Rew Karl T, Clarke S Lindsey, Gossa Weyinshet, Savin Daniel
FP Essent. 2014 Aug;423:19-23.
Immigrants leave their homes for unfamiliar destinations in search of better lives for themselves and their families. Many immigrants experience profound loss and emotional distress as they adjust to life in different societies. Despite these challenges, the prevalence of mental health conditions among immigrants is low, whereas children of immigrants have rates equal to those of native populations. The prevalence of mental health conditions is high among refugees, who comprise a specific subgroup of immigrants who have been displaced forcibly and often have experienced severe trauma. Cultural factors, such as stigma and somatization of emotional symptoms, make it less likely that immigrants and refugees from certain groups will ever present to mental health subspecialists. Strong therapeutic relationships, cultural sensitivity, involvement of family members, judicious use of medications, and knowledge of available community resources are important tools that can aid clinicians who treat immigrants and refugees with mental health conditions.
移民离开家乡前往陌生的目的地,为自己和家人寻求更好的生活。许多移民在适应不同社会的生活时经历了巨大的失落和情感困扰。尽管面临这些挑战,但移民中精神健康状况的患病率较低,而移民子女的患病率与本地人口相当。难民中的精神健康状况患病率较高,难民是移民中的一个特定亚群体,他们被迫流离失所, often have experienced severe trauma. 文化因素,如耻辱感和情感症状的躯体化,使得某些群体的移民和难民向精神健康专科医生就诊的可能性降低。牢固的治疗关系、文化敏感性、家庭成员的参与、明智地使用药物以及了解可用的社区资源,是帮助治疗有精神健康问题的移民和难民的临床医生的重要工具。