. Psychiatry Res. 2014;220:1028–36.CrossRefPubMedPubMedCentral
8.
Breslau J, Borges G, Hagar Y, Tancredi D, Gilman S. Immigration to the USA and risk for mood and anxiety disorders: variation by origin and age at immigration. Psychol Med. 2009;39:1117–27.CrossRefPubMed
9.
Wittig U, Lindert J, Merbach M, Brähler E. Mental health of patients from different cultures in Germany. Eur Psychiatry. 2008;23(Suppl 1):28–35.CrossRefPubMed
10.
Missinne S, Bracke P. Depressive symptoms among immigrants and ethnic minorities: a population based study in 23 European countries. Soc Psychiatry Psychiatr Epidemiol. 2012;47:97–109.CrossRefPubMed
11.
Lindert J, Von Ehrenstein OS, Priebe S, Mielck A, Brähler E. Depression and anxiety in labor migrants and refugees - a systematic review and meta-analysis. Soc Sci Med. 2009;69:246–57.CrossRefPubMed
12.
Ladin K, Reinhold S. Mental health of aging immigrants and native-born men across 11 European countries. J Gerontol B Psychol Sci Soc Sci. 2013;68:298–309.CrossRefPubMedPubMedCentral
13.
Aichberger MC, Schouler-Ocak M, Mundt A, Busch MA, Nickels E, Heimann HM, et al. Depression in middle-aged and older first generation migrants in Europe: results from the Survey of Health, Ageing and Retirement in Europe (SHARE). Eur Psychiatry. 2010;25:468–75.CrossRefPubMed
14.
Berry JW. Acculturation: living successfully in two cultures. Int Intercult Relations. 2005;29:697–712.CrossRef
15.
Sam DL. Acculturation: conceptual background and core components. In: Sam DL, Berry JW, editors. The Cambridge Handbook of Acculturation Psychology. Cambridge: Cambridge University Press; 2006. p. 11–26.CrossRef
16.
Berry JW. Lead article - immigration, acculturation, and adaptation. Appl Psychol. 1997;46:5–34.
17.
Berry JW, Sam DL. Acculturation. In: Berry JW, Segall MH, Kagitcibasi C, editors. Handbook of cross- cultural psychology, vol. 3: social behavior and applications. Boston: Allyn & Bacon; 1996. p. 291–326.
18.
19.
Thomson MD, Hoffman-Goetz L. Defining and measuring acculturation: a systematic review of public health studies with Hispanic populations in the United States. Soc Sci Med. 2009;69:983–91.CrossRefPubMed
20.
Yoon E, Chang C-T, Kim S, Clawson A, Cleary SE, Hansen M, et al. A meta-analysis of acculturation/enculturation and mental health. J Couns Psychol. 2013;60:15–30.CrossRefPubMed
21.
Gupta A, Leong F, Valentine JC, Canada DD. A meta-analytic study: the relationship between acculturation and depression among Asian Americans. Am J Orthop. 2013;83:372–85.CrossRef
22.
Breslau J, Aguilar-Gaxiola S, Borges G, Kendler KS, Su M, Kessler RC. Risk for psychiatric disorder among immigrants and their US-born descendants: evidence from the National Comorbidity Survey Replication. J Nerv Ment Dis 2007;195:189–195.
23.
Takeuchi DT, Zane N, Hong S, Chae DH, Gong F, Gee GC, et al. Immigration-related factors and mental disorders among Asian Americans. Am J Public Health. 2007;97:84–90.CrossRefPubMedPubMedCentral
24.
Grant BF, Stinson FS, Hasin DS, Dawson DA, Chou SP, Anderson K. Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2004;61:1226–33.CrossRefPubMed
25.
Aichberger MC, Schouler-Ocak M, Rapp MA, Heinz A. Transkulturelle Aspekte der Depression. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2008;51:436–42.CrossRef
26.
Levecque K, Lodewyckx I, Vranken J. Depression and generalised anxiety in the general population in Belgium: a comparison between native and immigrant groups. J Affect Disord. 2007;97:229–39.CrossRefPubMed
27.
Levecque K, Lodewyckx I, Bracke P. Psychological distress, depression and generalised anxiety in Turkish and Moroccan immigrants in Belgium: a general population study. Soc Psychiatry Psychiatr Epidemiol. 2009;44:188–97.CrossRefPubMed
28.
de Wit MAS, Tuinebreijer WC, Dekker J, Beekman A-JTF, Gorissen WHM, Schrier AC, et al. Depressive and anxiety disorders in different ethnic groups: a population based study among native Dutch, and Turkish, Moroccan and Surinamese migrants in Amsterdam. Soc Psychiatry Psychiatr Epidemiol. 2008;43:905–12.CrossRefPubMed
29.
Van Der Wurff FB, Beekman ATF, Dijkshoorn H, Spijker JA, Smits CHM, Stek ML, et al. Prevalence and risk-factors for depression in elderly Turkish and Moroccan migrants in the Netherlands. J Affect Disord. 2004;83:33–41.CrossRefPubMed
30.
Schrier AC, De Wit MAS, Rijmen F, Tuinebreijer WC, Verhoeff AP, Kupka RW, et al. Similarity in depressive symptom profile in a population-based study of migrants in the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2010;45:941–51.CrossRefPubMed
31.
Beutel ME, Jünger C, Klein EM, Wild P, Lackner KJ, Blettner M, et al. Depression, anxiety and suicidal ideation among 1st and 2nd generation migrants - results from the Gutenberg health study. BMC Psychiatry. 2016;16:288.CrossRefPubMedPubMedCentral
32.
Erim Y, Morawa E, Zdemir DF, Senf W. Prävalenz, Komorbidität und Ausprägungsgrad psychosomatischer Erkrankungen bei ambulanten Patienten mit türkischem Migrationshintergrund. Psychother Psychosom Med Psychol. 2011;61:472–80.CrossRefPubMed
33.
Sariaslan S, Morawa E, Erim Y. Mental distress in primary care patients: German patients compared with patients of Turkish origin. Nervenarzt. 2014;85
34.
Schouler-Ocak M, Bretz H, Hauth I, Montesinos A, Koch E, Driessen M, et al. Patienten mit Migrationshintergrund in Psychiatrischen Institutsambulanzen – ein Vergleich zwischen Patienten mit türkischer und osteuropäischer Herkunft sowie Patienten ohne Migrationshintergrund. Psychiatr Prax. 2010;37:384–90.CrossRefPubMed
35.
Mösko MO, Pradel S, Schulz H. Die Versorgung von Menschen mit Migrationshintergrund in der psychosomatischen Rehabilitation. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2011;54:465–74.CrossRef
36.
David M, Borde T, Kentenich H. Die psychische Belastung von Migrantinnen im Vergleich zu einheimischen Frauen - der Einfluss von Ethnizität, Migrationsstatus und Akkulturationsgrad. Geburtshilfe Frauenheilkd. 2002;62:37–44.CrossRef
37.
Selten JP, Laan W, Kupka R, Smeets HM, van Os J. Risk of psychiatric treatment for mood disorders and psychotic disorders among migrants and Dutch nationals in Utrecht, the Netherlands. Soc Psychiatry Psychiatr Epidemiol. 2012;47:271–8.CrossRefPubMed
38.
39.
Ünlü Ince B, Fassaert T, de Wit M, Cuijpers P, Smit J, Ruwaard J, et al. The relationship between acculturation strategies and depressive and anxiety disorders in Turkish migrants in the Netherlands. BMC Psychiatry. 2014;14:252.CrossRefPubMedPubMedCentral
40.
Zeeb H, Razum O. Epidemiologische Studien in der Migrationsforschung: ein einleitender Überblick. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2006;49:845–52.CrossRef
41.
Schouler-Ocak M, Aichberger MC, Penka S, Kluge U, Heinz A. Psychische Störungen bei Menschen mit Migrationshintergrund in Deutschland. Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2015;58:527–32.CrossRef
42.
Mösko M, Dingoyan D, Penka S, Vardar A, Schulz H, Koch U, et al. Prevalence of mental disorders and health service utilization among individuals with Turkish migration backgrounds in Germany: a study protocol for an epidemiological investigation. Open J Psychiatry. 2016;6:237–52.CrossRef
43.
Dingoyan D, Schulz H, Mösko M. The willingness to participate in health research studies of individuals with Turkish migration backgrounds: barriers and resources. Eur Psychiatry. 2012;27:S4–9.CrossRefPubMed
44.
Humpert A, Schneiderheinze K. Stichprobenziehung für telefonische Zuwandererumfragen. Einsatzmöglichkeiten der Namensforschung. ZUMA-Nachrichten. 2000;47:36–64.
45.
Wittchen H-U, Weigel A, Pfister H. DIA-X interview. Frankfurt: Swets Test Services; 1996.
46.
Harkness JA. Comparative survey research: Goals and challenges. In: de Leeuw ED, Hox JJ, Dillman DA, editors. International handbook of survey methodology. New York, London: Lawrence Erlbaum Associates; 2008. p. 56–77.
47.
Dingoyan D, Mösko M, Imamoğlu Y, von Wolff A, Strehle J, Wittchen H-U, et al. Development and feasibility of the computerized Turkish edition of the Composite International Interview (DIA-X CIDI Version 2.8TR). Int J Methods Psychiatr Res. 2015.
48.
Wittchen H-U, Lachner G, Wunderlich U, Pfister H. Test-retest reliability of the computerized DSM-IV version of the Munich-Composite International Diagnostic Interview (M-CIDI). Soc Psychiatry Psychiatr Epidemiol. 1998:568–78.
49.
Jacobi F, Höfler M, Strehle J, Mack S, Gerschler A, Scholl L, et al. Psychische Störungen in der Allgemeinbevölkerung: Studie zur Gesundheit Erwachsener in Deutschland und ihr Zusatzmodul Psychische Gesundheit (DEGS1-MH). Nervenarzt. 2014;85:77–87.CrossRefPubMed
50.
51.
Backhaus K, Erichson B, Plinke W, Weiber R. Multivariate Analysemethoden. 12th ed. Berlin Heidelberg: Springer; 2008.
52.
Busch MA, Maske UE, Ryl L, Schlack R, Hapke U. Prevalence of depressive symptoms and diagnosed depression among adults in Germany: results of the German Health Interview and Examination Survey for Adults (DEGS1). Bundesgesundheitsbl Gesundheitsforsch Gesundheitsschutz. 2013;56:733–9.CrossRef
53.
Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jönsson B, et al. The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol. 2011;21:655–79.CrossRefPubMed
54.
Andrade L, Caraveo-Anduaga JJ, Berglund P, Bijl RV, De Graaf R, Vollebergh W, et al. The epidemiology of major depressive episodes: results from the International Consortium of Psychiatric Epidemiology (ICPE) surveys. Int J Methods Psychiatr Res. 2003;12:3–21.CrossRefPubMed
55.
Van Dijk TK, Agyemang C, De Wit M, Hosper K. The relationship between perceived discrimination and depressive symptoms among young Turkish-Dutch and Moroccan-Dutch. Eur J Pub Health. 2011;21:477–83.CrossRef
56.
Schrier AC, De Wit MAS, Verhoeff AP, Dekker JJM, Beekman ATF. Similarities in manifestations of depression in Turkish-Dutch, Moroccan-Dutch and native Dutch citizens of Amsterdam. OA Epidemiol. 2013;1:1–6.CrossRef
57.
Mösko M-O, Gil-Martinez F, Schulz H. Cross-cultural opening in German outpatient mental healthcare service: an exploratory study of structural and procedural aspects. Clin Psychol Psychother. 2013;20:434–46.PubMed
Metadata
Title
Acculturation and other risk factors of depressive disorders in individuals with Turkish migration backgrounds
Authors
Hanna Janssen-Kallenberg
Holger Schulz
Ulrike Kluge
Jens Strehle
Hans-Ulrich Wittchen
Uwe Wolfradt
Uwe Koch-Gromus
Andreas Heinz
Mike Mösko
Demet Dingoyan
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2017
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-017-1430-z

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