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Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

01.05.2006 | ORIGINAL PAPER

Mental disorders among Somali refugees

Developing culturally appropriate measures and assessing socio-cultural risk factors

verfasst von: Kamaldeep Bhui, Tom Craig, Salaad Mohamud, Nasir Warfa, Stephen A. Stansfeld, Graham Thornicroft, Sarah Curtis, Paul McCrone

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 5/2006

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Abstract

Background

There are few mental health data for Somali people. This is due to the absence of culturally validated appropriate assessment instruments and methodological challenges. We aimed to develop a culturally appropriate instrument, and address the methodological challenges and assess some risk factors for mental disorder among Somalis in London.

Methods

Following a comprehensive process of cultural adaptation of the MINI Neuropsychiatric Interview, we assessed ICD-10 mental disorders among 143 Somalis recruited from GP registers and community sites. Associations with demographic and economic characteristics, sampling venues, cultural and migration related risk factors are reported.

Results

A higher risk of mental disorders was found among Somalis who used Khat (OR = 10.5, 1.1–98.3) claimed asylum at entry to the UK (OR = 12.8, 2–81.4) and recruits from primary care rather than from community sites (OR = 5.9, 1.4–25.8). A lower risk of mental disorders was found amongst Somalis in employment (OR = 0.03, 0.01–0.61), and those receiving education in the UK and in Somalia (OR = 0.13, 0.02–0.92). Over a third of subjects had any mental disorder (36.4%, 28.4–44.4), mainly common mental disorders (CMD) (33.8%, 26–41.5) and post-traumatic stress disorder (PTSD) (14%, 8.8–20.8). CMD were found among 80% of those with PTSD.

Conclusion

Public health interventions for Somalis should focus on CMD as well as PTSD, khat use and mental health screening for suicide risk and mental disorders on arrival.

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Titel: Mental disorders among Somali refugees
Developing culturally appropriate measures and assessing socio-cultural risk factors
verfasst von: Kamaldeep Bhui
Tom Craig
Salaad Mohamud
Nasir Warfa
Stephen A. Stansfeld
Graham Thornicroft
Sarah Curtis
Paul McCrone
Publikationsdatum: 01.05.2006
Verlag: Steinkopff-Verlag
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 5/2006
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-006-0043-5

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Mental disorders among Somali refugees

Developing culturally appropriate measures and assessing socio-cultural risk factors