Skip to main content
Log in

Neue Ansätze zur Erkennung und Differenzierung von Depression bei Migranten

Fallbeispiel einer Patientin mit türkischem Migrationshintergrund

New procedures for recognition and differentiation of depression in immigrants

Case report of a patient with Turkish immigrant background

  • Aktuelles
  • Published:
Der Nervenarzt Aims and scope Submit manuscript

Zusammenfassung

Die Depression stellt ein kulturübergreifendes Erkrankungsbild dar. Es bestehen jedoch kulturspezifische Unterschiede bezüglich der Symptompräsentation und Prävalenz. Der kulturspezifische Leitfaden zur Beurteilung kultureller Einflussfaktoren, zur Anamneseerhebung und Therapie sowie die Berücksichtigung migrationsassoziierter Stressoren können zu einer systematischen Betrachtung des soziokulturellen Umfeldes eines Patienten mit Migrationshintergrund verhelfen und die Differenzialdiagnose erleichtern. Damit wäre die Psychiatrie und Psychotherapie angesichts der Tatsache, dass knapp jeder 5. Bürger in Deutschland einen Migrationshintergrund besitzt, auf diese große, heterogene Gruppe von Menschen mit Migrationshintergrund besser vorbereitet. Anhand einer Kasuistik werden diese Zusammenhänge exemplarisch dargestellt.

Summary

Depression is a cross-cultural disorder, which displays cultural differences in symptom presentation and prevalence. The guidelines for the assessment of cultural influencing factors for the medical history and therapy and the consideration of stressors associated with the immigration process can help to better understand the socio-cultural background of patients with an immigration background and facilitate the differential diagnosis. Using these strategies, psychiatry and psychotherapy are better prepared to deal with this large heterogeneous population given the fact that one fifth of Germany’s population has an immigration background. The transcultural aspects of depression are illustrated with a case report.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Literatur

  1. Ballenger JC, Davidson JR, Lecrubier 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):47–55

    PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  3. Chiu E (2004) Epidemiology of depression in the Asia Pacific region. Australas Psychiatry 12(Suppl):4–10

    Article  Google Scholar 

  4. Diler RS, Avci A (2003) Emotional and behavioral problems in migrant children. Swiss Med Wkly 133:16–21

    CAS  PubMed  Google Scholar 

  5. Grüsser SM, Wölfling K, Mörsen C et al (2004) Immigration-associated variables and substance dependence. J Stud Alcohol 66:98–104

    Google Scholar 

  6. Gureje O, Simon GE, Ustun TB, Goldberg DP (1997) Somatization in cross-cultural perspective: a World Health Organization study in primary care. Am J Psychiatry 154(7):989–994

    CAS  PubMed  Google Scholar 

  7. Hasin DS, Goodwin RD, Stinson FS, Grant BF (2005) Epidemiology of major depressive disorder: results from the national epidemiologic survey on alcoholism and related conditions. Arch Gen Psychiatry 62:1097–1106

    Article  PubMed  Google Scholar 

  8. Dilling H, Mombour W, Schmidt MH (Hrsg) (1991) Internationale Klassifikation psychischer Störungen: ICD-10, Kapitel V (F), klinisch-diagnostische Leitlinien, Weltgesundheitsorganisation. 1. Aufl. Huber, Bern Göttingen Toronto

  9. Jacob KS, Bhugra D, Lloyd KR, Mann AH (1998) Common mental disorders, explanatory models and consultation behaviour among Indian women living in the UK. J R Soc Med 91:66–71

    CAS  PubMed  Google Scholar 

  10. Jackson-Triche ME, Greer Sullivan J, Wells KB et al (2000) Depression and health-related quality of life in ethnic minorities seeking care in general medical settings. J Affect Dis 58:89–97

    Article  CAS  PubMed  Google Scholar 

  11. Keyes CL, Ryff CD (2003) Somatization and mental health: a comparative study of the idiom of distress hypothesis. Soc Sci Med 57:1833–1845

    Article  PubMed  Google Scholar 

  12. Kirmayer LJ (2001) Cultural variations in the clinical presentation of depression and anxiety: implications for diagnosis and treatment. J Clin Psychiatry 62(Suppl 13):22–30

    PubMed  Google Scholar 

  13. Kleinman A (1980) The cultural construction of illness experience and behaviour, 2: a model of somatization of dysphoric affects and affective disorders. In: Leslie C (ed) Patients and healers in the context of culture. An exploration of the borderland between anthropology, medicine, and psychiatry. Univ California Press, Berkeley

  14. Kraepelin E (1899) Psychiatrie. Ein Lehrbuch für Studierende und Ärzte. Johann Ambrosius Barth, Leipzig

  15. Machleidt W, Calliess IT (2004) Psychiatrisch-psychotherapeutische Behandlung von Migranten und transkulturelle Psychiatrie. In: Berger M (Hrsg) Psychische Erkrankungen – Klinik und Therapie. Urban und Fischer, München, S 1161–1183

  16. Nichter M (1981) Idioms of distress: alternatives in the expression of psychosocial distress: a case study from South India. Cult Med Psychiatry 5:379–408

    Article  CAS  PubMed  Google Scholar 

  17. Pfeiffer WM (1984) Transkulturelle Aspekte der Depression. Nervenheilkunde 3:14–17

    Google Scholar 

  18. Pfeiffer WM (1994) Transkulturelle Psychiatrie. Ergebnisse und Probleme. Thieme, Stuttgart New York

  19. Rao D, Young M, Raguram R (2007) Culture, somatization, and psychological distress: symptom presentation in South Indian patients from a public psychiatric hospital. Psychopathology 40:349–355

    Article  CAS  PubMed  Google Scholar 

  20. Sartorius N, Davidian H, Ehrenberg G et al (1983) Depressive disorders in different cultures: Report on the WHO-collaborative-study on standardized assessment of depressive disorders. World Health Organization, Geneva

  21. Sartorius N, Ustun TB, Costa e Silva JA et al (1993) An international study of psychological problems in primary care. Preliminary report from the World Health Organization Collaborative Project on ‚Psychological Problems in General Health Care. Arch Gen Psychiatry 50:819–824

    CAS  PubMed  Google Scholar 

  22. Sartorius N (2000) Psychiatrie in Entwicklungsländern. In: Helmchen H et al (Hrsg) Psychiatrie der Gegenwart. Band 3: Psychiatrie spezieller Lebenssituationen, 4. Aufl. Springer, Berlin Heidelberg New York, S 425–446

    Google Scholar 

  23. Saß H, Wittchen H-U, Zaudig M, Houben I (2003) Diagnostisches und Statistisches Manual Psychischer Störungen – Textversion – DSM-IV-TR. Hogrefe, Göttingen

  24. Schouler-Ocak M (2007) Sind Migrantinnen und Migranten anders depressiv? Migration und psychische Gesundheit Belastungen und Potentiale. Mabuse, Frankfurt am Main

  25. Simon GE, Korf nM v, Piccinelli M et al (1999) An international study of thetelation between somatic symptoms and depression. NEJM 341:1329–1335

    Article  CAS  PubMed  Google Scholar 

  26. Statistisches Bundesamt (2006) Bevölkerung und Erwerbstätigkeit. Ergebnisse des Mikrozensus 2005. Fachserie 1 Reihe 2.2. Wiesbaden

  27. Syed HR, Dalgard OS, Dalen I et al (2006) Psychosocial factors and distress: a comparison between ethnic Norwegians and ethnic Pakistanis in Oslo, Norway. BMC Public Health 6:1–9

    Article  Google Scholar 

  28. Tseng WS (2001) Handbook of cultural psychiatry. Academic Press, San Diego London Boston New York Sydney Tokyo Toronto

  29. Tseng WS, Streltzner J (2004) Cultural competence in clinical psychiatry. Am Psychiatr Publ Inc

  30. Williams DR, Gonzalez HM, Neighbors H et al (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 64:305–315

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor weist auf folgende Beziehung hin: BMBF 01EL0807

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Schouler-Ocak.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schouler-Ocak, M., Aichberger, M., Heredia Montesinos, A. et al. Neue Ansätze zur Erkennung und Differenzierung von Depression bei Migranten. Nervenarzt 81, 873–878 (2010). https://doi.org/10.1007/s00115-010-3057-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00115-010-3057-x

Schlüsselwörter

Keywords

Navigation