BACKGROUND: From a clinical point of view there seems to be a link between prolonged asylum-seeking procedures and psychiatric disorders. However, very few research data are available on this topic. AIM: To measure and compare the prevalence of psychiatric disorders among Iraqi asylum seekers who have lived in the Netherlands for varying periods of time. METHOD: In a national community-based study involving random sampling we compared two groups of Iraqi asylum-seekers, one group having resided in the Netherlands for less that six months (n=143] and the other having been resident for more that two years (n=151). Psychiatric disorders (according to the DSM IV) were measured with the Composite International Diagnostic Interview 2.1 and evaluated in relation to pre- and post-migration factors. RESULTS: The overall prevalence of psychiatric disorders was 42.0% in the first group and 66.2% in the second group. The prevalence rates for anxiety, depression and somatoform disorders were significantly higher in the second group. The level of posttraumatic stress disorder was high in both groups but did not differ. When logistic regression was applied to all relevant risk factors a prolonged asylum procedure was found to be an indepent risk factor for psychopathology. CONCLUSION: The duration of an asylum procedure is an important risk factor for psychiatric problems. Politicians and mental health workers need to pay attention to this finding.

psychiatric disorder Asylum seekers Iraq Stressful events Refugee

Netherlands mental health service logistic regression analysis randomization community care human Iraq Aged diagnostic and statistical manual of mental disorders statistical significance mental disease male female risk factor prevalence Article prison major clinical study adult posttraumatic stress disorder politics clinical medicine