Department of Psychiatry, Boston Medical Center, Boston, MA, USA.
Department of Sociology, University of California San Diego, La Jolla, CA, USA.
J Affect Disord. 2023 Jan 15;321:279-289. doi: 10.1016/j.jad.2022.10.010. Epub 2022 Oct 29.
Migration is not an event, but an interactive process whereby individuals on the move make decisions in their social and political contexts. As such, one expects migrant mental health to change over time. To examine this relationship, we conducted a meta-analysis, the first to our knowledge, to identify the impact of migration phase and migration type on the prevalence of mental health in migrant populations. We searched PubMed, PsycInfo, and Embase for studies published between January 1, 2010, and January 1, 2020 (Prospero ID: 192751). We included studies with international migrants reporting prevalence rates for post-traumatic stress disorder (PTSD), depression, and/or anxiety. The authors extracted data from eligible studies and tabulated mental health prevalence rates, relevant migration condition (e.g., migration type or phase), and methods (e.g., sample size). Full text review resulted in n = 269 manuscripts included in the meta-analysis examining PTSD (n = 149), depression (n = 218), and anxiety (n = 104). Overall prevalence was estimated for PTSD (30.54 %, I = 98.94 %, Q = 10,443.6), depression (28.57 %, I = 99.17 %, Q = 13,844.34), and anxiety (25.30 %, I = 99.2 %, Q = 10,416.20). We also estimated the effect of methodological and migration factors on prevalence in PTSD, depression, and anxiety. Our findings reveal increased prevalence of mental health due to forced migration and being in the journey phase of migration, even when accounting for the influence of methods.
迁移不是一个事件，而是一个互动的过程，在这个过程中，移动的个体在其社会和政治背景下做出决策。因此，人们预计移民的心理健康会随着时间的推移而发生变化。为了检验这种关系，我们进行了一项荟萃分析，这是我们所知的首次分析，以确定迁移阶段和迁移类型对移民人口中心理健康患病率的影响。我们在 PubMed、PsycInfo 和 Embase 中搜索了 2010 年 1 月 1 日至 2020 年 1 月 1 日期间发表的研究（Prospéro ID：192751）。我们纳入了报告创伤后应激障碍（PTSD）、抑郁和/或焦虑患病率的国际移民的研究。作者从合格研究中提取数据，并列出心理健康患病率、相关迁移条件（例如，迁移类型或阶段）和方法（例如，样本量）。全文审查后，有 269 篇论文纳入荟萃分析，其中 PTSD（n=149）、抑郁（n=218）和焦虑（n=104）。估计 PTSD（30.54%，I=98.94%，Q=10,443.6）、抑郁（28.57%，I=99.17%，Q=13,844.34）和焦虑（25.30%，I=99.2%，Q=10,416.20）的总体患病率。我们还估计了方法学和迁移因素对 PTSD、抑郁和焦虑患病率的影响。我们的研究结果表明，由于被迫迁移和处于迁移过程中的旅程阶段，心理健康的患病率增加，即使考虑到方法的影响也是如此。
