Impact of a long asylum procedure on the prevalence of psychiatric disorders in Iraqi asylum seekers in The Netherlands.
Author: Laban CJ, Gernaat HB, Komproe IH, Schreuders BA, De Jong JT.
Source:
The Journal of nervous and mental disease, 192(12), 843-851.
Clinically, a long asylum procedure seems to be associated with psychiatric
disorders. However, data on this issue are lacking. In a national community-based
study, using random sampling, we compared two groups of Iraqi asylum seekers, who
had resided less than 6 months (N = 143) and more than 2 years (N= 151),
respectively, in The Netherlands. Respondents were interviewed with fully
structured, culturally validated, translated questionnaires. Psychiatric (DSM-IV)
disorders were measured with the Composite International Diagnostic Interview 2.1
and evaluated in relation with premigration and postmigration adverse life
events. Overall prevalence of psychiatric disorders was 42% in the first group
and 66.2% in the second. The prevalence rates of anxiety, depressive, and
somatoform disorders were significantly higher in the second group. Posttraumatic
stress disorder was high in both groups but did not differ (p > .05). On logistic
regression of all relevant risk factors, a long asylum procedure showed an odds
ratio of 2.16 (confidence interval = 1.15-4.08) for psychopathology. The
conclusion is that, indeed, the duration of the asylum procedure is an important
risk factor for psychiatric problems. Both politicians and mental health workers
should take note of this finding.
Publication Types:
Comparative Study
Research Support, Non-U.S. Gov't