The role of post-migration living difficulties on somatization among first-generation immigrants visited in a primary care service

被引：20

作者：

Aragona, Massimiliano ^{[1
]}

Pucci, Daniela ^{[1
]}

Carrer, Sara ^{[1
]}

Catino, Elena ^{[1
]}

Tomaselli, Adriana ^{[1
]}

Colosimo, Francesco ^{[1
]}

Lafuente, Montserrat ^{[1
]}

Mazzetti, Marco ^{[1
]}

Maisano, Bianca ^{[1
]}

Geraci, Salvatore ^{[1
]}

机构：

[1] Caritas Hlth Serv Network, Rome, Italy

来源：

ANNALI DELL ISTITUTO SUPERIORE DI SANITA | 2011年 / 47卷 / 02期

关键词：

somatization; migration; family medicine; psychopathology; mental health; POSTTRAUMATIC-STRESS-DISORDER; HARVARD TRAUMA QUESTIONNAIRE; CROSS-CULTURAL INSTRUMENT; SOMATIC SYMPTOMS; MEASURING TORTURE; REFUGEES; HEALTH; DEPRESSION; VALIDITY; PAKISTAN;

D O I：

10.4415/ANN_11_02_13

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The role of post-migration living difficulties (PMLD) on somatization was studied in 101 first generation immigrants visited in primary care. Premigratory traumas and post-traumatic stress disorder (PTSD) were also assessed. About one third of patients somatized. Sociodemographic variables were similar in somatizers and non-somatizers. Premigratory traumas, PTSD and the likelihood to report at least one serious or very serious PMLD were higher in somatizers. Four kinds of PMLD were more frequent in somatizers: worries about unavailability of health assistance, working problems, discrimination and poor social help. Traumas and PTSD influenced the effect of PMLD on somatization. Findings suggest that in specific samples of primary care immigrants severe premigratory traumas increase the sensitivity to PMLD and in turn distress due to PMLD amplifies the tendency to somatize.

引用

页码：207 / 213

页数：7

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[11] MEDICALLY UNEXPLAINED SOMATIC SYMPTOMS IN DIFFERENT CULTURES - A PRELIMINARY-REPORT FROM PHASE-I OF THE WORLD-HEALTH-ORGANIZATION INTERNATIONAL STUDY OF SOMATOFORM DISORDERS [J].