Similarity in depressive symptom profile in a population-based study of migrants in the Netherlands
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Depression is a clinical syndrome developed in Western Europe and North-America. The expression of symptoms and the impact of symptoms on functioning may therefore be expected to vary across cultures and languages. Our first aim was to study differences in depressive symptom profile between indigenous and non-Western immigrant populations in the Netherlands. We hypothesized that differences in expression of depressive symptoms would be more likely in the domains of mood and cognitions, and less likely in the domains of psychomotor and vegetative symptoms. Our second aim was to study ethnic differences in the association of depressive symptoms and general functioning.
In a random community sample stratified for ethnicity in Amsterdam, the Netherlands, depressive symptoms were assessed by bilingual interviewers using the Composite International Diagnostic Interview (CIDI 2.1) and the Symptom Checklist-90-Revised (SCL-90-R). Impairments in functioning were measured by the World Health Organization Disability Assessment Schedule II (WHODAS II). Results were obtained from 812 subjects: N = 321 native Dutch, N = 213 Turkish-Dutch, N = 191 Moroccan-Dutch, N = 87 Surinamese-Dutch. Differences in depressive symptom expression were tested by differential item functioning.
The prevalence of DSM-IV depressive disorder and the overall level of depressive symptoms were higher in the Turkish and Moroccan immigrant groups compared to native Dutch subjects. Ethnic differences in item functioning of depressive symptoms were rare, and equally unlikely in all four symptom domains. Depression was equally associated with functional impairment across ethnic groups.
Although depressive symptoms were more common among migrants than in the indigenous population, both the depressive symptom profile and the associated functional impairments were comparable. These findings may help diminishing concerns about the validity of using existing diagnostic procedures among ethnic minority groups.
KeywordsDepressive disorder Disability Cross-cultural comparison Turkey Morocco
- 4.Akiskal HS (2005) Mood disorders. In: Sadock BJ, Sadock VA (eds) Kaplan & Sadock’s comprehensive textbook of psychiatry, 8th edn edn. Lippincott Williams & Willkins, Philadelphia, pp 1615–1620Google Scholar
- 6.Al-Issa I, Tousignant M (1997) Ethnicity, immigration and psychopathology. In: Al-Issa I, Tousignant M (eds) The mental health of North Africans in France. Plenum Press, New York, pp 135–146Google Scholar
- 7.Alonso J, Angermeyer MC, Bernert S et al (2004) Disability and quality of life impact of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand 109(Suppl 420):S38–S46Google Scholar
- 8.American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn edn. American Psychiatric Press, Washington DCGoogle Scholar
- 9.Arrindell WA, Ettema JHM (2003) Symptom checklist. Handleiding bij een multidimensionele psychopathologie-indicator. Swets and Zeitlinger, LisseGoogle Scholar
- 10.Ballenger JC, Davidson JRT, Lecubrier Y et al (2001) Consensus statement on transcultural issues in depression and anxiety from the international consensus group on depression and anxiety. J Clin Psychiatry 62(Suppl 13):S47–S55Google Scholar
- 16.Derogatis LR (1994) SCL-90-R administration, scoring and procedures manual, 3rd edn edn. National Computer Systems, MinneapolisGoogle Scholar
- 25.Kirmayer LJ (2001) Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment. J Clin Psychiatry 62(Suppl 13):S22–S28Google Scholar
- 27.Kleinman A, Good B (1985) Introduction: culture and depression. In: Kleinman A, Good B (eds) Culture and depression. Studies in the anthropology and cross-cultural psychiatry of affect and disorder. University of California Press, Berkeley, pp 1–33Google Scholar
- 32.Muthén B, Asparouhov T (2002) Latent variable analysis with categorical outcomes: multiple-group and growth modeling in Mplus. Mplus Web Notes: No. 4, Version 5Google Scholar
- 41.SPSS Inc (2006) SPSS 15.0 for Windows. SPSS IncGoogle Scholar
- 42.Statistics Netherlands. www.cbs.nl. Accessed 24 May 2009
- 48.World Health Organization (1983) Depressive disorders in different cultures. World Health Organization, GenevaGoogle Scholar
- 49.World Health Organization (1997) Composite International Diagnostic Interview (CIDI), version 2.1. World Health Organization, GenevaGoogle Scholar
- 50.World Health Organization (2000) World Health Organization Disability Assessment Schedule II (WHODAS II). www.who.int/icidh/whodas. Accessed 24 May 2009