Published in:
01-04-2018 | Original Paper
The Negative Impact of an Uncertain Residence Status: Analysis of Migration-Related Stressors in Outpatients with Turkish Migration Background and Psychiatric Disorders in Germany Over a 10-Year Period (2005–2014)
Authors:
Matthias J. Müller, Sabrina Zink, Eckhardt Koch
Published in:
Journal of Immigrant and Minority Health
|
Issue 2/2018
Login to get access
Abstract
Several studies indicate that immigration is associated with a higher risk for mental disorders, particularly in refugees and asylum seekers. We investigated migration-related distress in outpatients with Turkish migration background and a psychiatric disorder. Asylum applicants (ASA) and migrants with a permanent residency status (PRS) from a specialized German psychiatric outpatient service were compared with respect to clinical variables and stressors related to migration and acculturation. Of n = 620 migrant outpatients (main diagnosis: 3.9% ICD-10 F2, 58.2% F3, 36.5% F4, 1.5% F60), n = 78 (12.6%) were ASA with larger proportions of illiteracy and language difficulties. Communication problems, stress related to migration, shame feelings, homesickness and perceived discrimination occurred more often in ASA whereas family conflicts were more frequent in PRS (P < 0.05). According to our results, adaptation to the new environment of asylum applicants implies more difficulties, especially language problems, feelings of shame, and experience of discrimination. Asylum seeking seems to denote an additional severe psychological stressor.