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Psychological Distress Through Immigration: the Two-Phase Temporal Pattern?

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  • Michael Ritsner

    (Department of Psychiatry, Hebrew University, Hadassah Medical School, Jerusalem, Israel)

  • Alexander Ponizovsky

    (Institute for Psychiatric Research, Sh'ar Menashe Mental Health Center, Mobile Post Hefer 38814, Israel)

Abstract

A large community sample, cross-sectional and in part longitudinal design, and comparison groups was used to determine the timing of psychological distress among immigrants. A total of 2,378 adult immigrants from the former Soviet Union to Israel completed the self-administered questionnaire Talbieh Brief Distress Inventory. The aggregate levels of distress and six psychological symptoms- obsessiveness, hostility, interpersonal sensitivity, depression, anxiety, and paranoid ideation - were compared at 20 intervals covering 1 to 60 months after resettlement. The level of psychological distress was significantly higher in the immigrants than that of Israeli natives but not in the potential immigrant controls. A two-phase temporal pattern of development of psychological distress was revealed consisting of escalation and reduction phases. The escalation phase was characterized by an increase in distress levels until the 27th month after arrival (a peak) and the reduction phase led to a decline returning to normal levels. The 1-month prevalence rate was 15.6% for the total sample, and for highly distressed subjects it reached 24% at the 27th month after arrival, and it declined to 4% at the 44th month. The time pattern of distress shared males and females, married and divorced/widowed (but not singles), as well as subjects of all age groups (except for immigrants in their forties). The two-phase pattern of distress obtained according to cross-sectional data was indirectly confirmed through a longitudinal way. Claims of early euphoric or distress-free period followed by mental health crisis frequently referred to in the literature on migration was not supported by this study.

Suggested Citation

  • Michael Ritsner & Alexander Ponizovsky, 1999. "Psychological Distress Through Immigration: the Two-Phase Temporal Pattern?," International Journal of Social Psychiatry, , vol. 45(2), pages 125-139, June.
  • Handle: RePEc:sae:socpsy:v:45:y:1999:i:2:p:125-139
    DOI: 10.1177/002076409904500205
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    References listed on IDEAS

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    1. Libuse Tyhurst, 1982. "Coping With Refugees a Canadian Experience: 1948 - 1981," International Journal of Social Psychiatry, , vol. 28(2), pages 105-109, June.
    2. Westermeyer, Joseph & Neider, John & Vang, Tou Fu, 1984. "Acculturation and mental health: A study of Hmong refugees at 1.5 and 3.5 years postmigration," Social Science & Medicine, Elsevier, vol. 18(1), pages 87-93, January.
    3. Robert Kohn & Joseph A. Flaherty & Itzhak Levav, 1989. "Somatic Symptoms Among Older Soviet Immigrants: an Exploratory Study," International Journal of Social Psychiatry, , vol. 35(4), pages 350-360, December.
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    1. Devaraj, Srikant & Patel, Pankaj C., 2021. "Change in psychological distress in response to changes in reduced mobility during the early 2020 COVID-19 pandemic: Evidence of modest effects from the U.S," Social Science & Medicine, Elsevier, vol. 270(C).
    2. Amelie F. Constant & Teresa García-Muñoz & Shoshana Neuman & Tzahi Neuman, 2018. "A “healthy immigrant effect” or a “sick immigrant effect”? Selection and policies matter," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(1), pages 103-121, January.
    3. Antonios Paraschakis & Ioannis Michopoulos & Christos Christodoulou & Filippos Koutsaftis & Lefteris Lykouras & Athanassios Douzenis, 2014. "Characteristics of immigrant suicide completers in a sample of suicide victims from Greece," International Journal of Social Psychiatry, , vol. 60(5), pages 462-467, August.

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