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Expectations of the future: Immigrant, asylum seeker, or refugee – does it matter?

Published online by Cambridge University Press:  27 November 2009

Valentina C. Iversen ,
John E. Berg  and
Arne E. Vaaler
Valentina C. Iversen*
Affiliation:
Associated Professor/Research Consultant, St. Olav's Hospital, Department of Psychiatry, Østmarka University Hospital, Department of Neuroscience, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
John E. Berg
Affiliation:
Senior Consultant in Psychiatry, Blakstad Hospital, Vestre Viken Hospital Trust, Professor, Oslo University College, Pilestredet, Oslo, Norway
Arne E. Vaaler
Affiliation:
Senior Consultant in Psychiatry, Division of Psychiatry, Haukeland University Hospital, Bergen, Department of Neuroscience, NTNU, Trondheim, Norway
*
Correspondence to: Valentina C. Iversen, St. Olav's Hospital, Department of Psychiatry Østmarka, Postal Box 3008, Lade, 7441 Trondheim, Norway. E-mail: [email protected]
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Abstract

Background: Refugees and asylum seekers may have other feelings and expectations about the future than immigrants do. The aim of this study was to explore and analyse the expectations for the future among populations of immigrants, asylum seekers and refugees admitted to Norwegian acute psychiatric departments.

Method: In a prospective study in the period 2005 to 2008, data were collected from two acute psychiatric departments.

Results: There were 48 immigrants, 24 refugees, and 21 asylum seekers. A significantly higher proportion of asylum seekers than refugees had nightmares (p = 0.04), feelings of guilt (p = 0.04) and feelings of hopelessness (p = 0.04). A significantly higher proportion of asylum seekers than immigrants had sleeping problems (p = 0.03), nightmares (p = 0.03), feelings of hopelessness (p = 0.03) and reduced appetite (p = 0.04). Significantly more asylum seekers than refugees maintained that life would change for the better over time (Z = 2.0; p = 0.04). More refugees than asylum seekers indicated problems judging life ten years from now (Z = 2.1; p = 0.04).

Conclusion: Being an asylum seeker seems to incur greater distress and higher negative expectations for the future. Preventive strategies should be created to improve refugees’ and asylum seekers’ life in exile. Priority and speed in processing of asylum cases should be given higher priority.

Keywords

Immigrantsrefugeesasylum seekershopelessness
Type
Original Paper
Information
Journal of Psychiatric Intensive Care , Volume 6 , Issue 1 , June 2010 , pp. 23 - 30
Copyright
Copyright © NAPICU 2010

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References

Beck, A.T., Brown, G., Berchick, R.J., Stewart, B.L. and Steer, R.A. (1990) Relationship between hopelessness and ultimate suicide: A replication with psychiatric outpatients. American Journal of Psychiatry. 147(2): 190–195.Google ScholarPubMed
Beck, A.T., Kovacs, M. and Weissman, A. (1975) Hopelessness and suicidal behavior. An overview. JAMA. 234(11): 1146–1149.CrossRefGoogle ScholarPubMed
Beck, A.T. and Steer, R.A. (1988) Manual for the Beck Hopelessness Scale. Psychological Corp, San Antonio.Google Scholar
Beck, A.T. and Steer, R.A. (1989) Clinical predictors of eventual suicide: A 5- to 10-year prospective study of suicide attempters. Journal of Affective Disorders. 17(3): 203–209.CrossRefGoogle ScholarPubMed
Beck, A.T., Steer, R.A., Beck, J.S. and Newman, C.F. (1993) Hopelessness, depression, suicidal ideation, and clinical diagnosis of depression. Suicide and Life-Threatening Behavior. 23(2): 139–145.CrossRefGoogle ScholarPubMed
Beck, A.T., Steer, R.A., Kovacs, M. and Garrison, B. (1985) Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry. 142(5): 559–563.Google ScholarPubMed
Beck, A.T. and Weishaar, M.E. (1990) Suicide risk assessment and prediction. Crisis. 11(2): 22–30.Google Scholar
Berg, J.E. (2009) The level of non-Western immigrants' use of acute psychiatric care compared with ethnic Norwegians over an 8-year period. Nordic Journal of Psychiatry. 63(3): 217–222.CrossRefGoogle Scholar
Berg, J.E. and Johnsen, E. (2004) [Are immigrants admitted to emergency psychiatric departments more often than ethnic Norwegians?]. Tidsskr Nor Laegeforen. 124(5): 634–636.Google ScholarPubMed
Bhugra, D. (2004) Migration and mental health. Acta Psychiatrica Scandinavica. 109(4): 243–258.CrossRefGoogle ScholarPubMed
Bhugra, D. and Becker, M.A. (2005) Migration, cultural bereavement and cultural identity. World Psychiatry. 4(1): 18–24.Google ScholarPubMed
Bhugra, D. and Minas, I.H. (2007) Mental health and global movement of people. Lancet. 370(9593): 1109–1111.CrossRefGoogle ScholarPubMed
Bjertnæs, M.K (2000) Immigration and Immigrants 2000. Oslo: Statistics Norway, pp. 10–11.Google Scholar
Dalgard, O.S. (1993) [Immigration and health]. Tidsskr Nor Laegeforen. 113(17): 2073.Google Scholar
Dalgard, O.S., Thapa, S.B., Hauff, E., McCubbin, M. and Syed, H.R. (2006) Immigration, lack of control and psychological distress: Findings from the Oslo Health Study. Scandinavian Journal of Psychology. 47(6): 551–558.Google Scholar
Iversen, V. and Morken, G. (2003) Acute admissions among immigrants and asylum seekers to a psychiatric hospital in Norway. Social Psychiatry and Psychiatric Epidemiology. 38(9): 1433–9285.Google ScholarPubMed
Iversen, V. and Morken, G. (2004) Differences in acute psychiatric admissions between asylum seekers and refugees. Nordic Journal of Psychiatry. 58(6): 434–438.CrossRefGoogle ScholarPubMed
Kirmayer, L.J. and Young, A. (1998) Culture and somatization: Clinical, epidemiological, and ethnographic perspectives. Psychosomatic Medicine. 60(4): 420–430.CrossRefGoogle ScholarPubMed
Koch, E., Hartkamp, N., Siefen, R.G. and Schouler-Ocak, M. (2008) [German pilot study of psychiatric inpatients with histories of migration]. Nervenarzt. 79(3): 328–339.CrossRefGoogle ScholarPubMed
Koch, E. and Muller, M.J. (2007) Mental stress of immigrant patients and the family practice. MMW Fortschr Med. 149(42): 31–33.Google ScholarPubMed
Kovacs, M., Beck, A.T. and Weissman, A. (1975) Hopelessness: An indicator of suicidal risk. Suicide. 5(2): 98–103.Google ScholarPubMed
Lavik, N.J., Hauff, E., Skrondal, A. and Solberg, O. (1996) Mental disorder among refugees and the impact of persecution and exile: Some findings from an out-patient population. British Journal of Psychiatry. 169(6): 726–732.CrossRefGoogle ScholarPubMed
Lay, B., Lauber, C. and Rossler, W. (2005) Are immigrants at a disadvantage in psychiatric in-patient care? Acta Psychiatrica Scandinavica. 111(5): 358–366.CrossRefGoogle Scholar
Lester, D. and Beck, A.T. (1977) Suicidal wishes and depression in suicidal ideators: A comparison with attempted suicides. Journal of Clinical Psychology. 33(1): 92–94.3.0.CO;2-S>CrossRefGoogle ScholarPubMed
Lie, B. and Skjeie, H. (1996) Torture-related injuries – A medical challenge. Diagnosis and treatment of Falanga victims. Tidsskr Nor Laegeforen. 116(9): 1073–1075.Google ScholarPubMed
Ryan, D.A., Benson, C.A. and Dooley, B.A. (2008) Psychological distress and the asylum process: A longitudinal study of forced migrants in Ireland. The Journal of Nervous and Mental Disease. 196(1): 37–45.CrossRefGoogle ScholarPubMed
Soderberg, P., Tungstrom, S. and Armelius, B.A. (2005) Reliability of global assessment of functioning ratings made by clinical psychiatric staff. Psychiatric Services. 56(4): 434–438.Google ScholarPubMed
Syed, H.R., Dalgard, O.S., Dalen, I., Claussen, B., Hussain, A., Selmer, R. and Ahlberg, N. (2006) Psychosocial factors and distress: A comparison between ethnic Norwegians and ethnic Pakistanis in Oslo, Norway. BMC Public Health. 6(182).CrossRefGoogle ScholarPubMed
Tang, S.S. and Fox, S.H. (2001) Traumatic experiences and the mental health of Senegalese refugees. Journal of Nervous and Mental Disease. 189(8): 507–512.CrossRefGoogle ScholarPubMed
Thapa, S.B., Dalgard, O.S., Claussen, B., Sandvik, L. and Hauff, E. (2007) Psychological distress among immigrants from high- and low-income countries: Findings from the Oslo Health Study. Nordic Journal of Psychiatry. 61(6): 459–465.Google Scholar
Thornicroft, G., Brohan, E., Rose, D., Sartorius, N. and Leese, M. (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia: A cross-sectional survey. Lancet. 373(9661): 408–415.CrossRefGoogle ScholarPubMed
Yamauchi, K., Ono, Y., Baba, K., Ikegami, N. (2001) The actual process of rating the global assessment of functioning scale. Comprehensive Psychiatry. 42(5): 403–409.CrossRefGoogle ScholarPubMed