IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v69y2023i3p664-674.html
   My bibliography  Save this article

Risk factors for mental disorder development in asylum seekers and refugees resettled in Western Europe and Turkey: Participant-level analysis of two large prevention studies

Author

Listed:
  • Corrado Barbui
  • Federico Tedeschi
  • Ceren Acarturk
  • Minna Anttila
  • Teresa Au
  • Josef Baumgartner
  • Ken Carswell
  • Rachel Churchill
  • Pim Cuijpers
  • Eirini Karyotaki
  • Thomas Klein
  • Markus Koesters
  • Tella Lantta
  • Michela Nosè
  • Giovanni Ostuzzi
  • Massimo Pasquini
  • Eleonora Prina
  • Marit Sijbrandij
  • Lorenzo Tarsitani
  • Giulia Turrini
  • Ersin Uygun
  • Maritta Välimäki
  • Lauren Walker
  • Johannes Wancata
  • Ross G. White
  • Marianna Purgato

Abstract

Background: In asylum seekers and refugees, the frequency of mental disorders, such as depression, anxiety and post-traumatic stress disorder, is higher than the general population, but there is a lack of data on risk factors for the development of mental disorders in this population. Aim: This study investigated the risk factors for mental disorder development in a large group of asylum seekers and refugees resettled in high- and middle-income settings. Methods: Participant-level data from two randomized prevention studies involving asylum seekers and refugees resettled in Western European countries and in Turkey were pooled. The two studies randomized participants with psychological distress, but without a diagnosis of mental disorder, to the Self-Help Plus psychological intervention or enhanced care as usual. At baseline, exposure to potentially traumatic events was measured using the Harvard Trauma Questionnaire-part I, while psychological distress and depressive symptoms were assessed with the General Health Questionnaire and the Patient Health Questionnaire. After 3 and 6 months of follow-up, the proportion of participants who developed a mental disorder was calculated using the Mini International Neuropsychiatric Interview. Results: A total of 1,101 participants were included in the analysis. At 3- and 6-month follow-up the observed frequency of mental disorders was 13.51% (115/851) and 24.30% (207/852), respectively, while the frequency estimates after missing data imputation were 13.95% and 23.78%, respectively. After controlling for confounders, logistic regression analysis showed that participants with a lower education level ( p  = .034), a shorter duration of journey ( p  = .057) and arriving from countries with war-related contexts ( p  = .017), were more at risk of developing mental disorders. Psychological distress ( p  = .004), depression ( p  = .001) and exposure to potentially traumatic events ( p  = .020) were predictors of mental disorder development. Conclusions: This study identified several risk factors for the development of mental disorders in asylum seekers and refugees, some of which may be the target of risk reduction policies. The identification of asylum seekers and refugees at increased risk of mental disorders should guide the implementation of focused preventative psychological interventions.

Suggested Citation

  • Corrado Barbui & Federico Tedeschi & Ceren Acarturk & Minna Anttila & Teresa Au & Josef Baumgartner & Ken Carswell & Rachel Churchill & Pim Cuijpers & Eirini Karyotaki & Thomas Klein & Markus Koesters, 2023. "Risk factors for mental disorder development in asylum seekers and refugees resettled in Western Europe and Turkey: Participant-level analysis of two large prevention studies," International Journal of Social Psychiatry, , vol. 69(3), pages 664-674, May.
    • Handle: RePEc:sae:socpsy:v:69:y:2023:i:3:p:664-674
    DOI: 10.1177/00207640221132430
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/00207640221132430
    Download Restriction: no
    File URL: https://libkey.io/10.1177/00207640221132430?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Patrick Royston, 2005. "Multiple imputation of missing values: update," Stata Journal, StataCorp LP, vol. 5(2), pages 188-201, June.
    2. Patrick Royston, 2005. "Multiple imputation of missing values: Update of ice," Stata Journal, StataCorp LP, vol. 5(4), pages 527-536, December.
    3. Patrick Royston, 2005. "MICE for multiple imputation of missing values," United Kingdom Stata Users' Group Meetings 2005 02, Stata Users Group.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lee, Chioun & Ryff, Carol D., 2016. "Early parenthood as a link between childhood disadvantage and adult heart problems: A gender-based approach," Social Science & Medicine, Elsevier, vol. 171(C), pages 58-66.
    2. Denney, Justin T. & Brewer, Mackenzie & Kimbro, Rachel Tolbert, 2020. "Food insecurity in households with young children: A test of contextual congruence," Social Science & Medicine, Elsevier, vol. 263(C).
    3. Gerko Vink & Laurence E. Frank & Jeroen Pannekoek & Stef Buuren, 2014. "Predictive mean matching imputation of semicontinuous variables," Statistica Neerlandica, Netherlands Society for Statistics and Operations Research, vol. 68(1), pages 61-90, February.
    4. Watkins, Adam M. & Melde, Chris, 2018. "Gangs, gender, and involvement in crime, victimization, and exposure to violence," Journal of Criminal Justice, Elsevier, vol. 57(C), pages 11-25.
    5. Jason R. D. Rarick & Carly Tubbs Dolan & Wen‐Jui Han & Jun Wen, 2018. "Relations Between Socioeconomic Status, Subjective Social Status, and Health in Shanghai, China," Social Science Quarterly, Southwestern Social Science Association, vol. 99(1), pages 390-405, March.
    6. David W Lawson & Arijeta Makoli & Anna Goodman, 2013. "Sibling Configuration Predicts Individual and Descendant Socioeconomic Success in a Modern Post-Industrial Society," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-9, September.
    7. Brewer, Mackenzie & Kimbro, Rachel Tolbert, 2014. "Neighborhood context and immigrant children's physical activity," Social Science & Medicine, Elsevier, vol. 116(C), pages 1-9.
    8. Lee, RaeHyuck & Brooks-Gunn, Jeanne & Han, Wen-Jui & Waldfogel, Jane & Zhai, Fuhua, 2014. "Is participation in Head Start associated with less maternal spanking for boys and girls?," Children and Youth Services Review, Elsevier, vol. 46(C), pages 55-63.
    9. Lombardi, Caitlin McPherran, 2021. "Family income and mothers’ parenting quality: Within-family associations from infancy to late childhood," Children and Youth Services Review, Elsevier, vol. 120(C).
    10. Minda Tan & Shuiyun Liu, 2023. "A Way of Human Capital Accumulation: Heterogeneous Impact of Shadow Education on Students’ Academic Performance in China," SAGE Open, , vol. 13(4), pages 21582440231, November.
    11. Emma Zang & Anthony R. Bardo, 2019. "Objective and Subjective Socioeconomic Status, Their Discrepancy, and Health: Evidence from East Asia," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 143(2), pages 765-794, June.
    12. Álvaro Choi & María Gil & Mauro Mediavilla & Javier Valbuena, 2016. "Double toil and trouble: grade retention and academic performance," Working Papers 2016/7, Institut d'Economia de Barcelona (IEB).
    13. Shaun R. Seaman & Ian R. White & Andrew J. Copas & Leah Li, 2012. "Combining Multiple Imputation and Inverse-Probability Weighting," Biometrics, The International Biometric Society, vol. 68(1), pages 129-137, March.
    14. Schwartz, Joseph A. & Beaver, Kevin M., 2014. "A biosocial analysis of the sources of missing data in criminological research," Journal of Criminal Justice, Elsevier, vol. 42(6), pages 452-461.
    15. Richard Grieve & John Cairns & Simon G. Thompson, 2010. "Improving costing methods in multicentre economic evaluation: the use of multiple imputation for unit costs," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 939-954, August.
    16. repec:pri:crcwel:wp07-03-ff is not listed on IDEAS
    17. Michelle L. Frisco & Susana Quiros & Jennifer Hook, 2016. "One Size May Not Fit All: How Obesity Among Mexican-Origin Youth Varies by Generation, Gender, and Age," Demography, Springer;Population Association of America (PAA), vol. 53(6), pages 2031-2043, December.
    18. Petrit Gashi & Iraj Hashi & Geoff Pugh, 2014. "Export behaviour of SMEs in transition countries," Small Business Economics, Springer, vol. 42(2), pages 407-435, February.
    19. Michael King & Louise Marston & Igor Švab & Heidi-Ingrid Maaroos & Mirjam I Geerlings & Miguel Xavier & Vicente Benjamin & Francisco Torres-Gonzalez & Juan Angel Bellon-Saameno & Danica Rotar & Anu Al, 2011. "Development and Validation of a Risk Model for Prediction of Hazardous Alcohol Consumption in General Practice Attendees: The PredictAL Study," PLOS ONE, Public Library of Science, vol. 6(8), pages 1-10, August.
    20. Anna R. Haskins, 2017. "Paternal Incarceration and Children’s Schooling Contexts: Intersecting Inequalities of Educational Opportunity," The ANNALS of the American Academy of Political and Social Science, , vol. 674(1), pages 134-162, November.
    21. Simon Grund & Oliver Lüdtke & Alexander Robitzsch, 2023. "Handling Missing Data in Cross-Classified Multilevel Analyses: An Evaluation of Different Multiple Imputation Approaches," Journal of Educational and Behavioral Statistics, , vol. 48(4), pages 454-489, August.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:69:y:2023:i:3:p:664-674. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.