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Published on: November 30, 2015
Time for healing: somatization among chronically mentally ill immigrants
Paulo R Shiroma1, Renato D Alarcon
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA. shiroma.paulo@mayo.edu
Somatic complaints in chronically mentally ill immigrants are linked to being female, Russian ethnicity, and shorter U.S. residence. Length of stay, not acculturation level, primarily influences these symptoms, varying by ethnicity.
Area of Science:
- Psychiatry
- Sociology
- Immigration Health
Background:
- Mental health disparities among immigrant populations.
- The role of somatization in chronic mental illness.
- Acculturation as a factor in immigrant health outcomes.
Purpose of the Study:
- To investigate demographic factors and acculturation's impact on somatization.
- To compare somatization levels between Russian and Latino immigrant groups.
- To identify predictors of somatic symptoms in mentally ill immigrants.
Main Methods:
- Cross-sectional study design.
- Inclusion of 180 chronically mentally ill immigrants (90 Russian, 90 Latino).
- Assessment using the SCL-90-R somatization subscale and a short acculturation scale.
Main Results:
- Higher somatization associated with female gender, Russian ethnicity, higher education, shorter U.S. residence, and lower acculturation.
- Ethnicity modified the effect of U.S. residence on somatization.
- Multivariate analysis indicated female gender, Russian ethnicity, and shorter U.S. residence as significant predictors.
Conclusions:
- Length of stay in the host country, rather than acculturation level, influences somatic complaints.
- Ethnic background plays a crucial role in modifying the relationship between residence duration and somatization.
- Findings highlight the need for culturally sensitive mental healthcare for immigrant populations.
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