有移民背景的第二代儿童和青少年的心理健康问题。
Mental health problems of second generation children and adolescents with migration background.
作者信息
Ceri Veysi, Özlü-Erkilic Zeliha, Özer Ürün, Kadak Tayyib, Winkler Dietmar, Dogangün Burak, Akkaya-Kalayci Türkan
机构信息
a Department of Child and Adolescent Psychiatry , Marmara University Pendik Training and Research Hospital , Istanbul , Turkey.
b Outpatient Clinic of Transcultural Psychiatry and Migration Induced Disorders in Childhood and Adolescence, Department of Child and Adolescent Psychiatry , Medical University of Vienna , Vienna , Austria.
出版信息
Int J Psychiatry Clin Pract. 2017 Jun;21(2):142-147. doi: 10.1080/13651501.2017.1291820. Epub 2017 Feb 24.
OBJECTIVE
Despite the growing number of young second-generation immigrant (SGI) children and adolescents, studies about their mental health are rare. The objective of this study was to investigate the mental health problems of SGI children and adolescents in Istanbul, Turkey.
METHODS
In a clinical sample the mental health of 54 SGIs and 50 native children and adolescents were examined using the Schedule for Affective Disorders and Schizophrenia for School Aged Children-Present and Lifetime Version (K-SADS-PL) and Children's Global Assessment Scale. The assessments were carried out by a blinded rater.
RESULTS
SGI children had higher rates of psychiatric disorders such as depression (p = 0.001), post-traumatic stress disorder (PTSD) (p = 0.011) and anxiety disorders (p = 0.013), more comorbid disorders and lower functionality scores compared to their native counterparts (p = 0.001).
CONCLUSIONS
SGI children seem to have higher rates of psychiatric disorders most probably due to migration-induced burdens. The professionals treating SGI children should have more awareness for these problems to be able to approach them in a culture and language sensitive way.
目的
尽管第二代年轻移民（SGI）儿童和青少年的数量不断增加，但关于他们心理健康的研究却很少。本研究的目的是调查土耳其伊斯坦布尔SGI儿童和青少年的心理健康问题。
方法
在一个临床样本中，使用儿童情感障碍和精神分裂症评定量表（学龄儿童版，目前和终生版，K-SADS-PL）和儿童总体评定量表对54名SGI儿童以及50名本地儿童和青少年的心理健康状况进行了检查。评估由一位不知情的评估者进行。
结果
与本地儿童相比，SGI儿童患抑郁症（p = 0.001）、创伤后应激障碍（PTSD）（p = 0.011）和焦虑症（p = 0.013）等精神疾病的比例更高，共病情况更多，功能评分更低（p = 0.001）。
结论
SGI儿童似乎患精神疾病的比例更高，这很可能是由于移民带来的负担所致。治疗SGI儿童的专业人员应该对这些问题有更多的认识，以便能够以文化和语言敏感的方式对待他们。
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