BMC Psychiatry
Volume 17, Issue 1, 2017

Acculturation and other risk factors of depressive disorders in individuals with Turkish migration backgrounds (Article) (Open Access)

Janssen-Kallenberg H. , Schulz H. , Kluge U. , Strehle J. , Wittchen H.-U. , Wolfradt U. , Koch-Gromus U. , Heinz A. , Mösko M. , Dingoyan D.*
  • a University Medical Centre Hamburg-Eppendorf, Department of Medical Psychology, Study group on Psychosocial Migration Research, Martinistraße 52, Building W(est)26, Hamburg, 20246, Germany
  • b University Medical Centre Hamburg-Eppendorf, Department of Medical Psychology, Study group on Psychosocial Migration Research, Martinistraße 52, Building W(est)26, Hamburg, 20246, Germany
  • c Charité - Universitätsmedizin Berlin, Department of Psychiatry and Psychotherapy, Charitépl. 1, Berlin, 10117, Germany, Berlin Institute for Integration and Migration Research, Department Migration, Mental and Physical Health and Health Promotion, Faculty of Humanities and Social Sciences, Humboldt University Berlin, Unter den Linden 6, Berlin, 10099, Germany
  • d Technische Universität Dresden, Institute of Clinical Psychology and Psychotherapy, Chemnitzer Straße 46, Dresden, 01187, Germany
  • e Technische Universität Dresden, Institute of Clinical Psychology and Psychotherapy, Chemnitzer Straße 46, Dresden, 01187, Germany
  • f Martin Luther University Halle-Wittenberg, Institute of Psychology, Emil-Abderhalden-Str. 26-27, Halle (Saale), 06108, Germany
  • g University Medical Centre Hamburg-Eppendorf, Department of Medical Psychology, Study group on Psychosocial Migration Research, Martinistraße 52, Building W(est)26, Hamburg, 20246, Germany
  • h Charité - Universitätsmedizin Berlin, Department of Psychiatry and Psychotherapy, Charitépl. 1, Berlin, 10117, Germany
  • i University Medical Centre Hamburg-Eppendorf, Department of Medical Psychology, Study group on Psychosocial Migration Research, Martinistraße 52, Building W(est)26, Hamburg, 20246, Germany
  • j University Medical Centre Hamburg-Eppendorf, Department of Medical Psychology, Study group on Psychosocial Migration Research, Martinistraße 52, Building W(est)26, Hamburg, 20246, Germany

Abstract

Background: Acculturation is a long-term, multi-dimensional process occurring when subjects of different cultures stay in continuous contact. Previous studies have suggested that elevated rates of depression among different migrant groups might be due to patterns of acculturation and migration related risk factors. This paper focused on prevalence rates of depressive disorders and related risk factors among individuals with Turkish migration backgrounds. Methods: A population-based sample of 662 individuals with Turkish migration backgrounds were interviewed by bilingual interviewers using a standardised diagnostic interview for DSM-IV-TR and ICD-10 diagnoses (CIDI DIA-X Version 2.8). Associations between 12-month prevalence rates of depressive disorders with potential risk factors were assessed, including gender, age, socioeconomic status, acculturation status and migration status. Results: 12-month prevalence rates of any depressive disorder were 29.0%, 14.4% of major depressive disorder (MDD) and 14.7% of dysthymia. Older age and low socioeconomic status were most consistently related to higher risks of depressive disorders. Acculturation status showed associations with subtypes of depressive disorder. Associations differed between men and women. Symptom severity of MDD was linked to gender, with females being more affected by severe symptoms. Conclusion: The prevalence of depressive disorders is high in individuals with Turkish migration backgrounds, which can be partly explained by older age, low socioeconomic status and acculturation pressures. Only a limited number of risk factors were assessed. Acculturation in particular is a complex process which might not be sufficiently represented by the applied measures. Further risk factors have to be identified in representative samples of this migrant group. © 2017 The Author(s).

Author Keywords

Migration risk factors Depression Turkish Acculturation Prevalence

Index Keywords

Germany depression mental health human epidemiology sex difference middle aged risk assessment statistics and numerical data International Classification of Diseases controlled study Aged Depressive Disorder dysthymia ethnology DSM-IV-TR epidemiological data social status Humans psychology Adolescent male Acculturation preschool child female risk factor Risk Factors Child, Preschool cultural factor prevalence Article major clinical study adult migration Turkey age distribution disease severity Transients and Migrants ICD-10 social class Turkish citizen attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85027183959&doi=10.1186%2fs12888-017-1430-z&partnerID=40&md5=26f0083ed5e14437115c688998dbc8f6
DOI: 10.1186/s12888-017-1430-z
ISSN: 1471244X
Cited by: 7
Original Language: English