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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Corrado Barbui - , University of Verona (Author)
  • Federico Tedeschi - , University of Verona (Author)
  • Ceren Acarturk - , Koc University (Author)
  • Minna Anttila - , University of Turku (Author)
  • Teresa Au - , World Health Organization (Author)
  • Josef Baumgartner - , Medical University of Vienna (Author)
  • Ken Carswell - , World Health Organization (Author)
  • Rachel Churchill - , University of York (Author)
  • Pim Cuijpers - , Vrije Universiteit Amsterdam (VU), Babes-Bolyai University (Author)
  • Eirini Karyotaki - , Vrije Universiteit Amsterdam (VU) (Author)
  • Thomas Klein - , Ulm University (Author)
  • Markus Koesters - , Ulm University (Author)
  • Tella Lantta - , University of Turku (Author)
  • Michela Nosè - , University of Verona (Author)
  • Giovanni Ostuzzi - , University of Verona (Author)
  • Massimo Pasquini - , University of Rome La Sapienza (Author)
  • Eleonora Prina - , University of Verona (Author)
  • Marit Sijbrandij - , Vrije Universiteit Amsterdam (VU) (Author)
  • Lorenzo Tarsitani - , University of Rome La Sapienza (Author)
  • Giulia Turrini - , University of Verona (Author)
  • Ersin Uygun - , Istanbul Bilgi University (Author)
  • Maritta Välimäki - , University of Turku, Central South University (Author)
  • Lauren Walker - , University of York (Author)
  • Johannes Wancata - , Medical University of Vienna (Author)
  • Ross G. White - , Queen's University Belfast (Author)
  • Marianna Purgato - , University of Verona (Author)

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.

Details

Original languageEnglish
Pages (from-to)664-674
Number of pages11
JournalInternational Journal of Social Psychiatry
Volume69
Issue number3
Publication statusPublished - May 2023
Peer-reviewedYes
Externally publishedYes

External IDs

PubMed 36326024
ORCID /0000-0001-7018-6021/work/168207886

Keywords

ASJC Scopus subject areas

Keywords

  • Asylum seekers, high-income countries, low-income countries, mental disorders, mental health, migrants, refugees