TITLE

Depression and post-traumatic stress disorder among Haitian immigrant students: implications for access to mental health services and educational programming

AUTHOR(S)
Fawzi, Mary C. Smith; Betancourt, Theresa S.; Marcelin, Lilly; Klopner, Michelle; Munir, Kerim; Muriel, Anna C.; Oswald, Catherine; Mukherjee, Joia S.
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9 Issue 1, p482
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Previous studies of Haitian immigrant and refugee youth have emphasized "externalizing" behaviors, such as substance use, high risk sexual behavior, and delinquency, with very little information available on "internalizing" symptoms, such as depression and anxiety. Analyzing stressors and "internalizing" symptoms offers a more balanced picture of the type of social and mental health services that may be needed for this population. The present study aims to: 1) estimate the prevalence of depression and post-traumatic stress disorder (PTSD) among Haitian immigrant students; and 2) examine factors associated with depression and PTSD to identify potential areas of intervention that may enhance psychosocial health outcomes among immigrant youth from Haiti in the U.S. Methods: A stratified random sample of Haitian immigrant students enrolled in Boston public high schools was selected for participation; 84% agreed to be interviewed with a standardized questionnaire. Diagnosis of depression and PTSD was ascertained using the best estimate diagnosis method. Results: The prevalence estimates of depression and PTSD were 14.0% and 11.6%; 7.9% suffered from comorbid PTSD and depression. Multivariate logistic regression demonstrated factors most strongly associated with depression (history of father's death, self-report of schoolwork not going well, not spending time with friends) and PTSD (concern for physical safety, having many arguments with parents, history of physical abuse, and lack of safety of neighborhood). Conclusions: A significant level of depression and PTSD was observed. Stressors subsequent to immigration, such as living in an unsafe neighborhood and concern for physical safety, were associated with an increased risk of PTSD and should be considered when developing programs to assist this population. Reducing exposure to these stressors and enhancing access to social support and appropriate school-based and mental health services may improve educational attainment and psychosocial health outcomes among Haitian immigrant youth.
ACCESSION #
48253317

 

Related Articles

  • Assessment of Psychiatric Symptoms at a Level I Trauma Center Surgery Follow-up Clinic: A Preliminary Report. CONRAD, ERICH J.; HANSEL, TONYA C.; PEJIC, NICHOLAS G.; CONSTANS, JOSEPH // American Surgeon;May2013, Vol. 79 Issue 5, p492 

    At Level I trauma centers, psychiatric consultation is readily available to inpatient surgical services. This study sought to characterize the psychiatric symptoms present in the surgical follow-up clinic. Patients aged 18 years and older were assessed over one month for symptoms of...

  • Depressed population.  // Lamp;Oct2012, Vol. 69 Issue 9, p8 

    The article discusses a University of Queensland's School of Population Health study on the effects of Libya's conflict on the population's mental health, focusing on Post Traumatic Stress Disorder (PTSD) and depression and the inability of Libya's health system to address the problem.

  • Improving mental health care in humanitarian emergencies. Ventevogel, Peter; van Ommeren, Mark; Schilperoord, Marian; Saxena, Shekhar // Bulletin of the World Health Organization;Oct2015, Vol. 93 Issue 10, p666 

    The article discusses the need to improve mental health care for people affected by humanitarian emergencies arising from disasters and conflict. Topics discussed include transient psychological reactions to loss and adversity which include grief and acute stress, the impact of common mental...

  • Predicting the Impact of the 2011 Conflict in Libya on Population Mental Health: PTSD and Depression Prevalence and Mental Health Service Requirements. Charlson, Fiona J.; Steel, Zachary; Degenhardt, Louisa; Chey, Tien; Silove, Derrick; Marnane, Claire; Whiteford, Harvey A. // PLoS ONE;Jul2012, Vol. 7 Issue 7, p1 

    Background: Mental disorders are likely to be elevated in the Libyan population during the post-conflict period. We estimated cases of severe PTSD and depression and related health service requirements using modelling from existing epidemiological data and current recommended mental health...

  • Mental-Health Conditions, Barriers to Care, and Productivity Loss Among Officers in An Urban Police Department. Fox, Justin; Desai, Mayur M.; Britten, Karissa; Lucas, Georgina; Luneau, Renee; Rosenthal, Marjorie S. // Connecticut Medicine;Oct2012, Vol. 76 Issue 9, p525 

    Background: Police officers are frequently exposed to situations that can negatively impact their mental health. Methods: We conducted this study of an urban police department to determine 1) the prevalence of post-traumatic stress disorder (PTSD), depression, and alcohol abuse; 2) patterns of...

  • A mental health relief programme in Armenia after the 1988 earthquake. Implementation and clinical observations. Goenjian, Armen; Goenjian, A // British Journal of Psychiatry;Aug93, Vol. 163, p230 

    An international mental health relief programme for children and adults was implemented in Soviet Armenia after the 7 December 1988 Spitak earthquake. This paper presents: (a) the steps considered essential in the selection, preparation and support of mental health workers for the relief work;...

  • Effects of Medical Crisis Intervention on Anxiety, Depression, and Posttraumatic Stress Symptoms: A Meta-Analysis. Stapleton, Amy B.; Lating, Jeffrey; Kirkhart, Matthew; Everly Jr., George S. // Psychiatric Quarterly;Fall2006, Vol. 77 Issue 3, p231 

    A meta-analysis of 11 studies ( N=2124) investigating the impact of individual crisis intervention with medical patients yielded a significant, overall moderate effect size, d=0.44. The strongest effect of individual crisis intervention was on posttraumatic stress symptoms ( d=0.57) and anxiety...

  • Post-traumatic stress disorder and depression. Bleich, Avi; Koslowsky, Meni; Dolev, Aliza; Lerer, Bernard // British Journal of Psychiatry;May97, Vol. 170, p479 

    Background We examined psychiatric morbidity following war-related psychic trauma, with a special focus on the depressive comorbidity of post-traumatic stress disorder (PTSD). Method Subjects consisted of 60 Israeli veterans who sought psychiatric treatment 4-6 years after having been exposed to...

  • Post-Traumatic Stress Disorder (PTSD) Symptoms Predict Delay to Hospital in Patients with Acute Coronary Syndrome. Newman, Jonathan D.; Muntner, Paul; Shimbo, Daichi; Davidson, Karina W.; Shaffer, Jonathan A.; Edmondson, Donald // PLoS ONE;2011, Vol. 6 Issue 11, p1 

    Background: Increased delay to hospital presentation with acute coronary syndrome (ACS) is associated with poor outcomes. While demographic factors associated with this delay have been well described, scarce data are available on the role of modifiable factors, such as psychosocial disorders, on...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics