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Acculturation and psychiatric disorder: a study of Greek Cypriot immigrants

Published online by Cambridge University Press:  09 July 2009

Venos Mavreas
Affiliation:
Department of Psychiatry, Athens University Medical School, Greece; MRC Social and Community Psychiatry Unit, Institute of Psychiatry, London
Paul Bebbington*
Affiliation:
Department of Psychiatry, Athens University Medical School, Greece; MRC Social and Community Psychiatry Unit, Institute of Psychiatry, London
*
1Address for correspondence: Dr Paul Bebbington, MRC Social and Community Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF.

Synopsis

Data are presented from a study of acculturation and psychiatric disorder in 291 Greek Cypriot immigrants from the general population of Camberwell, south London. We hypothesized that ‘pre-acculturation’ would protect against mental disorder, that difficulties in the period immediately after migration would increase the risk of disorder, and that disorder would be least common among those in the middle range of the acculturation spectrum.

Of pre-acculturation factors, only previous knowledge of English was associated with reduced prevalence. Difficulties in the settling-in period were clearly related to current disorder. No relationship was apparent between present acculturation and disorder, but this disguised an interesting but unpredicted gender effect: in males, disorder was most prevalent in the highly acculturated; in females, in the least acculturated.

Type
Orginal Articles
Copyright
Copyright © Cambridge University Press 1990

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References

REFERENCES

Bagley, C. (1975). Sequels of alienation: a social psychological view of the adaptation of West Indian migrants in Britain. In Case Studies in Human Rights and Fundamental Problems, vol. 2 (ed. Glasser, K.), pp. 5781. Nijhoff: The Hague.Google Scholar
Banschevska, R. (1981). Uprooting and settling: the transplanted family. In Strangers in the World (ed. Eitinger, L. and Schwarz, D.), pp. 103131. Hans Huber: Bern.Google Scholar
Banton, M. (1967). Race Relations. Basic Books: New York.Google Scholar
Bebbington, P., Hurry, J., Tennant, C., Sturt, E. & Wing, J. K. (1981). Epidemiology of mental disorders in Camberwell. Psychological Medicine 11, 561579.CrossRefGoogle ScholarPubMed
Berry, J. W. (1980). Acculturation as varieties of adaptation. In Acculturation. Theory, Models, and Some New Findings (ed. Padilla, A. M.), pp. 925. Westview: Boulder, Col.Google Scholar
Brown, G. W. & Harris, T. (1978). Social Origins of Depression. A Study of Psychiatric Disorder in Women. Tavistock: London.Google Scholar
Burnham, A., Hough, R. L., Karno, M., Escobar, J. I. & Telles, C. (1987). Acculturation and lifetime prevalence of psychiatric disorders among Mexican Americans in Los Angeles. Journal of Health and Social Behaviour 28, 89102.CrossRefGoogle Scholar
Caetano, R. (1987). Acculturation and drinking patterns among US Hispanics. British Journal of Addiction 82, 789799.CrossRefGoogle ScholarPubMed
Cassel, J., Patrick, R. & Jenkins, D. (1960). Epidemiological analysis of the health implications of culture change: a conceptual model. Annals of the New York Academy of Sciences 84, 938949.CrossRefGoogle Scholar
Cochrane, R. & Stopes-Roe, M. (1979). Psychological disturbance in Ireland, in England, and in Irish emigrants to England: a comparative study. Economic and Social Review 10, 301320.Google Scholar
Constantinides, P. (1977). The Greek Cypriots: factors in the maintenance of ethnic identity. In Between Two Cultures. Migrants and Minorities in Britain (ed. Watson, J. L.), pp. 269300. Blackwell: Oxford.Google Scholar
Cropley, A. J. & Kovacs, M. L. (1975). Cultural conflict and alienation in immigrant children. In Cultures in Conflict (ed. Pilowski, I.), pp. 5964. Australian National Association for Mental Health: Adelaide.Google Scholar
Demetracopoulou Lee, D. (1955). Greece. In Cultural Patterns and Technical Change (ed. Mead, M.), pp. 5796. Mentor: New York.Google Scholar
Fried, M. (1963). Grieving for a lost home. In The Urban Condition (ed. Duhl, L. L.), pp. 151171. Basic Books: New York.Google Scholar
George, V. (1966). The assimilation of Cypriot immigrants in London. Eugenics Review 58, 188192.Google Scholar
Giovanchini, P. L. (1961). Ego adaptation and cultural variables. Archives of General Psychiatry 5, 5967.Google Scholar
Harrison, G., Owens, D., Holton, A., Neilson, D. & Boot, D. (1988). A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine 18, 643658.CrossRefGoogle ScholarPubMed
Henderson, S., Duncan-Jones, P., Byrne, D. G., Scott, R. & Adcock, S. (1979). Psychiatric disorder in Canberra. A standardized study of prevalence. Acta Psychiatrica Scandinavica 60. 355374.CrossRefGoogle ScholarPubMed
Hertz, D. G. (1981). The stress of migration: adjustment reactions of migrants and their families. In Strangers in the World (ed. Eitinger, L. & Schwarz, D.), pp. 7088. Hans Huber: Bern.Google Scholar
Hodiamont, P., Peer, N. & Syber, N. (1987). Epidemiological aspects of psychiatric disorder in a Dutch Health Area. Psychological Medicine 17, 495505.CrossRefGoogle Scholar
Hofstede, G. (1982). Dimensions of national cultures. In Diversity and Unity in Cross-Culiural Psychology (ed. Rath, R., Asthana, H. S., Sinha, D. and Sinha, J. B. H.), pp. 173187. Swets & Zeitlinger: Lisse.Google Scholar
Kitano, H. H. L. (1969). Japanese-American mental illness. In Changing Perspectives in Mental Illness (ed. Plog, S. C. and Edgerton, R. B.), pp. 256284. Holt, Reinhart & Winston: New York.Google Scholar
Krupinski, J. (1975). Psychological maladaptation in ethnic concentrations in Victoria, Australia. In Cultures in Collision (ed. Pilowsky, I.), pp. 4958. Australian National Association for Mental Health: Adelaide.Google Scholar
Langner, T. (1962). A twenty-two item screening score of psychiatric symptoms indicating impairment. Journal of Health and Human Behaviour 3, 269276.CrossRefGoogle ScholarPubMed
Lehtinen, V., Lindholm, T., Veijola, J. & Vaisanen, E. (1990). The prevalence of PSE-CATEGO disorders in a Finnish adult population cohort. Social Psychiatry and Psychiatric Epidemiology 25, 187192.CrossRefGoogle Scholar
Littlewood, R. & Lipsedge, M. (1982). Aliens and Alienists. Penguin: Harmondsworth.Google Scholar
McGovern, D. & Cope, R. V. (1987). First psychiatric admission rates of first and second generation Afro-Caribbeans. Social Psychiatry 22, 139149.CrossRefGoogle ScholarPubMed
Madianos, M., (1980). Acculturation and mental health of Creek immigrants in USA M.D. dissertation, University of Athens (in Greek).Google Scholar
Madianos, M. (1984). Acculturation and mental health of Greek immigrants in USA. In Social Psychiatry (ed. Hudolin, V.), pp. 549557. Plenum: New York.CrossRefGoogle Scholar
Mavreas, V. & Bebbington, P. E. (1987). Psychiatric morbidity in London's Greek-Cypriot immigrant community. I. Associations with sociodemographic variables. Social Psychiatry 22, 150150.CrossRefGoogle ScholarPubMed
Mavreas, V. & Bebbington, P. E. (1988). Greeks, Greek Cypriots and Londoners: a comparison of morbidity. Psychological Medicine 18, 433442.CrossRefGoogle ScholarPubMed
Mavreas, V. & Bebbington, P. E. (1989). Does the act of migration provoke psychiatric breakdown? A study of Greek Cypriot immigrants. Acta Psychiatrica Scandinavica 80, 469473.CrossRefGoogle ScholarPubMed
Mavreas, V. G., Beis, A., Mouyias, A., Rigoni, F. & Lyketsos, G. (1986). Prevalence of psychiatric disorders in Athens. A community study. Social Psychiatry 21, 172181.CrossRefGoogle Scholar
Mavreas, V., Bebbington, P. E. & Der, G. (1989). The structure and validity of acculturation: Analysis of an Acculturation Scale. Social Psychiatry and Psychiatric Epidemiology 24, 233240.CrossRefGoogle ScholarPubMed
Milner, D. (1973). Racial identification and preference in ‘black’ British children. European Journal of Social Psychology 3, 281295.CrossRefGoogle Scholar
Oakley, R. (1979). Family, kinship and patronage. The Cypriot family in Britain. In Minority Families in Britain. Support and Stress (ed. Khan, V. Saifullah), pp. 1334. Macmillan: London.Google Scholar
Orley, J. & Wing, J. K. (1979). Psychiatric disorders in two African villages. Archives of General Psychiatry 36, 513520.CrossRefGoogle ScholarPubMed
Papajohn, J. C. & Spiegel, J. P. (1971). The relationship of culture value orientation and Rorschach indices of psychological development. Journal of Cross-Cultural Psychology 2, 257272.CrossRefGoogle Scholar
Robins, L. N., Helzer, J. E., Croughan, J. & Ratcliff, K. (1981). The NIMH Diagnostic Interview Schedule: its history, characteristics and validity. Archives of General Psychiatry 38, 381389.CrossRefGoogle ScholarPubMed
Ruesch, J., Jacobson, A. & Loeb, M. B. (1948). Acculturation and illness, Psychological Monographs 62, 140.CrossRefGoogle Scholar
Spiegel, J. P., Papajohn, J. C., Seder, D. L. & Davidson, W. D. (1966). The effect of acculturation stress on the mental health of an American ethnic group.Paper presented at the meeting of the American Psychological Association,Atlantic City, New Jersey.Google Scholar
Spindler, G. & Spindler, L. (1963). Psychology in anthropology: applications to culture change. In Psychology: A Study of A Science, vol. 6 (ed. Koch, S.), pp. 510551. McGraw-Hill: New York.Google Scholar
Surtees, P. G., Dean, C., Ingham, J. G., Kreitman, N. B., Miller, P. McC. & Shashidaran, S. P. (1983). Psychiatric disorder in women from an Edinburgh community: associations with demographic factors. British Journal of Psychiatry 142, 238246.CrossRefGoogle ScholarPubMed
Szapocznik, J. & Kurtines, W. (1980). Acculturation, biculturalism and adjustment among Cuban Americans. In Acculturation: Theory, Models and Some New Findings (ed. Padilla, A. M.), pp. 139159. Westview Press: Boulder, Colorado.Google Scholar
Torres-Matrullo, C. M. (1980). Acculturation, sex-role values and mental health among mainland Puerto-Ricans. In Acculturation. Theory, Models and Some New Findings (ed. Padilla, A. M.), pp. 111137. Westview: Boulder, Col.Google Scholar
Vassiliou, G. & Vassiliou, V. (1970). On aspects of child rearing in Greece. In The Child in His Family (ed. Anthony, E. J. & Koupernik, C.), pp. 428444. Wiley: New York.Google Scholar
Vázquez-Barquero, J. L., Diez-Manrique, J. F., Peña, C., Aldama, J., Samaniego Rodriguez, C., Menendez Arango, J. & Mirapeix, C. (1987). A community mental health survey in Cantabria: a general description of morbidity. Psychological Medicine 17, 227241.CrossRefGoogle ScholarPubMed
Wing, J. K. (1983). The use and misuse of the PSE. British Journal of Psychiatry 143, 111117.CrossRefGoogle ScholarPubMed
Wing, J. K. & Sturt, E. (1978). The PSE-ID-CATEGO System Supplementary Manual. MRC Social Psychiatry Unit: London (mimeo).Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms. Cambridge University Press: Cambridge.Google Scholar
Wing, J. K., Mann, S. A., Left, J. P. & Nixon, J. M. (1978). The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine 8, 203217.CrossRefGoogle ScholarPubMed
World Health Organization, (1973). The International Pilot Study of Schizophrenia, vol. 1. WHO: Geneva.Google Scholar
World Health Organization, (1979). Schizophrenia. An International Follow-up Study. Wiley: Chichester.Google Scholar