Background: Disaster research suggests that immigrant groups who are affected by a disaster receive less emotional support than their native counterparts. However, it is unclear to what extent these differences can be attributed to post-disaster mental health problems or whether they were present before the event. Aims: To examine the association between lack of social support, immigration status and victim status, as well as differences in support between immigrants and Dutch natives with disaster-related post-traumatic stress disorder (PTSD). Method: Social support and psychological distress were assessed among immigrants and Dutch natives, among affected and non-affected individuals 4 years post disaster. Post-traumatic stress disorder was examined in the affected groups. Results: Affected immigrants more often lacked various kinds of perceived social support compared with affected Dutch natives. Remarkably, we found no differences in support between affected immigrants and non-affected immigrants. Immigrants with PTSD differ on only two out of six aspects of support from the Dutch natives with PTSD. Conclusions: Results clearly indicate that differences in support between immigrants and Dutch natives are not so much a consequence of the disaster but were largely present before the disaster. © 2011 The Royal College of Psychiatrists.

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Netherlands immigrant Emotions human middle aged controlled study comparative study social support disaster Young Adult Humans Adolescent Minority Groups male Emigrants and Immigrants female Psychiatric Status Rating Scales Disasters Article Questionnaires adult major clinical study posttraumatic stress disorder distress syndrome Stress Disorders, Post-Traumatic Analysis of Variance Mass Casualty Incidents