General Hospital Psychiatry
Volume 38, 2016, Pages 26-30

The association of acculturation and depressive and anxiety symptoms in immigrant chronic dialysis patients (Article)

Haverkamp G.L.G.* , Loosman W.L. , van den Beukel T.O. , Hoekstra T. , Dekker F.W. , Chandie Shaw P.K. , Smets Y.F.C. , Vleming L.-J. , Ter Wee P.M. , Honig A. , Siegert C.E.H.
  • a Department of Nephrology, Sint Lucas Andreas Hospital, Amsterdam, Netherlands, Department of Psychiatry, Sint Lucas Andreas Hospital, Amsterdam, Netherlands
  • b Department of Nephrology, Sint Lucas Andreas Hospital, Amsterdam, Netherlands, Department of Psychiatry, Sint Lucas Andreas Hospital, Amsterdam, Netherlands
  • c Department of Internal Medicine, Amstelland Hospital, Amstelveen, Netherlands
  • d Department of Clinical Epidemiology, Leiden University Medical Centre, Leiden, Netherlands
  • e Department of Clinical Epidemiology, Leiden University Medical Centre, Leiden, Netherlands
  • f Department of Nephrology, Medical Center Haaglanden, The Hague, Netherlands
  • g Department of Nephrology, Onze Lieve Vrouwe Gasthuis, Amsterdam, Netherlands
  • h Department of Nephrology, Haga Hospital, The Hague, Netherlands
  • i Department of Nephrology, VU University Medical Center, Amsterdam, Netherlands
  • j Department of Psychiatry, Sint Lucas Andreas Hospital, Amsterdam, Netherlands
  • k Department of Nephrology, Sint Lucas Andreas Hospital, Amsterdam, Netherlands

Abstract

Objective: Among immigrant chronic dialysis patients, depressive and anxiety symptoms are common. We aimed to examine the association of acculturation, i.e. the adaptation of immigrants to a new cultural context, and depressive and anxiety symptoms in immigrant chronic dialysis patients. Methods: The DIVERS study is a prospective cohort study in five urban dialysis centers in the Netherlands. The association of five aspects of acculturation ("Skills", "Social integration", "Traditions", "Values and norms" and "Loss") and the presence of depressive and anxiety symptoms was determined using linear regression analyses, both univariate and multivariate. Results: A total of 249 immigrant chronic dialysis patients were included in the study. The overall prevalence of depressive and anxiety symptoms was 51% and 47%, respectively. "Skills" and "Loss" were significantly associated with the presence of depressive and anxiety symptoms, respectively ("Skills" β=0.34, CI: 0.11-0.58, and "Loss" β=0.19, CI: 0.01-0.37; "Skills" β=0.49, CI: 0.25-0.73, and "Loss" β=0.33, CI: 0.13-0.53). The associations were comparable after adjustment. No significant associations were found between the other subscales and depressive and anxiety symptoms. Conclusion: This study demonstrates that less skills for living in the Dutch society and more feelings of loss are associated with the presence of both depressive and anxiety symptoms in immigrant chronic dialysis patients. © 2016.

Author Keywords

Acculturation Anxiety symptoms Immigrant chronic dialysis patients Depressive symptoms

Index Keywords

anxiety urban population Netherlands prospective study depression immigrant social psychology Africa south of the Sahara anxiety disorder Europe Prospective Studies human hemodialysis patient middle aged Asia Cohort Studies statistics and numerical data Aged sensitivity analysis ethnology Humans migrant psychology male Emigrants and Immigrants Acculturation South America hemodialysis female Multivariate Analysis Renal Dialysis Africa cultural factor linear regression analysis prevalence Caribbean Region Caribbean Article integration major clinical study adult Kidney Failure, Chronic Africa, Northern cohort analysis Linear Models statistical model skill disease association
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84951768245&doi=10.1016%2fj.genhosppsych.2015.09.002&partnerID=40&md5=83fd36aed27820cd64f431e43547d635
DOI: 10.1016/j.genhosppsych.2015.09.002
ISSN: 01638343
Cited by: 2
Original Language: English