Jurado Dolores, Alarcón Renato D, Martínez-Ortega José M, Mendieta-Marichal Yaiza, Gutiérrez-Rojas Luis, Gurpegui Manuel
Grupo de Investigación CTS-549, Instituto de Neurociencias, Centro de Investigación Biomédica (CIBM), Universidad de Granada, Granada, España; Departamento de Medicina Preventiva y Salud Pública, Universidad de Granada, Granada, España.
Departamento de Psiquiatría y Psicología, Mayo Clinic College of Medicine, Rochester, Minnesota, Estados Unidos; Universidad Peruana Cayetano Heredia, Lima, Perú.
Rev Psiquiatr Salud Ment. 2017 Jan-Mar;10(1):45-58. doi: 10.1016/j.rpsm.2016.04.004. Epub 2016 Jun 10.
We systematically review factors associated with the presence of psychological distress or common mental disorders in migrant populations. Articles published between January 2000 and December 2014 were reviewed and 85 applying multivariate statistical analysis were selected. Common mental disorders were significantly associated with socio-demographic and psychological characteristics, as observed in large epidemiological studies on general populations. The probability of common mental disorders occurrence differs significantly among migrant groups according to their region of origin. Moreover, traumatic events prior to migration, forced, unplanned, poorly planned or illegal migration, low level of acculturation, living alone or separated from family in the host country, lack of social support, perceived discrimination, and the length of migrants' residence in the host country all increase the likelihood of CMD. In contrast, language proficiency, family reunification, and perceived social support reduce such probability. Factors related with the risk of psychiatric morbidity among migrants should be taken into account to design preventive strategies.
我们系统地回顾了与移民人群心理困扰或常见精神障碍存在相关的因素。对2000年1月至2014年12月期间发表的文章进行了回顾,并选取了85篇应用多变量统计分析的文章。正如在针对普通人群的大型流行病学研究中所观察到的,常见精神障碍与社会人口学和心理特征显著相关。根据移民群体的原籍地区不同,常见精神障碍发生的概率存在显著差异。此外,移民前的创伤事件、被迫、无计划、计划不周或非法移民、文化适应程度低、在东道国独自生活或与家人分离、缺乏社会支持、感知到的歧视以及移民在东道国的居住时间,都会增加患常见精神障碍的可能性。相比之下,语言能力、家庭团聚以及感知到的社会支持会降低这种可能性。在设计预防策略时,应考虑与移民精神疾病发病风险相关的因素。