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Social Psychiatry and Psychiatric Epidemiology

Erschienen in:

01.11.2015 | Original Paper

Perceived ethnic discrimination, acculturation, and psychological distress in women of Turkish origin in Germany

verfasst von: Marion C. Aichberger, Zohra Bromand, Michael A. Rapp, Rahsan Yesil, Amanda Heredia Montesinos, Selver Temur-Erman, Andreas Heinz, Meryam Schouler-Ocak

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 11/2015

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Abstract

Purpose

Discrimination is linked to various health problems, including mental disorders like depression and also has a negative effect on the access to mental health care services. Little is known about factors mitigating the association between ethnic discrimination and mental distress.

Methods

The present study examined the extent of the relationship between perceived ethnic discrimination and psychological distress among women of Turkish origin residing in Berlin, and explored whether this association is moderated by acculturation strategies while controlling for known predictors of distress in migrant populations.

Results

A total of 205 women of Turkish origin participated in the study. 55.1 % of the participants reported some degree of ethnic discrimination. The degree of reported discrimination varied according to acculturation. The highest level of ethnic discrimination was found in the second generation separated group and both generations of the marginalized group. Further, the results indicate an association between ethnic discrimination and distress while adjusting for known socio-demographic predictors of distress, migration-related factors, and neuroticism (B = 5.56, 95 % CI 2.44–8.68, p < 0.001). However, the relationship did vary as a function of acculturation strategy, showing an association only in the separated group.

Conclusions

The findings highlight the effects of ethnic discrimination beyond the influence of known risk factor for psychological distress in migrants, such as unemployment, being single, having a limited residence permit or the presence of personality structures that may increase vulnerability for stress responses and mental disorders.

DESTATIS (2013) Bevölkerung und Erwerbstätigkeit. Bevölkerung mit Migrationshintergrund. Ergebnisse des Mikrozensus 2012. Statistisches Bundesamt, Wiesbaden

Herbert U (2001) Geschichte der Ausländerpolitik in Deutschland: Saisonarbeiter, Zwangsarbeiter, Gastarbeiter, Flüchtlinge. C.H.Beck oG, München

BAMF (2014) Migrationsbericht 2012. Bundesministerium des Inneren Referat Öffentlichkeitsarbeit. Bundesamt für Migration und Flüchtlinge. Retrieved:11.08.2014. Berlin

Bhui K, Bhugra D, Goldberg D, Sauer J, Tylee A (2004) Assessing the prevalence of depression in Punjabi and English primary care attenders: the role of culture, physical illness and somatic symptoms. Transcult Psychiatry 41(3):307–322CrossRefPubMed

Levecque K, Lodewyckx I, Vranken J (2007) Depression and generalised anxiety in the general population in Belgium: a comparison between native and immigrant groups. J Affect Disord 97(1–3):229–239CrossRefPubMed

Bermejo I, Mayninger E, Kriston L, Harter M (2010) Mental disorders in people with migration background compared with German general population. Psychiatr Prax 37(5):225–232CrossRefPubMed

Takeuchi DT, Zane N, Hong S, Chae DH, Gong F, Gee GC, Walton E, Sue S, Alegria M (2007) Immigration-related factors and mental disorders among Asian Americans. Am J Public Health 97(1):84–90PubMedCentralCrossRefPubMed

Glaesmer H, Wittig U, Brahler E, Martin A, Mewes R, Rief W (2009) Are migrants more susceptible to mental disorders? Psychiatr Prax 36(1):16–22CrossRefPubMed

Williams DR, Gonzalez HM, Neighbors H, Nesse R, Abelson JM, Sweetman J, Jackson JS (2007) Prevalence and distribution of major depressive disorder in African Americans, Caribbean blacks, and non-Hispanic whites: results from the National Survey of American Life. Arch Gen Psychiatry 64(3):305–315CrossRefPubMed

10.

Malmusi D, Borrell C, Benach J (2010) Migration-related health inequalities: showing the complex interactions between gender, social class and place of origin. Soc Sci Med (1982) 71(9):1610–1619CrossRef

11.

Bhugra D (2004) Migration and mental health. Acta Psychiatr Scand 109(4):243–258CrossRefPubMed

12.

Marmot MG, Rose G, Shipley M, Hamilton PJS (1978) Employment grade and coronary heart disease in British civil servants. J Epidemiol Community Health 32(4):244–249PubMedCentralCrossRefPubMed

13.

Marmot MG, Stansfeld S, Patel C, North F, Head J, White I, Brunner E, Feeney E, Smith GD (1991) Health inequalities among British civil servants: teh Whitehall II study. Lancet 337(8754):1387–1393CrossRefPubMed

14.

Krieger N (1999) Embodying inequality: a review of concepts, measures, and methods for studying health consequences of discrimination. Int J Health Serv 29(2):295–352CrossRefPubMed

15.

Braveman P, Egerter S, Williams DR (2011) The social determinants of health: coming of age. Annu Rev Public Health 32:381–398CrossRefPubMed

16.

Williams DR, Williams-Morris R (2000) Racism and mental health: the African American experience. Ethn Health 5(3–4):243–268. doi:10.1080/713667453 CrossRefPubMed

17.

Noh S, Kaspar V, Wickrama KA (2007) Overt and subtle racial discrimination and mental health: preliminary findings for Korean immigrants. Am J Public Health 97(7):1269–1274. doi:10.2105/AJPH.2005.085316 PubMedCentralCrossRefPubMed

18.

Harris R, Tobias M, Jeffreys M, Waldegrave K, Karlsen S, Nazroo J (2006) Effects of self-reported racial discrimination and deprivation on Maori health and inequalities in New Zealand: cross-sectional study. Lancet 367(9527):2005–2009. doi:10.1016/S0140-6736(06)68890-9 CrossRefPubMed

19.

Merino M-E, Mellor DJ, Saiz JL, Quilaqueo D (2009) Perceived discrimination amongst the indigenous Mapuche people in Chile: some comparisons with Australia. Ethn Racial Stud 32(5):802–822. doi:10.1080/01419870802037266 CrossRef

20.

Igel U, Brahler E, Grande G (2011) The influence of perceived discrimination on health in migrants. Psychiatr Prax 37(4):183–190CrossRef

21.

Noh S, Kaspar V (2003) Perceived discrimination and depression: moderating effects of coping, acculturation, and ethnic support. Am J Public Health 93(2):232–238PubMedCentralCrossRefPubMed

22.

Berry JW (1997) Immigration, acculturation and adaptation. Appl Psychol 46:5–68

23.

Ward C, Rana-Deuba A (1999) Acculturation and adaptation revisited. J Cross Cult Psychol 30:422–442CrossRef

24.

Sam DL, Berry JW (1995) Acculturative stress among young immigrants in Norway. Scand J Psychol 36(1):10–24CrossRefPubMed

25.

Verkuyten M, Brug P (2002) Ethnic identity achievement, self-esteem, and discrimination among Surinamese adolescents in the Netherlands. J Black Psychol 28:122–141CrossRef

26.

Oppedal B, Roysamb E, Sam D (2004) The effect of acculturation and social support on change in mental health among young immigrants. Int J Behav Dev 28(6):481–494CrossRef

27.

Phinney JS, Horenczyk G, Liebkind K, Vedder P (2001) Ethnic identity, immigration, and well-being:an interactional perspective. J Soc Issues 57(3):493–510CrossRef

28.

Shim G, Freund H, Stopsack M, Kammerer A, Barnow S (2014) Acculturation, self-construal, mental and physical health: an explorative study of East Asian students in Germany. Int J Psychol 49(4):295–303. doi:10.1002/ijop.12008 CrossRefPubMed

29.

Harada N, Takeshita J, Ahmed I, Chen R, Petrovitch H, Ross GW, Masaki K (2012) Does cultural assimilation influence prevalence and presentation of depressive symptoms in older Japanese American men? The Honolulu-Asia aging study. Am J Geriatr Psychiatry 20(4):337–345. doi:10.1097/JGP.0b013e3182107e3b PubMedCentralCrossRefPubMed

30.

Nakash O, Nagar M, Shoshani A, Lurie I (2014) The association between acculturation patterns and mental health symptoms among Eritrean and Sudanese asylum seekers in Israel. Cultur Divers Ethnic Minor Psychol. doi:10.1037/a0037534 PubMed

31.

Nakash O, Nagar M, Shoshani A, Zubida H, Harper RA (2012) The effect of acculturation and discrimination on mental health symptoms and risk behaviors among adolescent migrants in Israel. Cultur Divers Ethnic Minor Psychol 18(3):228–238. doi:10.1037/a0027659 CrossRefPubMed

32.

Jasinskaja-Lahti I, Liebkind K, Horenczyk G, Schmitz P (2003) The interactive nature of acculturation: perceived discrimination, acculturation attitudes and stress among young ethnic repatriates in Finland, Israel and Germany. Int J Intercult Relat 27:79–97CrossRef

33.

Pascoe EA, Smart Richman L (2009) Perceived discrimination and health: a meta-analytic review. Psychol Bull 135(4):531–554PubMedCentralCrossRefPubMed

34.

Berry J, Phinney J, Sam D, Vedder P (2006) Immigrant youth: acculturation, identity, and adaptation. Appl Psychol 55(3):303–332CrossRef

35.

Ataca B, Berry J (2002) Psychological, sociocultural, and marital adaptation of Turkish immigrant couples in Canada. Int J Psychol 37(1):13–26CrossRef

36.

Schouler-Ocak M, Aichberger MC, Heredia Montesinos A, Heinz A (2010) Suizidraten und Suizidprävention bei Berliner Frauen mit türkischem Migrationshintergrund. Das Studienkonzept Prävention 33(2):62–64

37.

Kaplan CD, Korf D, Sterk C (1987) Temporal and social contexts of heroin-using populations. An illustration of the snowball sampling technique. J Nerv Ment Dis 175(9):566–574CrossRefPubMed

38.

Reiss K, Dragano N, Ellert U, Fricke J, Greiser KH, Keil T, Krist L, Moebus S, Pundt N, Schlaud M, Yesil-Jurgens R, Zeeb H, Zimmermann H, Razum O, Jockel KH, Becher H (2014) Comparing sampling strategies to recruit migrants for an epidemiological study. Results from a German feasibility study. Eur J Public Health 24(5):721–726. doi:10.1093/eurpub/cku046 CrossRefPubMed

39.

Spallek J, Kaatsch P, Spix C, Ulusoy N, Zeeb H, Razum O (2006) Name-based identification of cases of Turkish origin in the childhood cancer registry in Mainz. Gesundheitswesen 68(10):643–649CrossRefPubMed

40.

Aichberger MC, Yesil R, Rapp MA, Schlattmann P, Temur-Erman S, Bromand Z, Heredia Montesinos A, Mundt A, Mösko M, Heinz A, Schouler-Ocak M (2012) Surveying migrant populations—methodological considerations: an example from Germany. Int J Cult Ment Health 6(2):81–96CrossRef

41.

Goldberg D, Hillier V (1979) A scaled version of the General Health Questionnaire. Psychol Med 9:139–145CrossRefPubMed

42.

Weyerer S, Elton M, Diallina M, Fichter MM (1986) The principal component structure of the General Health Questionnaire among Greek and Turkish adolescents. Europ Arch Psychiatry Neurol Sci 236(2):75–82CrossRef

43.

Sartorius N, Ustun TB, Lecrubier Y, Wittchen HU (1996) Depression comorbid with anxiety: results from the WHO study on psychological disorders in primary health care. Br J Psychiatry 168:38–43CrossRef

44.

Bromand Z, Temur-Erman S, Yesil R, Heredia Montesinos A, Aichberger MC, Kleiber D, Schouler-Ocak M, Heinz A, Kastrup MC, Rapp MA (2012) Mental health of Turkish women in Germany: resilience and risk factors. Eur Psychiatry 27(Suppl 2):S17–S21. doi:10.1016/S0924-9338(12)75703-6 CrossRefPubMed

45.

Tomas-Sabado J, Qureshi A, Antonin M, Collazos F (2007) Construction and preliminary validation of the Barcelona Immigration Stress Scale. Psychol Rep 100(3 Pt 1):1013–1023CrossRefPubMed

46.

Revollo HW, Qureshi A, Collazos F, Valero S, Casas M (2011) Acculturative stress as a risk factor of depression and anxiety in the Latin American immigrant population. Int Rev Psychiatry 23(1):84–92. doi:10.3109/09540261.2010.545988 CrossRefPubMed

47.

Bourguignon D, Seron E, Yzerbyt V, Herman G (2006) Perceived group and personal discrimination: differential effects on personal self-esteem. Eur J Soc Psychol 36(5):773–789. doi:10.1002/ejsp.326 CrossRef

48.

Barry DT, Grilo CM (2003) Cultural, self-esteem, and demographic correlates of perception of personal and group discrimination among East Asian immigrants. Am J Orthopsychiatry 73(2):223–229CrossRefPubMed

49.

Veling W, Hoek HW, Mackenbach JP (2008) Perceived discrimination and the risk of schizophrenia in ethnic minorities: a case-control study. Soc Psychiatry Psychiatr Epidemiol 43(12):953–959. doi:10.1007/s00127-008-0381-6 CrossRefPubMed

50.

Wilson SH, Walker GM (1993) Unemployment and health: a review. Public Health 107(3):153–162CrossRefPubMed

51.

Magnus K, Diener E, Fujita F, Pavot W (1993) Extraversion and neuroticism as predictors of objective life events: a longitudinal analysis. J Pers Soc Psychol 65(5):1046–1053CrossRefPubMed

52.

Bolger N, Schilling EA (1991) Personality and the problems of everyday life: the role of neuroticism in exposure and reactivity to daily stressors. J Pers 59(3):355–386CrossRefPubMed

53.

McCrae RR, Costa PT (2004) A contemplated revision of the NEO Five-Factor Inventory. Personality Individ Differ 36(3):587–596CrossRef

54.

Soto JA, Dawson-Andoh NA, BeLue R (2010) The relationship between perceived discrimination and generalized anxiety disorder among African Americans, Afro Caribbeans, and non-Hispanic Whites. J Anxiety Disord 25(2):258–265. doi:10.1016/j.janxdis.2010.09.011 PubMedCentralCrossRefPubMed

55.

Liebkind K, Jasinskaja-Lahti I (2000) The influence of experiences of discrimination on psychological stress: a comparison of seven immigrant groups. J Community Appl Soc Psychol 10:1–16CrossRef

56.

Karlsen S, Nazroo J, McKenzie K, Bhui K, Weich S (2005) Racism, psychosis and common mental disorder among ethnic minority groups in England. Psychol Med 35(12):1795–1803CrossRefPubMed

57.

McKee-Ryan FM, Song Z, Wanberg CR, Kinicki AJ (2005) Psychological and physical well-being during unemployment: a meta-analytic study. J Appl Psychol 90(1):53–76CrossRefPubMed

58.

Lindeman S, Hamalainen J, Isometsa E, Kaprio J, Poikolainen K, Heikkinen M, Aro H (2000) The 12-month prevalence and risk factors for major depressive episode in Finland: representative sample of 5993 adults. Acta Psychiatr Scand 102(3):178–184CrossRefPubMed

59.

Weissman MM, Bland RC, Canino GJ, Faravelli C, Greenwald S, Hwu HG, Joyce PR, Karam EG, Lee CK, Lellouch J, Lepine JP, Newman SC, Rubio-Stipec M, Wells JE, Wickramaratne PJ, Wittchen H, Yeh EK (1996) Cross-national epidemiology of major depression and bipolar disorder. JAMA 276(4):293–299CrossRefPubMed

60.

Momartin S, Steel Z, Coello M, Aroche J, Silove DM, Brooks R (2006) A comparison of the mental health of refugees with temporary versus permanent protection visas. Med J Aust 185(7):357–361PubMed

61.

Ormel J, Rosmalen J, Farmer A (2004) Neuroticism: a non-informative marker of vulnerability to psychopathology. Soc Psychiatry Psychiatr Epidemiol 39(11):906CrossRefPubMed

62.

Headey B, Wearing A (1989) Personality, life events, and subjective well-being: toward a dynamic equilibrium model. J Pers Soc Psychol 57(4):731–739CrossRef

63.

Costa PT, McCrae RR (1980) Influence of extraversion and neuroticism on subjective well-being: happy and unhappy people. J Pers Soc Psychol 38(4):668–678CrossRefPubMed

64.

Lam D, Smith N, Checkley S, Rijsdijk F, Sham P (2003) Effect of neuroticism, response style and information processing on depression severity in a clinically depressed sample. Psychol Med 33(3):469–479CrossRefPubMed

65.

Muris P, Roelofs J, Rassin E, Franken I, Mayer B (2005) Mediating effects of rumination and worry on the links between neuroticism, anxiety and depression. Personal Individ Differ 39(6):1105–1111CrossRef

66.

Adler NE, Boyce T, Chesney MA, Cohen S, Folkman S, Kahn RL, Syme SL (1994) Socioeconomic status and health. The challenge of the gradient. Am Psychol 49(1):15–24CrossRefPubMed

67.

Bourhis RY, Moïse LC, Perreault S, Senécal S (1997) Towards an interactive acculturation model: a social psychological approach. Int J Psychol 32(6):369–386CrossRef

68.

Zagefka H, Brown R (2002) The relationship between scculturation strategies, relative fit and intergroup relations: immigrant-majority relations in Germany. Eur J Soc Psychol 32:171–188CrossRef

69.

The Economist (2010) Immigration in Germany: Multikulturell? Wir? The Economist

Titel: Perceived ethnic discrimination, acculturation, and psychological distress in women of Turkish origin in Germany
verfasst von: Marion C. Aichberger
Zohra Bromand
Michael A. Rapp
Rahsan Yesil
Amanda Heredia Montesinos
Selver Temur-Erman
Andreas Heinz
Meryam Schouler-Ocak
Publikationsdatum: 01.11.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: Social Psychiatry and Psychiatric Epidemiology / Ausgabe 11/2015
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-015-1105-3

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