Abstract
Introduction
To explore ethnic differences in psychopathology, this study examined the prevalence of depressive and anxiety disorders among different ethnic groups in Amsterdam and determined whether ethnic differences can be explained by socio-demographic differences.
Methods
A population-based sample of 321 Dutch, 231 Turkish, 191 Moroccan, 87 Surinamese/Antilleans was interviewed by well-trained bilingual interviewers, using the CIDI 2.1. Educational level and income were used as indicators of socio-economic status.
Results
The weighed 1-month prevalence of depressive and/or anxiety disorders was 6.6% (Dutch), 18.7% (Turkish), 9.8% (Moroccans) and 1.2 % (Surinamese/Antilleans). Among Moroccans, the prevalence of affective disorders seemed higher in men than in women, among the Turkish the opposite was observed. Ethnic differences in prevalence could not be explained by socioeconomic differences.
Conclusion
Turkish women and men and Moroccan men in Amsterdam seem to have a higher risk of current affective disorders. Ethnicity is an independent predictor of common mental disorders in the Netherlands.
Similar content being viewed by others
References
American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Press, Washington, DC
Andrade L, Caraveo-Anduaga JJ, Berglund P, et al. (2003) The epidemiology of major depressive episodes: results from the international consortium of psychiatric epidemiology (ICPE) surveys. Int J Methods Psychiatr Res 12(1):3–21
Bengi-Arslan L, Verhulst FC, Crijnen AAM (2002) Prevalence and determinants of minor psychiatric disorder in Turkish immigrants living in the Netherlands. Soc Psychiatry Psychiatr Epidemiol 37:118–124
Bhugra D (2003) Migration and depression. Acta Psychiatr Scand 108(Suppl 418):67–72
Bijl RV, Ravelli A, van Zessen G (1998) Prevalence of psychiatric disorder in the general population: results of Netherlands Mental Health Survey and Incidence Study (NEMESIS). Soc Psych Psychiatric Epidemiol 33(12):587–595
Breslau J, Chang DF (2006) Psychiatric disorders among foreign-born and US-born Asian–Americans in a US national survey. Soc Psychiatry Psychiatr Epidemiol 41:943–950
Colla J, Buka S, Harrington D, Murphy JM (2006) Depression and modernization. A cross-cultural study of women. Soc Psychiatry Psychiatr Epidemiol 41:271–279
Dijkshoorn H, Erkens CGM, Verhoeff AP. Gezondheidsenquête Amsterdamse Gezondheidsmonitor 1999/2000. Opzet, verloop van onderzoek en eerste resultaten. GG&GD, oktober 2001, Amsterdam
Fryers T, Melzer D, Jenkins R (2003) Social inequalities and the common mental disorders. A systematic review of the evidence. Soc Psych Psychiatr Epidemiol 38:229–237
Graaf R de, Have M Ten, Dorsselaer S van, Schoemaker C, Beekman AJ, Vollenbergh W (2005) Verschillen tussen etnische groepen in psychiatrische morbiditeit. Resultaten van NEMESIS. Maandblad Geestelijke Volksgezondheid 60:703–716
GGD Amsterdam (2004) Gezond zijn en gezond leven in Amsterdam. Amsterdamse Gezondheidsmonitor, gezondheidsonderzoek 2004. Amsterdam, January 2006. 21
Grant BF, Stinson FS, Hasin DS, Dawson DA, Chou SP, Anderson K (2004) Immigration and lifetime prevalence of DSM-IV psychiatric disorders among Mexican Americans and non-Hispanic whites in the United States. Results from the National Epidemiological Survey on Alcohol and Related Conditions. Arch Gen Psychiatry 61:1226–1233
Gridoriadis S, Robinson GE (2007) Gender issues in depression. Ann Clin Psychiatry 19:247–255
Huiskamp N, Vis H, Swart W, Voorham T (2004) Gezondheidskaart allochtonen. Gezondheidsproblemen en preventiemogelijkheden in kaart gebracht. GGD Rotterdam en omstreken, Rotterdam
Hwang WC, Myers HF (2007) Major depression in Chinese Americans. The role of stress, vulnerability, and acculturation. Soc Psychiatry Psychiatr Epidemiol 42:189–197
Kamperman AM, Komproe IH, Jong de JTVM (2002) Aard en omvang van psychiatrische en psychosociale problematiek. Transcultural Psychosocial Organisation, Amsterdam
Levecque K, Lodewijckx I, Vranken J (2007) Depression and generalised anxiety in the general population in Belgium: a comparison between native and immigrants groups. J Aff Dis 97:229–239
Lorant V, Deliëge D, Eaton W, Robert A, Philippot P, Ansseau M (2003) Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol 157:98–112
O&S Amsterdam in Cijfers (2006) Amsterdam
Piccinelli M, Wilkinson G (2000) Gender differences in depression. Critical review. Br J Psychiatr 177:486–492
Schrier AC, Theunissen JR, Kempe PT, Beekman ATF (2005) Migranten in de ambulante GGZ maken een inhaalslag. Tijdschr Psychiatr 47(11):771–777
Schrier AC, Wit MAS, Rijmen F, Kupka RW, Dekker J, Beekman ATF (2008) Similarity in depressive symptom profile in a population based study of migrants in the Netherlands (submitted)
Spijker J, Bijl RV, Dekker J, Peen J (2001) Psychiatrische morbiditeit in de grote steden. Een vergelijking tussen de vier grote steden en de rest van Nederland. TSG 3:155–161
Statistics Netherlands, http://www.cbs.nl
Swinnen SGHA, Selten JP (2007) Mood disorders and migration. A meta-analyses. Br J Psychiatry 190:6–10
Syed HR, Dalgard OS, Dalen I, et al. (2006) Psychosocial factors and distress: a comparison between ethnic Norwegians and ethnic Pakistanis in Oslo, Noway. BMC Public Health 6:182
Thapa SB, Hauff E (2005) Gender differences in factors associated with psychological distress among immigrants from low and middle-income countries. Soc Psychiatry Psychiatr Epidemiol 40:78–84
Toet J, Reinking D, Smit R, Meer G van der (2003) Volksgezondheidsmonitor Utrecht. Themarapport geestelijke volksgezondheid volwassenen. GG&GD Utrecht, Februari 2003
Ujcic-Voortman J, Wit MAS de, Uitenbroek D, Tuinebreijer W, Verhoeff AP (2008) Lichamelijk onderzoek en diepte-interviews geïntegreerd in een algemene gezondheidsenquete onder de Amsterdamse multiculturele populatie. De Amsterdamse Gezondheidsmonitor 2004 (submitted)
Weich S, Lewis G, Jenkins SP (2001) Income inequality and the prevalence of common mental disorders in Britain. Br J Psychiatry 178:222–227
Weich S, Nazroo J, Sproston K, et al. (2004) Common mental disorders and ethnicity in England: the EMPIRIC study. Psychol Med 34:1543–1551
World Health Organization (1997) Composite international diagnostic interview, Version 2.1. Geneva
Wurff van der FB, Beekman ATF, Dijkshoorn H, Spijker JA, Stek ML, Verhoeff A (2004) Prevalence and risk factors for depressive disorder in elderly Turkish and Moroccan migrant in the Netherlands. J Affect Dis 83(1):33–41
Acknowledgments
We thank the Municipality of Amsterdam, and the mental health care institutions Mentrum, Buitenamstel and De Meren for financing the study. We also thank the respondents and interviewers for the valuable information they provided, Job Meijs, Reen Halkema and Jan Smit for their contribution to the field work, Peter Mesu for assisting in the data-analyses.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
de Wit, M.A.S., Tuinebreijer, W.C., Dekker, J. et al. Depressive and anxiety disorders in different ethnic groups. Soc Psychiat Epidemiol 43, 905–912 (2008). https://doi.org/10.1007/s00127-008-0382-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00127-008-0382-5