Leavey Gerard, Rozmovits Linda, Ryan Louise, King Michael
Barnet, Enfield & Haringey Mental Health NHS Trust, St. Ann's Hospital, St. Ann's Road, London, UK; Department of Mental Health Sciences, University College London, UK.
Soc Sci Med. 2007 Jul;65(2):231-44. doi: 10.1016/j.socscimed.2007.03.022. Epub 2007 Apr 19.
Irish geographical and cultural propinquity to the UK might be considered as an advantage to migrants. However, research over 40 years shows Irish migrants to have consistent high vulnerability to mental disorders. Only recently have researchers begun to explore the reasons for this morbidity. Taking a previous epidemiological study on depression and Irish migrants as a point of departure, we explored the reasons for this morbidity--we hypothesised that depression may be related to unprepared or spontaneous migration. We report on a qualitative study in order to clarify how, from the migrant's perspective, migration might be related to depression. These perspectives were obtained through in-depth interviews with Irish-born migrants aged 18 and over living in London in order to explore psychological distress through a contextualised 'insiders' account. The interviews were completed with men and women who experienced depression and others who had not. We found that previous theories on Irish migrant psychiatric disorder such as racial discrimination were not supported by the narratives of Irish migrant experience. For many participants, the origins of distress are located in Ireland or in difficult life events and circumstances without a direct relationship to migration. This paper examines the causal attributes to depression among Irish migrants in the UK in the context of pre- and post-migration experiences with particular focus on gender and age.
爱尔兰与英国在地理和文化上的接近可能被视为移民的一个优势。然而,40多年的研究表明,爱尔兰移民一直极易患精神疾病。直到最近,研究人员才开始探究这种发病情况的原因。以前一项关于抑郁症和爱尔兰移民的流行病学研究为出发点,我们探究了这种发病情况的原因——我们假设抑郁症可能与无准备或自发的移民有关。我们报告了一项定性研究,以阐明从移民的角度来看,移民可能如何与抑郁症相关。这些观点是通过对居住在伦敦的18岁及以上爱尔兰出生的移民进行深入访谈获得的,以便通过情境化的“内部人士”叙述来探究心理困扰。访谈对象包括经历过抑郁症的男性和女性以及未经历过抑郁症的其他人。我们发现,以前关于爱尔兰移民精神疾病的理论,如种族歧视,并未得到爱尔兰移民经历叙述的支持。对许多参与者来说,困扰的根源在于爱尔兰或艰难的生活事件和环境,与移民没有直接关系。本文在移民前后经历的背景下,特别关注性别和年龄,研究了英国爱尔兰移民抑郁症的因果属性。