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Acculturation and other risk factors of depressive disorders in individuals with Turkish migration backgrounds

机译:具有土耳其移民背景的人的抑郁症的适应能力和其他危险因素

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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.
机译:背景文化适应是一个长期的多维过程,当不同文化背景的受试者保持持续接触时就会发生。先前的研究表明,不同移民群体之间抑郁症的患病率升高可能是由于文化适应和移民相关风险因素的模式所致。本文着重于土耳其移民背景下的抑郁症患病率和相关危险因素。方法双语访问者使用基于DSM-IV-TR和ICD-10诊断的标准化诊断访问(CIDI DIA-X版本2.8),以人群为基础的662名具有土耳其移民背景的人进行了访问。评估了抑郁症的12个月患病率与潜在危险因素之间的关联,包括性别,年龄,社会经济状况,适应程度和迁徙状况。结果抑郁症的12个月患病率分别为29.0%,重度抑郁症(MDD)的14.4%和心律失常的14.7%。年龄较大和社会经济地位低下与抑郁症风险较高最一致。适应状态显示与抑郁症亚型相关。男女之间的联系有所不同。 MDD的症状严重程度与性别有关,女性受严重症状影响更大。结论土耳其移民背景下的抑郁症患病率较高,这在一定程度上可以归因于年龄较大,社会经济地位低下和适应压力大。仅评估了有限数量的风险因素。特别是文化适应是一个复杂的过程,可能无法通过所应用的措施充分体现出来。在该移民群体的代表性样本中还必须确定其他风险因素。

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