Impact of a long asylum procedure on the prevalence of psychiatric disorders in Iraqi asylum seekers in the Netherlands
Impact of a long asylum procedure on the prevalence of psychiatric disorders in Iraqi asylum seekers in the Netherlands
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DOI：
10.1097/01.nmd.0000146739.26187.15
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发表时间：
2004-12-01
影响因子：
1.9
通讯作者：
De Jong, JTVM
中科院分区：
文献类型：
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作者：
Laban, CJ;Gernaat, HBPE;De Jong, JTVM
临床上，漫长的庇护程序似乎与精神疾病有关。然而，缺乏关于这一问题的数据。在一项以社区为基础的全国性研究中，我们采用随机抽样的方法，比较了两组伊拉克寻求庇护者，他们分别在荷兰居住了不到6个月（N = 143）和超过2年（N = 151）。受访者进行了采访，结构完整，文化验证，翻译问卷。精神疾病（DSM-IV）障碍采用复合国际诊断访谈2.1进行测量，并与移民前和移民后不良生活事件进行评价。第一组精神疾病的总患病率为42%，第二组为66.2%。焦虑、抑郁和躯体形式障碍的患病率在第二组中显著较高。创伤后应激障碍在两组中都很高，但没有差异（p > 0.05）。在所有相关危险因素的逻辑回归分析中，长期庇护程序显示精神病理学的优势比为2.16（置信区间= 1.15-4.08）。结论是，庇护程序的持续时间确实是精神问题的一个重要风险因素。政治家和心理健康工作者都应该注意到这一发现。
Clinically, a long asylum procedure seems to be associated with psychiatric disorders. However, data on this issue are lacking. In a national community-based study, using random sampling, we compared two groups of Iraqi asylum seekers, who had resided less than 6 months (N = 143) and more than 2 years (N = 151), respectively, in The Netherlands. Respondents were interviewed with fully structured, culturally validated, translated questionnaires. Psychiatric (DSM-IV) disorders were measured with the Composite International Diagnostic Interview 2.1 and evaluated in relation with premigration and postmigration adverse life events. Overall prevalence of psychiatric disorders was 42% in the first group and 66.2% in the second. The prevalence rates of anxiety, depressive, and somatoform disorders were significantly higher in the second group. Posttraumatic stress disorder was high in both groups but did not differ (p > .05). On logistic regression of all relevant risk factors, a long asylum procedure showed an odds ratio of 2.16 (confidence interval = 1.15-4.08) for psychopathology. The conclusion is that, indeed, the duration of the asylum procedure is an important risk factor for psychiatric problems. Both politicians and mental health workers should take note of this finding.