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. 2020 Apr 17;20(1):176.
doi: 10.1186/s12888-020-02585-1.

Attitudes towards psychopharmacology and psychotherapy in psychiatric patients with and without migration background

Eva J Brandl  1   2 , Nora Dietrich  3   4 , Nicoleta Mell  3   4 , Johanna G Winkler  3   4 , Stefan Gutwinski  3   4 , H Joachim Bretz  3   4 , Meryam Schouler-Ocak  3   4
Affiliations

Attitudes towards psychopharmacology and psychotherapy in psychiatric patients with and without migration background

Eva J Brandl et al. BMC Psychiatry. .

Abstract

Background: Sociodemographic factors, attitude towards treatment and acculturation may be important factors influencing the decision of immigrants to seek and maintain psychiatric treatment. A better understanding of these factors may significantly improve treatment adherence and outcome in these patients. Therefore, we investigated factors associated the attitude towards psychotherapy and medication in a sample of psychiatric outpatients with and without migration background.

Methods: N = 381 patients in a psychiatric outpatient unit offering specialized treatment for migrants were included in this study. Attitude towards psychotherapy was assessed using the Questionnaire on Attitudes Toward Psychotherapeutic Treatment, attitude towards medication with the Drug Attitude Inventory-10. Acculturation, symptom load and sociodemographic variables were assessed in a general questionnaire. Statistical analyses included analyses of covariance and hierarchical regression.

Results: Patients of Turkish and Eastern European origin reported a significantly more positive attitude towards medication than patients without migration background. When controlling for sociodemographic and clinical variables, we did not observe any significant differences in attitude towards psychotherapy. Acculturation neither influenced the attitude towards psychotherapy nor towards medication.

Conclusion: Our study indicates that sociodemographic and clinical factors may be more relevant for patients´ attitudes towards treatment than acculturation. Considering these factors in psychiatric treatment of patients with migration background may improve treatment outcome and adherence.

Keywords: Attitude; Medication; Migrants; Psychotherapy.

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Conflict of interest statement

EJB: speaker fees from Servier and Medice. MSO: Speaker from Servier and Forum für medizinische Fortbildung - FomF, expert opinion for the court. JGW, ND, NM, SG and HJB declare no conflicts of interest.

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References

    1. Bundesamt S. Statistisches Jahrbuch 2016. Wiesbaden: Statistisches Bundesamt; 2016.
    1. Aichberger MC, Bromand Z, Rapp MA, Yesil R, Montesinos AH, Temur-Erman S, et al. Perceived ethnic discrimination, acculturation, and psychological distress in women of Turkish origin in Germany. Soc Psychiatry Psychiatr Epidemiol. 2015;50(11):1691–1700. doi: 10.1007/s00127-015-1105-3. - DOI - PubMed
    1. Jurado D, Alarcon RD, Martinez-Ortega JM, Mendieta-Marichal Y, Gutierrez-Rojas L, Gurpegui M. Factors associated with psychological distress or common mental disorders in migrant populations across the world. Rev Psiquiatr Salud Ment. 2017;10(1):45–58. doi: 10.1016/j.rpsm.2016.04.004. - DOI - PubMed
    1. Dapunt J, Kluge U, Heinz A. Risk of psychosis in refugees: a literature review. Transl Psychiatry. 2017;7(6):e1149. doi: 10.1038/tp.2017.119. - DOI - PMC - PubMed
    1. Dingoyan D, Schulz H, Kluge U, Penka S, Vardar A, von Wolff A, et al. Lifetime prevalence of mental disorders among first and second generation individuals with Turkish migration backgrounds in Germany. BMC Psychiatry. 2017;17(1):177. doi: 10.1186/s12888-017-1333-z. - DOI - PMC - PubMed

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