Psychother Psychosom Med Psychol 2008; 58(3/04): 109-122
DOI: 10.1055/s-2008-1067358
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Depressivität, Angst und posttraumatische Belastungsstörung bei Arbeitsmigranten, Asylbewerbern und Flüchtlingen

Systematische Übersichtsarbeit zu OriginalstudienDepression, Anxiety and Posttraumatic Stress Disorders in Labor Migrants, Asylum Seekers and RefugeesA Systematic OverviewJutta  Lindert1 , Elmar  Brähler2 , Ulla  Wittig3 , Andreas  Mielck3 , Stefan  Priebe4
  • 1Evangelische Fachhochschule Ludwigsburg, Abteilung für Public Health
  • 2Universitätsklinikum Leipzig, Abteilung für Medizinische Psychologie und Medizinische Soziologie
  • 3Helmholtz Zentrum München - Deutsches Forschungszentrum für Gesundheit und Umwelt, Institut für Gesundheitsökonomie und Management im Gesundheitswesen, Neuherberg
  • 4Queen Mary, University of London, Barts and the London School of Medicine, Unit for Social & Community Psychiatry, Newham Centre for Mental Health
Further Information

Publication History

Publication Date:
18 April 2008 (online)

Zusammenfassung

Hintergrund Weltweit gab es im Jahr 2006 etwa 200 Millionen transnationale Migranten. Migranten werden unterschieden in „freiwillige”, insbesondere Arbeitsmigranten oder sogenannte „Gastarbeiter” und „unfreiwillige” Migranten, insbesondere Flüchtlinge und Asylbewerber. Depressivität, Angst und posttraumatische Belastungsstörung sind häufige Syndrome in der Allgemeinbevölkerung, die Studienergebnisse in Bezug auf Migranten sind heterogen. Ziele Ziel dieses Reviews ist es, die Prävalenzraten von Depressivität, Angst (Syndrome und Störungen) und posttraumatischer Belastungsstörung (PTBS) bei Arbeitsmigranten und Flüchtlingen zu beschreiben und zu vergleichen sowie zu untersuchen, ob ein Zusammenhang zwischen den Prävalenzraten und der Studienqualität vorliegt.Methode Wir suchten zunächst systematisch Studien in den elektronischen Datenbanken EMBASE und MEDLINE von im Zeitraum von 1994 - 2007 veröffentlichten Originalstudien. Die Studien, die die Ein- und Ausschlusskriterien erfüllten, wurden systematisch beschrieben und nach 15 Qualitätskriterien bewertet. Ergebnisse Die systematische Literatursucher ergab 348 Ergebnisse, von diesen erfüllten 37 Studien mit 35 untersuchten Populationen die Einschlusskriterien, die Studien beziehen sich auf n = 24 681 Migranten (Arbeitsmigranten: n = 16 971; Flüchtlinge: n = 7710). Die Studiengröße variiert zwischen einem Minimum von n = 55 Teilnehmer und einem Maximum von n = 4558 Teilnehmer (mediane Teilnehmerzahl: n = 338). Die Prävalenzraten der untersuchten Studien liegen für Depressivität zwischen 3 % und 47 % (Arbeitsmigranten) bzw. zwischen 3 % und 81 % (Flüchtlinge); für Angst zwischen 6 % und 44 % (Arbeitsmigranten) bzw. zwischen 5 % und 90 % (Flüchtlinge) und für PTBS zwischen 4 % und 86 %. Keine Studie erfüllt die 15 von uns aufgestellten Qualitätskriterien. Zusammenfassung und Ausblick Migranten sind eine heterogene Gruppe mit unterschiedlichen Prävalenzraten von Depressivität, Angst und posttraumatische Belastungsstörung. Dringend benötigt zur realistischen Abschätzung des Versorgungsbedarfes werden bevölkerungsrepräsentative Studien.

Abstract

Background In 2006 there were about 200 millions of transnational „voluntary” migrants like labor migrants and „involuntary migrants” like refugees and asylum seekers worldwide. Depression, anxiety and posttraumatic stress disorder (PTSD) is the most prevalent psychiatric disorders in general populations and is reported to be highly prevalent among migrants. Aims We aimed to assess and compare syndromes and symptoms of depression and anxiety in labor migrants and refugees; and to examine whether the prevalence rates are associated with study methods' and study quality. Methods We systematically searched in the databases MEDLINE and EMBASE for studies published from 1994 - 2007. Studies fulfilling the inclusion criteria are 1) systematically described: 2) and evaluated with 15 quality criteria. Results The literature search generated 348 results; and 37 fulfilled our inclusion criteria (35 populations) with n = 24 681 migrants (labor migrants: n = 16 971; refugees: n = 7710). Size of studies varies from a minimum of n = 55 participants to a maximum of n = 4558 participants (Median: n = 338). Prevalence rates for depression vary between 3 % and 47 % (labor migrants) and between 3 % and 81 % (refugees); for anxiety between 6 % and 44 % (labor migrants) and between 5 % and 90 % (refugees) and for PTSD between 4 % and 86 %. No study fullfilled all 15 quality criteria.Conclusion and outlook Migrants are a heterogeneous group and prevalence rates vary widely between studies. There is a need of high-quality representative studies on migrants' mental health to adequately plan health and social care.

Literatur

  • 1 Vereinte Nationen .„global estimates”. http://esa.un.org/migration 23.08.2007
  • 2 Löffelholz H D. http://www.bamf.de/cln_006/SubSites/EMN/DE/Home/emn-home-node.html?_nnn=true 23.08.2007
  • 3 Bhugra D. Migration and depression.  Act Psychiatr Scand. 2003;  108, Suppl 418 67-72
  • 4 Odegaard O. Migration and insanity. A study of mental disease among the Norwegian population of Minnesota.  Act Psychiatr Neurol Scand (Suppl). 1932;  4 201-232
  • 5 Bebbington P, Hurry J, Tenant C. Psychiatric disorders in selected immigrant groups in Camberwell.  Soc Psychiatry. 1981;  16 43-51
  • 6 Bhugra D, Leff J, Mallett R. et al . Asians in London.  Psychol Med. 1997;  27 791-798
  • 7 Thomas C S, Stine K, Osborn M. et al . Psychiatric morbidity and compulsory admission among UK-born Europeans, Afro-Caribbean's and Asians in central Manchester.  Br J Psychiatry. 1993;  163 91-99
  • 8 Van Os J?, Castle D J, Takei N. et al . Psychotic illness in ethnic minorities: clarification from the 1991 census.  Psychol Med. 1996;  26 203-205
  • 9 Schrier A C, van de Wetering B J, Mulder P G, Selten J P. Point prevalence of schizophrenia in immigrant groups in Rotterdam: data from outpatient facilities.  Eur Psychiatry. 2001;  16 162-166
  • 10 Fossion O, Ledoux Y, Valente F. et al . Psychiatric disorders and social characteristics among second-generation Moroccan migrants in Belgium: an age-and gender-controlled study conducted in a psychiatric emergency department.  Eur Psychiatry. 2002;  17 443-450
  • 11 Friessem D H. Travailleurs étrangers en Republique Fédérale de Allemagne. Quelques résults et reflexions dans une optique médico-sociale et psychiatrique.  L'information Psychiatrique. 1975;  51 283-291
  • 12 Ramon S, Shanin T, Strimpel J. The peasant connection: social background and mental health of migrant workers in Western Europe.  Mental Health and Sociology. 1977;  4 270-290
  • 13 Carta M G, Bernal M, Hardoy M C. et al . Report on the state of the Mental health in Europe. Working group (2005). Migration and mental health in Europe (the state of the mental health in Europe working group. Appendix 1).  Clin Pract Epidemiol Mental Health. 2005;  10 1-13
  • 14 Fazel M, Wheeler J, Danesh J. Prevalence of serious mental disorder in 7000 refugees resettled in Western countries: a systematic review.  Lancet. 2005;  365 (9467) 1309-1314
  • 15 Kessler R C. The global burden of anxiety and mood disorders: putting the European Study of the Epidemiology of Mental Disorders (ESEMeD) findings into perspective.  J Clin Psychiatry. 2007;  68, Suppl 2 10-19
  • 16 Silove D, Sinnerbrink I, Field A. et al . Anxiety, depression and PTSD in asylum seekers: associations with pre-migration trauma and post-migration stressors.  Br J Psychiatry. 1997;  170 351-357
  • 17 Butler J, Albrecht N-J, Ellsässer G. et al . Migrationssensible Datenerhebung für die Gesundheitsberichterstattung des Arbeitskreises „Migration und öffentliche Gesundheit”.  Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz. 2007;  50 (10) 1437-1588
  • 18 Swart E, Ihle P (Hrsg). Routinedaten im Gesundheitswesen. Handbuch Sekundärdatenanalyse: Grundlagen, Methoden und Perspektiven. Bern; Huber 2005
  • 19 Breslow R. Quality of reviews in epidemiology.  Am J Public Health. 1998;  88 475-477
  • 20 Bracken M B. Commentary: towards systematic reviews in epidemiology.  Int J Epidemiol. 2001;  30 954-957
  • 21 Bhugra D. Migration and mental health.  Act Psychiatr Scand. 2004;  109 (4) 243-258
  • 22 Carballo M, Divino J J, Zeric D. Migration and health in the European Union.  Trop Med Int Health. 1998;  (12) 936-944
  • 23 De Leon Siantz M L. The Mexican-American migrant farm worker family. Mental health issues.  Nurs Clin North Am. 1994;  29 (1) 65-72
  • 24 Fuertes C, Martin Laso M A. The immigrant in primary care consultations.  An Sist Sanit Navar. 2006;  29 (Suppl 1) 9-25
  • 25 Garcia-Campayo J, Sanz Carrillo C. Mental health in immigrants: the new challenge.  Med Clin. 2002;  118 (5) 187-191
  • 26 Hansen E, Donohoe M. Health issues of migrant and seasonal farm workers.  J Health Care Poor Underserved. 2003;  14 (2) 153-164
  • 27 Kirkcaldy B, Wittig U, Furnham A, Merbach M, Siefen R G. Health and migration. Psychosocial determinants.  Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2006;  49 (9) 873-883
  • 28 Martinez Moneo M, Martinez Larrea A. Migration and psychiatric diseases.  Sist Sanit Navar. 2006;  29, Suppl 1 63-75
  • 29 Porter M, Haslam N. Predisplacement and postdisplacement factors associated with mental health of refugees and internally displaced persons. A Meta-analysis.  JAMA. 2005;  294 (5) 602-612
  • 30 Solorio M R, Currier J, Cunningham W. HIV health care services for Mexican migrants.  J Acquir Immune Defic Syndr. 2004;  37 (Suppl 4) 240-251
  • 31 Gorst-Unsworth C, Goldenberg E. Psychological sequelae of torture and organized violence suffered by refugees from Iraq: Trauma-related factors compared with social factors in exile.  Br J Psychiatry. 1998;  172 90-94
  • 32 Eisenman D P, Gellberg L, Liu H. et al . Mental Health and health-related quality of life among adult latino primary care patients living in the United States with previous exposure to political violence.  JAMA. 2003;  290 (5) 627-634
  • 33 Favaro A, Maioani M, Colombo G. et al . Traumatic experiences, posttraumatic stress disorder, and dissociative synmptoms in a group of refugees from former Yugslavia.  J Nerv Ment Dis. 1999;  187 306-308
  • 34 Mghir R, Freed W, Raskin A, Katon W. Depression and posttraumatic stress disorder among a community sample of adolescent and young adult Afghan refugees.  J Nerv Ment Dis. 1995;  183 24-30
  • 35 Bradley L, Tawfiq N. The physical and psychological effects of torture in Kurds seeking asylum in the United Kingdom.  Torture. 2006;  16 (1) 41-47
  • 36 Stroup D F, Berlin J A, Morton S C. et al . Meta-analysis of observational studies in epidemiology. A proposal for reporting. Meta-analysis of Observational Studies in Epidemiology (MOOSE) group.  JAMA. 2000;  283 2008-2012
  • 37 Alegria M, Mulvaney-Day N, Torres M. et al . Disentangling mental health disparities. Prevalence of psychiatric disorders across Latino subgroups in the United States.  Am J Public Health. 2007;  97 (1) 68-75
  • 38 Kessler R C, Ustun T. The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO). Composite International Diagnostic Interview (CIDI).  Int J Methods Psychiatr Res. 2004;  13 93-121
  • 39 Allden K, Poole C, Chantavanich S. et al . Burmese political dissidents in Thailand: trauma and survival among young adults in exile.  Am J Public Health. 1996;  86 (11) 1561-1569
  • 40 Mollica R F, Wyshak G, de Marneffe D. et al . Indochinese versions of the Hopkins Symptom Checklist-25: a screening instrument for the psychiatric care of refugees.  Am J Psychiatr. 1987;  144 497-500
  • 41 Mollica R F, Caspi-Yavin Y, Bollini P. et al . The Harvard Trauma Questionnaire: validating a cross-cultural instrument for measuring torture, trauma, and post traumatic stress disorder in refugees.  J Nerv Ment Dis. 1992;  180 107-111
  • 42 Bhui K, Abdi A, Abdi M. et al . Traumatic events, migration characteristics and psychiatric symptoms among Somali refugees-preliminary communication.  Soc Psychiatr Psychiatr Epidemiol. 2003;  38 (1) 35-43
  • 43 Beck A T, Ward C H, Mendelsohn M. et al . An inventory for measuring depression.  Arch Gen Psychiatr. 1961;  4 561-571
  • 44 Overall J E, Goreham D R. The brief psychiatric rating scale.  Psychol reports. 1962;  10 799-812
  • 45 Carta M G, Kovess V, Hardoy M C. et al . Psychiatric disorders in Sardinian immigrants in Paris: a comparison with Parisians and Sardinian residents in Sardinia.  Soc Psychiatr Psychiatric Epidemiol. 2002;  37 112-117
  • 46 Kovess V, Fournier L, Lesage A D. et al . Two validation studies of the CIDIS: a simplified version of the Composite International Diagnostic Interview.  Psychiatr Networks. 2001;  4 10-24
  • 47 Carta M G, Reda M A, Consul M E. et al . Depressive episodes in Sardinian emigrants to Argentina: why are females at risk.  Soc Psychiatr Psychiatr Epidemiol. 2006;  41 452-456
  • 48 Fenta H, Hyman I, Noh S. Determinants of depression among Ethiopian immigrants and refugees in Toronto.  J Nerv Ment Dis. 2004;  192 (5) 363-372
  • 49 World Health Organization .Composite International Diagnostic Interview (CIDI) (Version 2.1). Geneva; World Health Organization 1997
  • 50 Fox S H, Tang S S. The Sierra Leonean refugee experience: traumatic events and psychiatric sequelae.  J Nerv Ment Dis. 2000;  188 (8) 490-495
  • 51 Gerritsen A A, Bramsen I, Delville W. et al . Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands.  Soc Psychiatr Psychiatr Epidemiol. 2006;  41 (1) 18-26
  • 52 McHorney C A, Ware J E, Raczek A E. The MOS 36-Item Short-Form Health Survey (SF-36): Psychometric and clinical tests of validity in measuring physical and mental health constructs.  Med Care. 1993;  31 247-263
  • 53 Grant B F, Stinson F S, Hasin D S. et al . 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 (12) 1226-1233
  • 54 Grant B F, Dawson D A, Hasin D S. The alcohol use disorder and associated disabilities interview schedule-DSM-IV Version. Bethesda, Md; National Institute on Alcohol Abuse and Alcoholism 2001
  • 55 Hovey J D, Magana C G. Cognitive, affective, and physiological expressions of anxiety symptomatology among Mexican migrant farm workers. Predictors and generational differences.  Comm Mental Health. 2002;  38 (3) 223-227
  • 56 Weinert C, Brandt P A. Measuring Social Support with the Personal Resource Questionnaire.  West J Nurs Res. 1987;  9 589-602
  • 57 Messer B, Harter S. Manual: Adult Self-Perception Scale. Denver; University of Denver Press 1986
  • 58 Morey L C. Personality Assessment Inventory: Professional. Manual. Odessa; Psychological Assessment Resources 1991
  • 59 Radloff L S. The CES-D scale: A self-report depression scale for research in the general population.  Appl Psychol Meds. 1977;  1 385-401
  • 60 Kalafi Y, Haqh-Shenas H, Ostovar A. Mental health among Afghan refugees settled in Shiraz, Iran.  Psychol Rep. 2002;  90 (1) 262-266
  • 61 Karno J, Golding J M, Burnam M A. et al . Anxiety disorder among Mexican Americans and non-Hispanic Whites in Los Angeles.  Nerv Ment Dis. 1989;  77 202-209
  • 62 Goldberg D P, Allison D B. General Health Questionnaire [GHQ 28] (1972). In: Goldberg DP, Allison DB Handbook of assessment methods for eating behaviors and weight related problems: Measures, theory, and research. Thousand Oaks, CA; Sage Publ 1995: 501-504
  • 63 Burnam M A, Karno M, Hough R L. The Spanish Diagnostic Interview Schedule: reliability and comparison with clinical diagnoses.  Arch Gen Psychiatry. 1983;  40 1189-1196
  • 64 Karunakara U K, Neuner F, Schauer M. et al . Traumatic events and symptoms of posttraumatic stress disorder amongst Sudanese nationals, refugees and Ugandans in the West Nile.  Afr Health Sci. 2004;  4 (2) 83-93
  • 65 Foa E B. Posttraumatic Stress Diagnostic Scale Manual. United States of America; National Computer Systems, Inc 1995
  • 66 Khavarpour F, Rissel C. Mental health status of Iranian migrants in Sydney.  Aust N Z J Psychiatry. 1997;  31 (6) 828-834
  • 67 Laban C J, Gernaat H, Komproe I. et al . Impact of long asylum procedure on the prevalence of psychiatric disorders in Iraqui asylum seekers in the Netherlands.  J Nerv and Ment Dis. 2004;  192 (12) 843-851
  • 68 Laban C J, Gernaat H B, Komproe I CH. et al . Postmigration living problems and common psychiatric disorders in Iraqi asylum seekers in the Netherlands.  J Nerv Ment Dis. 2005;  193 (12) 825-832
  • 69 Lee Y, Lee M K, Chun K H, Yoon S J. Trauma experience of North Korean refugees in China.  Am J Prev Med. 2001;  20 (3) 225-229
  • 70 Lie B, Lakke P, Lavik N J. Traumatic events and psychological symptoms in a non-clinical refugee population in Norway.  J Refug Stud. 2001;  14 (3) 276-294
  • 71 Endicott J, Spitzer R L, Fleiss J L. et al . The Global Assessment Scale.  Arch Gen Psychiatry. 1976;  33 766-771
  • 72 Marshal G N, Schell T L, Elliot M N. et al . Mental health of Cambodian refugees 2 decades after resttlement in the United States.  JAMA. 2005;  294 (5) 571-579
  • 73 Richters J E, Saltzman W. Survey of exposure to community violence: self-report version. Rockville, Md; National Institute of mental health 1990
  • 74 Babor T F, de la Fuente J R, Saunders J. et al .The Alcohol use disorders identification test: Guidelines for use in primary health care. Geneva, Switzerland; World Health Organization 1992
  • 75 Mollica R F, Donelan K, Tor S. et al . The effect of trauma and confinement on functional health and mental health status of Cambodians living in Thailand-Cambodia border camps.  JAMA. 1993;  270 (5) 581-586
  • 76 Mollica R F, McInnes K, Poole C. et al . Dose-effect relationships of trauma to symptoms of depression and post-traumatic stress disorder among Cambodian survivors of mass violence.  Br J Psychiatr. 1998;  173 (12) 482-488
  • 77 Mollica R F, McInnes K, Sarajlic N. et al . Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia.  JAMA. 1999;  282 433-439
  • 78 Noh S, Speechley M, Kaspar V. et al . Depression in Korean immigrants in Canada. I. Method of the study and prevalence of depression.  J Nerv Ment Dis. 1992;  180 (9) 573-577
  • 79 Peltzer K. Trauma and mental health problems of Sudanese refugees in Uganda.  Cent Afr J Med. 1999;  45 (5) 110-114
  • 80 Pernice R, Brook J. Relationship of migrants' status (refugee or immigrant) to mental health.  Int J Soc Psychiatr. 1994;  40 (3) 177-188
  • 81 Roth G, Ekblad S, Agren H. A longitudinal study of PTSD in a sample of adult mass-evacuated Kosovars, some of whom returned to their home country.  Europ Psychiatry. 2006;  21 (3) 152-159
  • 82 Sabin M, Lopez Cardozo B, Nackerud L. et al . Factors associated with poor mental health among Guateman refugees living in Mexico 20 years after civil conflict.  JAMA. 2003;  290 (5) 635-642
  • 83 Schweitzer R, Melville F, Steel Z. et al . Trauma, post-migration living difficulties, and social support as predictors of psychological adjustment in resettled Sudanese refugees.  Aust N Z J Psychiatry.. 2006;  40 (2) 179-187
  • 84 Silove D, Sinnerbrink I, Field A, Manicavasagar V, Steel Z. Anxiety, depression and PTSD in asylumseekers: assocations with pre-migration trauma and post-migration stressors.  Br J Psychiatry. 1997;  170 351-357
  • 85 Steel Z, Silove D, Tuong P. et al . Long-term effect of psychological trauma on the mental health of Vietnames refugees resettled in Australia: a population-based study.  Lancet. 2002;  360 (9339) 1056-1062
  • 86 Steel Z, Silove D, Chey T. et al . Mental disorders, disability and health service use amongst Vietnamese refugees and the host Australian population.  Acta Psychiatr Scand. 2005;  111 (4) 300-309
  • 87 Phan T, Steel Z, Silove D. An ethnographically derived measure of anxiety, depression and somatization: the Phan Vietnamese Psychiatric Scale..  Transcultural Psychiatry. 2004;  41 (2) 200-232
  • 88 Sundquist K, Johansson L M, DeMarinis V. et al . Posttraumatic stress disorder and psychiatric co-morbidity: symptoms in a random sample of female Bosnian refugees.  Euro Psychiatry. 2005;  20 (2) 158-164
  • 89 Raphael B, Lundin T, Weisaeth L. et al . A research method for the study of psychological and psychiatric aspects of disaster.  Acta Psychiatr Scand, Suppl. 1989;  353 1-75
  • 90 Tang S S, Fox S H. Traumatic experiences and the mental health impact of Senegalese refugees.  J Nerv Ment Dis. 2001;  189 (8) 507-512
  • 91 Takeuchi D, Chung R, Lin K. Lifetime and twelve month prevalence rates of major depressive episodes and dysthymia among Chinese Americans in Los Angeles.  Am J Psychiatry. 1998;  155 (10) 1407-1414
  • 92 Turner S W, Bowie C, Dunn G. et al . Mental health of Kosovan Albanian refugees in the UK.  Br J Psychiatry. 2003;  182 444-448
  • 93 Macksoud M S. Assessing war trauma in children: a case study of Lebanese children.  Journ Refug Stud. 1992;  5 1-15
  • 94 Beck A T. Beck Anxiety Inventory. New York; Psychological cooperation 1987
  • 95 Weathers F W, Keane T M, Davidson J RT. Clinician-Administered PTSD Scale: a review of the first ten years of research.  Depression and Anxiety. 2001;  156 132-156
  • 96 Foa E B, Cashman L, Jaycox L H. et al . The validation of a self-report measure of posttraumatic stress disorder: the posttraumatic diagnostic scale.  Psychol Assess. 1997;  9 445-451
  • 97 Van Ommeren M, de Jong J T, Sharma B. et al . Psychiatric disorders among Bhutanese refugees in Nepal.  Arch Gen Psychiatr. 2001;  58 (5) 475-482
  • 98 Vega W A, Kolody B, Aguilar G S, Alderete E. et al . Lifetime prevalence of DSM-III-R psychiatric disorders among urban and rural Mexican-Americans in California.  Arch Gen Psychiatry. 1998;  55 771-778
  • 99 Williams D R, Haile R, Gonzalez H M. et al . Disentangling mental health of black Caribbean immigrants. Results from the national survey of American life.  Am J Public Health. 2007;  97 (1) 52-59
  • 100 Levy P S, Lemeshow S. Sampling of populations: methods and applications. New York; John Wiley & Sons Inc 2003
  • 101 Kirmayer L J. Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment.  J Clin Psychiatry. 2001;  62, Suppl 13 22-28
  • 102 Ballenger J C, Davidson J R, Lecrubier Y. et al . Consensus statement on transcultural issues in depression and anxiety from the International Consensus Group on depression and anxiety.  J Clin Psychiatry. 2001;  62 (Suppl 13) 47-55
  • 103 Brislin R W. Understanding culture's influence on bahvior (2nd ed.) Fort Worth, TX; Harcourt 2000
  • 104 Rogler L H. Impelemnting cultural sensitivity in mental health research: Convergence and new directions. Part I: I. Contenet validity in the development of instuments from concepts. II. Translation of instruments.  Psychline. 1999;  3 (1) 5-11
  • 105 Eytan A. Depressive disorders in a globalizing world: issues for psychiatry diagnoses.  Rev Med Suisse. 2007;  3 (125) 2096-2098
  • 106 Kirmayer L J. Culture, context and experience in psychiatric diagnosis.  Psychopathology. 2005;  38 (4) 192-196
  • 107 Kirmayer L J, Groleau D. Affective disorders in cultural context.  Psychiatr Clin North Am. 2001;  24 (3) 465-478
  • 108 Kirmayer L J. Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment.  J Clin Psychiatry. 2001;  62, Suppl 13 22-28
  • 109 Kirmayer L J. Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment.  J Clin Psychiatry. 2001;  62 (Suppl 13) 22-28
  • 110 De Jong J T, Komproe I H, Spinazzola J. et al . DESNOS in three postconflict settings: assessing cross-cultural construct equivalence.  J Trauma Stress. 2005;  18 (1) 13-21
  • 111 Eytan A, Durieux-Paillard S, Whitaker-Clinch B. et al . Transcultural validity of a structured diagnostic interview to screen for major depression and posttraumatic stress disorder among refugees.  J Nerv Ment Dis. 2007;  195 (9) 723-728
  • 112 Ritsher J B, Struering E L, Hellmann F. Internal validity of an anxiety disorder screening instrument across five ethnic groups.  Psychiatr Res. 2002;  111 (3) 199-213
  • 113 Lepine J P. Epidemiology, burden, and disability in depression and anxiety.  J Clin Psychiatry. 2001;  62 (Suppl 13) 4-10
  • 114 Ventevogel P, De Vries G, Scholte W F. et al . Properties of the Hopkins Symptom Checklist-25 (HSCL-25) and the Self-Reporting Questionnaire (SRQ-20) as screening instruments used in primary care in Afghanistan.  Soc Psychiatry Psychiatr Epidemiol. 2007;  42 (4) 328-335
  • 115 Suzuki L A, Ponterotto J G (eds). Handbook of multicultural assessment. Clinical, psychological, and educational applications. 3rd ed. John Wiley & Sons 2008
  • 116 Hollifield M, Warner T D, Lian N. et al . Measuring trauma and health status in refugees. A critical review.  JAMA. 2002;  288 (5) 611-621

1 Alle Daten zu Migranten sind aus der Publikation „Global Estimates” der Vereinten Nationen [1].

Prof. Dr. Jutta Lindert

Evangelische Fachhochschule Ludwigsburg, Abteilung für Public Health

Auf der Karlshöhe 2

76138 Ludwigsburg

Email: j.lindert@efh-ludwigsburg.de