Rivierduinen Institute for Mental Health Care, Oegstgeest, The Netherlands.
Soc Psychiatry Psychiatr Epidemiol. 2012 Feb;47(2):271-8. doi: 10.1007/s00127-010-0335-7. Epub 2011 Jan 4.
While there are consistent reports of a high psychosis rate among certain groups of migrants in Europe, there is little information on their risk for mood disorders. The aim of this study was to investigate the risk of receiving psychiatric treatment for mood disorders or psychotic disorders, comparing migrants and Dutch nationals in an ethnically mixed catchment area. A second aim was to calculate the 1-year prevalence rates of psychotic disorders in first-generation migrants.
A psychiatric registry provided information on treatments at all in- and outpatient facilities. Statistics Netherlands provided annual population figures.
The risk of receiving treatment for unipolar depressive disorder was increased for the Turkish-Dutch (first and second generation combined; age- and sex-adjusted relative risk 4.9; 95% CI: 4.4-5.5), Moroccan-Dutch (RR = 3.6; 3.3-4.0) and Surinamese-Dutch (RR=1.8; 1.5-2.2). The risk of being treated for bipolar disorder was not significantly increased for any group, except for the Turkish-Dutch of the second generation. The risk of treatment for non-affective psychotic disorder was very high for the Turkish-Dutch, Moroccan-Dutch and Surinamese-Dutch of the second generation. There was a large difference in the relative risk of this disorder between the Turkish-Dutch of the first (RR = 1.3; 1.0-1.8) and the second generation (RR = 8.7; 5.5-13.9). The 1-year prevalence rates of treated psychotic disorders were highest for Surinamese-Dutch (2.1%) and Moroccan-Dutch males (1.2%) of the first generation. Migrants from western-European countries were not at increased risk for any of these disorders.
The stressful position of non-Western migrants in Dutch society has negative consequences on their mental health.
尽管有大量报告表明，欧洲某些移民群体的精神病发病率较高，但有关他们患心境障碍风险的信息却很少。本研究旨在调查在一个种族混合的人群中，与荷兰人相比，移民患心境障碍或精神病的治疗风险。第二个目的是计算第一代移民中精神病的 1 年患病率。
精神科登记册提供了所有门诊和住院治疗设施的治疗信息。荷兰统计局提供了年度人口数据。
与荷兰人相比，土耳其裔荷兰人（第一代和第二代合并；年龄和性别调整后的相对风险为 4.9；95%可信区间：4.4-5.5）、摩洛哥裔荷兰人（RR=3.6；3.3-4.0）和苏里南裔荷兰人（RR=1.8；1.5-2.2）接受单相抑郁障碍治疗的风险增加。除了第二代土耳其裔荷兰人外，其他任何群体接受双相情感障碍治疗的风险都没有显著增加。非情感性精神病治疗的风险对第二代的土耳其裔荷兰人、摩洛哥裔荷兰人和苏里南裔荷兰人非常高。第一代土耳其裔荷兰人和第二代土耳其裔荷兰人之间的这种疾病的相对风险差异很大（RR=1.3；1.0-1.8）和第二代（RR=8.7；5.5-13.9）。第一代的苏里南裔荷兰人（RR=2.1%）和摩洛哥裔荷兰男性（RR=1.2%）的治疗后精神病患病率最高。来自西欧国家的移民患这些疾病的风险没有增加。
非西方移民在荷兰社会中的弱势地位对他们的心理健康产生了负面影响。
