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Published on: March 8, 2018
Immigrants and refugees: the psychiatric perspective
1Oregon Health & Science University, Department of Psychiatry, Intercultural Psychiatric Program, Portland, OR 97239-3089, USA. kinziej@ohsu.edu
Mental illness rates in immigrants vary, often lower in similar cultures but higher amid dissimilarities and trauma. Culturally sensitive support services for migrants are insufficient.
Area of Science:
- Psychiatry
- Sociology
- Migration Studies
Background:
- Psychiatric studies on immigrant mental illness present conflicting results.
- Prevalence rates differ based on socio-cultural similarities between countries of origin and destination.
Purpose of the Study:
- To analyze the factors influencing mental illness rates among immigrant populations.
- To highlight the mental health challenges faced by refugees and asylum seekers.
Main Methods:
- Review of existing psychiatric and sociological research on immigrant mental health.
- Analysis of prevalence data concerning schizophrenia and other mental disorders in immigrant groups.
Main Results:
- Lower mental illness rates observed when sending and receiving countries are socio-culturally similar.
- Higher rates found in dissimilar contexts, linked to social challenges.
- Refugees and asylum seekers face significant trauma and distress, increasing risk for PTSD and chronic impairment.
Conclusions:
- Socio-cultural similarity is a protective factor against mental illness in immigrants.
- Trauma and precarious legal status exacerbate mental health issues for vulnerable migrant groups.
- Inadequate provision of culturally sensitive mental health services for migrants is a critical issue.
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