The Effects of Traumatic and Multiple Loss on Psychopathology, Disability, and Quality of Life in Iraqi Asylum Seekers in the Netherlands

Aim:To investigate the relationship between the length of stay in a western host country and psychiatric disorders among asylum seekers from Iraq.Methods:Two groups of Iraqi asylum seekers, respectively less than 6 months (n=143) and more than 2 years (n=151) in The Netherlands were interviewed The sampling was at random. The health status was measured and evaluated in relation with pre-and post-migration adverse life events. Riskfactor analyses were done and adjusted Odds Ratio's were assessed. Moreover data were collected about physical health, functional disability and quality of life and their relationship with psychopathology as well as with length of stay were assessed.Results:The overall prevalence of psychiatric disorders was 42% in the group that just arrived and 66.2% in the group that stayed more than 2 years in the Netherlands. On logistic regression of all relevant riskfactors, a long asylum procedure showed an odds ratio of 2.16 (CI=1.15-4.08) for psychopathology. Except for female sex, this odds ratio was higher than those from life events in Iraq. Furthermore: the ‘long stay’ group had higher scores on physical complaints and disability and lower scores on quality of life. The post migration living problems were all directly related to psychopathology. Health service use was low and inadequate.Conclusion:A long asylum procedure is a very important risk factor for psychiatric disorders, physical health problems, disability and low quality of life. The risk for common psychiatric problems is higher than the adverse life events in the country of origin.

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Quality of life among people living with HIV in England and the Netherlands: a population-based study

The Lancet Regional Health - Europe ◽

10.1016/j.lanepe.2021.100177 ◽

2021 ◽

Vol 8 ◽

pp. 100177

Author(s):

Stephanie Popping ◽

Meaghan Kall ◽

Brooke E. Nichols ◽

Evelien Stempher ◽

Lisbeth Versteegh ◽

...

Keyword(s):

Quality Of Life ◽

The Netherlands ◽

Population Based ◽

People Living With Hiv ◽

Population Based Study ◽

Living With Hiv

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Subjective social mobility, quality of life and mental health of asylum seekers/refugees in Germany

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.832 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

D Costa ◽

L Biddle ◽

C Mühling ◽

K Bozorgmehr

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Social Status ◽

Social Mobility ◽

Asylum Seekers ◽

Country Of Origin ◽

Subjective Social Status ◽

Downward Mobility ◽

Asylum Seekers And Refugees

Abstract Background Changes in the subjective social status (SSS) of migrants, specifically between the pre- and post-migratory movement, can be a relevant determinant of their mental health condition. This study analyzed the effect of downward subjective social mobility to the mental health of asylum seekers and refugees (ASR) in Germany. Methods Through a random sampling procedure, 560 adult ASR (18+ years) were recruited across 58 collective accommodation centers in Germanys' 3rd largest state (2018). SSS was assessed with the MacArthur social ladder (10-rungs), in reference to the participants' position in the country of origin and in Germany. Quality of Life (QoL, measured with EUROHIS-QOL), anxiety (General Anxiety Disorder-2) and depressive symptoms (Patient Health Questionnaire-2), were considered as mental health outcomes. Generalized linear regression models were fitted to measure associations between changes in SSS and each outcome. Results A loss of 3 or more steps in SSS from origin to Germany (compared to no-change) was significantly associated with poorer scores in QoL (B, standardized coefficient= -2.679, standard error, se = 1.351, p = 0.047), with more symptoms of depression (B = 1.156, se = 0.389, p = 0.003) and anxiety (B = 0.971, se = 0.432, p = 0.025), in models adjusted for SSS in the country of origin. The strength and direction of associations was unaltered after further adjusting for sex, age, educational level and time since arrival, although the coefficient for QoL was non-significant for those declaring a 3-step downward mobility (B= -2.494, se = 1.351, p = 0.066 for QoL; B = 1.048, se = 0.393, p = 0.008 for depression; and B = 1.006, se = 0.438, p = 0.022 for anxiety). Discussion The results suggest that interventions should focus on those experiencing social downward mobility and not only prioritize individuals with low social status. Early integration efforts and intersectoral measures to counter social downward mobility could prevent poor mental health among ASR. Key messages We analysed the impact to the quality of life and mental health of asylum seekers and refugees, of a change in subjective social status from country of origin to Germany. Asylum seekers and refugees residing in Germany, who perceived a downward social status mobility following their migration process, are at risk for poorer mental health.

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The societal costs and quality of life of patients suffering from bipolar disorder in the Netherlands

Acta Psychiatrica Scandinavica ◽

10.1111/j.1600-0447.2004.00403.x ◽

2004 ◽

Vol 110 (5) ◽

pp. 383-392 ◽

Cited By ~ 56

Author(s):

L. Hakkaart-van Roijen ◽

M. B. Hoeijenbos ◽

E. J. Regeer ◽

M. ten Have ◽

W. A. Nolen ◽

...

Keyword(s):

Quality Of Life ◽

Bipolar Disorder ◽

The Netherlands ◽

Societal Costs

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Exploring The Burden of Illness and Impact of SQ-Standardised Grass Allergy Immunotherapy Tablet Treatment (AIT) on Quality of Life (QOL) in Patients with Allergic Rhinitis (AR) in Germany and The Netherlands

Value in Health ◽

10.1016/j.jval.2017.08.1507 ◽

2017 ◽

Vol 20 (9) ◽

pp. A648

Author(s):

N Germain ◽

S Aballéa ◽

M Romano ◽

NA Hawken ◽

M Toumi

Keyword(s):

Quality Of Life ◽

Allergic Rhinitis ◽

The Netherlands ◽

Burden Of Illness ◽

Allergy Immunotherapy ◽

Allergy Immunotherapy Tablet

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Ethical Decisions in Neonatal Intensive Care Units: The Dutch Experience

PEDIATRICS ◽

10.1542/peds.90.5.729 ◽

1992 ◽

Vol 90 (5) ◽

pp. 729-732

Author(s):

Pieter J. J. Sauer

Keyword(s):

Quality Of Life ◽

Intensive Care ◽

The Netherlands ◽

Neonatal Intensive Care ◽

Fatal Outcome ◽

Modern Technology ◽

Withholding Treatment ◽

Intensive Care Treatment ◽

Best Interest

Modern technology makes it possible to keep more sick, extremely small, and vulnerable neonates alive. Many neonatologists in the Netherlands believe they should be concerned not only about the rate of survival of their patients, but also about the way the graduates of their care do, in fact, survive beyond the neonatal period. In most cases, we use all available methods to keep newborns alive. However, in some instances there is great concern about the quality of life, if the newborn should survive; here questions do arise about continuing or withholding treatment. In this commentary, I present my impression of the opinions held by a majority of practicing neonatologists in the Netherlands, as well as some personal thoughts and ideas. Recently, a committee convened by the Ministers of Justice and Health in the Netherlands issued an official report regarding the practice of euthanasia and the rules of medical practice when treatment is withheld.1 In this report of more than 250 pages, only 2 pages focus on the newborn. The following conclusions were made in this small section of the report. In almost one half of the instances of a fatal outcome in a neonatal intensive care unit in the Netherlands, discussions about sustaining or withholding treatment did take place at some stage of the hospital stay. A consideration of the future quality of life was always included in the discussion. The committee agreed with doctors interviewed for the report that there are circumstances in which continuation of intensive care treatment is not necessarily in the best interest of a neonate.

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