Suicide ideation among recent immigrants to Israel from the former Soviet Union: an epidemiological survey of prevalence and risk factors

This paper reports results of a national community survey of self-reported suicide ideation and attempts and their relation to psychological distress, depression, social support, and adjustment difficulties in a sample of recent immigrants from the former Soviet Union (FSU) to Israel. Using a door-to-door sampling procedure, a sample of 788 Russian-born Jewish immigrants, ages 18-74 years, was selected to match the age and sex structure of the total immigrant population. An indigenous sample of Jews in Russia (n = 411) was matched with the immigrants for comparison. Parameters of interest were measured with the Demographic Inventory, Talbieh Brief Distress Inventory, Beck Depression Inventory, and Multidimensional Scale of Perceived Social Support. The 1-month prevalence rate of suicide ideation in the immigrant sample (15.1%) was found to be significantly higher than that in Russian controls (6.6%). A total of 5.5% of immigrants but only 0.5% of controls had made a suicide attempt at some time in their lives. Risk factors for suicide ideation included younger age, living without a spouse, low level of social support, being a physician or teacher, a history of immigration from the Baltic countries or Moscow, or duration of stay in Israel from 2 to 3 years. The strongest risk factors were higher level of psychological distress and symptoms such as depression, hostility, and paranoid ideation. These findings can be used as a point of departure for the development of community-based suicide prevention programs for recent immigrants.     

Mental health aspects of Arab-Israeli adolescents from polygamous versus monogamous families

The authors considered the mental health consequences of polygamy in a sample of 101 Arab Muslim adolescents (19 from polygamous and 82 from monogamous families) at Juarish (Ramla), Israel. The respondents completed the Self-Esteem Scale (SE; M. Rosenberg, 1979), the Brief Symptom Inventory (BSI; L. Derogatis & N. Melsavados, 1983; L. Derogatis & P. Spencer, 1982), and the McMaster Family Assessment Device (FAD; N. B. Epstein, M. N. Baldwin, & D. S. Bishop, 1983). The respondents from polygamous families had lower SE scores, statistically significant higher scores in 2 BSI dimensions, higher scores in all other BSI dimensions, and higher levels of self-reported family dysfunction. The respondents from polygamous families reported lower levels of socioeconomic status, academic achievement, and parental academic attainment. Those variables may have had a more direct impact on mental health than did parental marital status. The data also indicated that perceived family functioning was the best predictor of mental health.     

The Satisfaction With Life Scale: Measurement invariance across immigrant groups

The current study examined measurement invariance of the Satisfaction With Life Scale (SWLS; Diener, Emmons, Larsen, & Griffin, 1985) across three immigrant groups, namely, immigrants from the Former Soviet Union (FSU) in Israel, Turkish-Bulgarians, and Turkish-Germans. The results demonstrate measurement invariance of the SWLS across groups. The findings that Turkish-Bulgarian and FSU immigrants in Israel scored significantly lower on the SWLS compared to Turkish-Germans can be explained by assimilative policies in Israel and Bulgaria. In conclusion, our results suggest the SWLS is feasible for cross-cultural comparisons of immigrants of various age groups. Future investigation of measurement invariance over time is needed to use the SWLS in a developmental perspective.     

Mental Health Aspects of Arab-Israeli Adolescents From Polygamous Versus Monogamous Families

Abstract

The authors considered the mental health consequences of polygamy in a sample of 101 Arab Muslim adolescents (19 from polygamous and 82 from monogamous families) at Juarish (Ramla), Israel. The respondents completed the Self-Esteem Scale (SE; M. Rosenberg, 1979), the Brief Symptom Inventory (BSI; L. Derogatis & N. Melsavados, 1983; L. Derogatis & P. Spencer, 1982), and the McMaster Family Assessment Device (FAD; N. B. Epstein, M. N. Baldwin, & D. S. Bishop, 1983). The respondents from polygamous families had lower SE scores, statistically significant higher scores in 2 BSI dimensions, higher scores in all other BSI dimensions, and higher levels of self-reported family dysfunction. The respondents from polygamous families reported lower levels of socioeconomic status, academic achievement, and parental academic attainment. Those variables may have had a more direct impact on mental health than did parental marital status. The data also indicated that perceived family functioning was the best predictor of mental health.     

Adult Israeli Community Norms for the Brief Symptom Inventory (BSI)

The study aim is to establish Israeli norms for the Brief Symptom Inventory (BSI). A nationwide representative sample of 510 community respondents (age range 35–65, 51.4% women) completed the Hebrew version of the BSI. The data showed high internal reliabilities for the 9 BSI scales, as well as for their total score, indicated by the General Severity Index (GSI). Higher levels of GSI were found for widowed, divorced, and single respondents than for married respondents. Higher GSI was also found for unemployed and retired men than the self-employed and employees, validating the GSI as a measure of distress. Most importantly, the scores of the Israeli GSI, as well as each of the 9 scales, were higher than those reported in either the U.S. or the British norms. These findings may indicate that Israeli society is experiencing relatively high distress, highlighting the need for establishing BSI norms for each culture.     

Depressive symptoms in native and immigrant adolescents: the role of critical life events and daily hassles

The present study compared native Austrian, first and second generation immigrant adolescents regarding their level of depressive symptoms, critical live events, and daily hassles. Furthermore, the associations between these constructs were tested in the three groups. The sample comprised 330 native Austrian (52.1% girls), 120 first generation immigrants (49.2% girls and 159 second generation immigrants (54.2% girls) aged 14-19 (M=15.61). Compared with native adolescents, first generation immigrant adolescents reported more depressive symptoms and daily hassles related to parents, the self, leisure, romantic partner, and future, whilst second generation immigrant adolescents reported more daily hassles related to parents, school, and romantic partner. Controlling for gender, multiple group structural equation models revealed that daily hassles fully mediated the path between critical live events and depressive symptoms in all three groups of adolescents. Implications for future research on immigrant adolescents' psychological well-being are discussed.     

Latin-American immigrant women and mental health: differences according to their rural or urban origin

Spain is one of the EU countries that receive most immigrants, especially from Latin America. The process of migration implies a high level of stress what may have repercussions for the mental health of immigrants. The purposes of this study were: (a) to determine whether the degree of mental health of immigrant women differs according to their rural or urban origin, (b) to compare the mental health of immigrant women with that of the female normative sample of host population (Spain). A sample of 186 Latin American immigrant women (142 from urban areas and 44 from rural areas) was recruited in Barcelona by means of a consecutive case method. A structured interview and the SCL-90-R were administered. The results indicated that the immigrant women from rural origin reported higher levels of psychological symptomatology than those from urban areas. Immigrants reported higher levels of psychological symptomatology than the native female population and in most of the psychological symptoms exceeded 90% of the native Spanish population. Migration is a powerful stressor which may lead to psychological distress. Being female of rural origin and being in an illegal situation is related with an increase in symptomatology.     

The Relations of Immigrant‐Specific and Immigrant‐Nonspecific Daily Hassles to Distress Controlling for Psychological Adjustment and Cultural Competence1

In separating immigrant‐specific daily hassles (out‐group, family, and in‐group) from immigrant‐nonspecific general hassles, the relations of hassles to depression and physical symptoms were examined. The respondents were 79 female and 85 male Iranian immigrants to Canada. In Block 1 of a hierarchical multiple regression analysis, the experience of out‐group hassles and of general hassles both contributed to the prediction of depression. In Block 2, psychological adjustment and perceived cultural competence in the host society, along with out‐group hassles, predicted depression. General hassles were the only predictor of physical symptoms. Psychological adjustment, as a buffer, interacted with hassles in enhancing the prediction of distress. The importance of distinguishing and accounting for both immigrant‐specific and immigrant‐nonspecific hassles in predicting outcome measures was considered, as was the importance of assessing dispositional variables in this context.     

FACTORS ASSOCIATED WITH ACCULTURATIVE STRESS AND DEPRESSIVE SYMPTOMATOLOGY AMONG MARRIED MEXICAN IMMIGRANT WOMEN

The purpose of the present study was to describe levels of acculturative stress and individual stressors and their relationship to levels of depressive symptomatology among young Mexican immigrant women. The mean age of the respondents was 25.7 years with a mean of 9.4 years of education. Their age at migration was 18.5 years and their average length of stay in the United States was 7.5 years. Women who in the last three months experienced discrimination, sex-role conflicts, and concern about starting a family in this country had significantly higher (over 16) CES-D scores than women who did not report experiencing those situations. The overall findings suggest that this sample of Mexican women immigrants as a group are at risk for the development of psychological problems.     

The adaptation of non‐western and Muslim immigrant adolescents in the Netherlands: An immigrant paradox?

van Geel, M. & Vedder, P. (2010). The adaptation of non‐western and Muslim immigrant adolescents in the Netherlands: An immigrant paradox? Scandinavian Journal of Psychology, 51, 398–402. This article addresses the possible existence of an immigrant paradox in a sample of immigrant adolescents attending vocational schools in the Netherlands. An immigrant paradox is the finding that first generation immigrants show a more positive pattern of adaptation than nationals despite poorer economic conditions. Second generation immigrants regress to the nationals in terms of adaptation. A sample of 152 first generation immigrant adolescents, 285 second generation immigrant adolescents and 406 national adolescents completed self‐reports about socio‐economic status, psychological problems, behavioral problems and self‐esteem. The results supported the existence of an immigrant paradox in this sample. This indicates that further assimilation among immigrant adolescents does not necessarily lead to increased well being.     

Unidimensionality of the Brief Symptom Inventory (BSI) in Adult and Adolescent Inpatients

This study investigated the factor structure of the Brief Symptom Inventory (BSI; Derogatis, 1992) for adult and adolescent psychiatric inpatients. The BSI was administered to 217 adults and 188 adolescents at admission, and discharge from a private psychiatric hospital. Principal components factor analyses revealed that most variance among dimension scores was accounted for by one unrotated factor. Factorial invariance was evident across adult and adolescent samples for admission and discharge scores. Our findings are consistent with previous research on the BSI and Symptom Checklist-90-R (Derogatis, 1977), suggesting that both instruments measure primarily a unidimensional construct of general psychological distress.     

The effect of acculturation on depressive moods: immigrant boys and girls during their transition from late adolescence to early adulthood

Using data (N = 773) from a longitudinal study of former Soviet Union immigrants to Israel, this study aimed to identify the psychosocial correlates of depressive mood among immigrant adolescents and differences by age and gender. OLS regression results suggest acculturative and social factors as useful variables in predicting depression. Adolescents with a high probability of assimilating (simultaneous strengthening of Israeli identity and weakening of Russian identity) proved more likely to report low levels of depression. Consistent with the literature, girls were more depressed than boys and age was positively related to depressive moods. As expected, different factors explain the psychological well-being of adolescents of different age groups and sex: in boys, depression was found mainly related to acculturation difficulties; in girls it was related more to their social support. As for age, more independent variables were statistically significant in accounting for depression in the older than in the younger group, which suggests that depression is age-related. The study results should be understood in connection with socialization processes to sex roles and the impact immigration has on this process.     

Drug Use Among Immigrant and Non‐immigrant Adolescents: Immigrant Paradox,Family and Peer Influences

The present study compared immigrant and Italian native adolescents with regard to drug use. Additionally, we analysed the role of family and peer risk and protective factors for drug use. Participants included 2533 Italian native and immigrant adolescents (mean age = 17.19, SD = 1.6; 66.7% male). Results showed that immigrant adolescents reported lower levels of marijuana and pharmaceutical drug abuse than non‐immigrant adolescents. These results confirm the so‐called immigrant paradox phenomenon: the counterintuitive finding that although immigrants often live under challenging conditions and reported lower economic affluence compared with nationals, some health outcomes have not always corresponded to their relative disadvantage. Immigrant adolescents also reported higher level of parental control and lower levels of affiliation with deviant peers, but lower levels of child disclosure, parental solicitation and parental knowledge. Socio‐economic status and parental monitoring showed equivalent effects on drug use for immigrant and non‐immigrant adolescents. Results have implications for preventive interventions for immigrant adolescents and families, including the need to develop programmes that leverage the benefits of the immigrant paradox for immigrant communities. Future research should analyse the processes that lead to lower levels of drug use in immigrant adolescents and investigate the influence of friendship networks on immigrant adolescent drug use behaviour. Copyright © 2015 John Wiley & Sons, Ltd.     

A cross-cultural analysis of the Brief Symptom Inventory-18

The Brief Symptom Inventory-18 (BSI-18: Derogatis, 2000) is an abbreviated version of the nine dimension, 53-item BSI (Derogatis, 1993) which is a shortened form of the 90-item Symptom Checklist-90-Revised (SCL-90-R: Derogatis, 1994). Criticism focused on factor structure (cf. Boulet & Boss, 1991; Ruipérez, Ibá?ez, Lorente, Moro, & Ortet, 2001) and the two older versions' poor discriminant validity suggest the scales' usefulness is limited to global scores only. Using principal component analysis, the authors explore the three-dimension factor structure of the BSI - 18 with the understudied population of Central American immigrants to the U.S. (N = 100). Results suggest one underlying factor best used in aggregate as a general screening for overall levels of psychological distress. Cultural differences are discussed.     

Long-Term stress reactions in new immigrants to israel exposed to the chernobyl accident

Abstract

This comparison study examined the relation between presumed level of exposure to the accident at Chernobyl in 1986 to symptoms of post-traumatic stress disorder (PTSD) and other psychological symptoms (depression, somatization, anxiety, obsessive-compulsive style and interpersonal sensitivity), life events and the negative appraisal of the events surrounding the accident. The sample (N = 708) included new immigrants from the former Soviet Union (Confederation of Independent States) who arrived in Israel since 1989 from more exposed areas (n = 137), less exposed (n = 240) and a comparison sample (n = 331) who immigrated from other republics. The exposed groups had higher mean scores on all psychological outcome measures than the comparison group, particularly symptoms of PTSD. Both subsequent stressful life events and a negative, cognitive assessment of events contributed to present psychological distress, independent of exposure.     

Gender and ethnic differences in psychosocial stress and generalized distress among Hispanics

This study examined the relationship between gender, ethnicity, psychosocial stress and generalized distress in 593 Hispanic immigrants, Mexican Americans, and Anglo Americans using the Hispanic Stress Inventory (HSI) and the Center for Epidemiologic Studies Depression Scale (CES-D). Findings revealed that immigrant females had higher scores on the Cultural/Family Conflict sub-scale of the HSI and on the CES-D than immigrant males. Also, higher levels of generalized distress and psychosocial stress associated with the immigration process were found among immigrants from Central America when compared with Mexican immigrants. Central Americans' stress appraisal ratings on specific HSI items related to pre-migration trauma were significantly higher than the ratings of Mexican immigrants. Our findings indicate that research and clinical service delivery models must be sensitive to the vast heterogeneity within the Hispanic population with respect to differences in the experiences of psychosocial stress as related to gender and ethnicity.This project was partially supported by Grant USPHS MH24854 to the third author from the National Institute of Mental Health, Division of Biometry and Applied Science, Minority Research Resources Branch.     

Acculturation and adaptation of immigrant adolescents in Greek urban schools

The purpose of this study was to examine the acculturation, psychological well-being, and school adjustment of Pontian adolescents from the former Soviet Union (FSU-Pontians), who are immigrants of the diaspora living in Greece, compared with an immigrant group from Albania and native Greek classmates. The sample included 165 FSU-Pontian immigrants, 272 immigrants from Albania, and their 525 Greek classmates (mean age = 13.7 years). School adjustment data were obtained using multiple methods and informants. Students also reported their subjective well-being and acculturation via multiple measures. Findings indicated that FSU-Pontian adolescents, although they are Greek citizens, had a stronger ethnic and a lower host-national orientation than did Albanian students. Both immigrant groups experienced similar difficulties in school adjustment. Involvement in Greek culture was a salient predictor of school adjustment, while involvement in one's ethnic culture was related to subjective well-being. Findings suggest that the acculturation expectations of host country members may be related to immigrants' acculturation orientations.     

The Role of Attachment in Immigrant Sociocultural Adaptation and Psychological Distress

The study extends recent research on the link between attachment security and the sociocultural and psychological adaptation of immigrants. It was hypothesised that attachment style would moderate the effects of sociocultural adaptation difficulties on psychological distress and the relationship between attachment style and immigrant background variables was explored. The study was correlational and questionnaire‐based, including a sample of 172 Brazilian immigrants living in the UK. According to the findings, secure and dismissing attachment styles moderated the effects of sociocultural adaptation difficulties on psychological distress. Preoccupied attachment style moderated the effects of previous immigration experience on psychological distress and the effects of duration of stay in the UK on concerns over terrorism. Future studies should employ longitudinal designs and include a variety of immigrant groups. Copyright © 2011 John Wiley & Sons, Ltd.     

Are immigrants in the nursing industry at increased risk of bullying at work? A one‐year follow‐up study

The purpose of this study was to explore whether (a) immigrant health care workers (HCW) are more at risk of bullying at work than Danish staff members, (b) this association is increased by previous exposure to bullying and (c) immigrants experience more bullying from supervisors, colleagues and clients/residents. We analyzed cross-sectional baseline data from 5,635 health care students of whom 10.4% were immigrants, and conducted a prospective analysis by following 3,109 of these respondents during their first year of employment. More than a third of the respondents had previous experiences with bullying. The baseline analyses showed that immigrants are more at risk of being bullied during both their theoretical education and trainee periods than their Danish co-students. At follow-up we found that 9.1% of the total cohort had been exposed to bullying at work during their first year of employment, hereof 1.8% frequently. "Non-Western" immigrants had a significantly higher risk of exposure to bullying at work during follow-up than the Danish respondents independent of previous experience with bullying. Danish and immigrant health care workers were more exposed to bullying from co-workers than from supervisors with no statistically significant difference between the Danes and the immigrant groups. Both "Western" and "non-Western" respondents were more at risk of bullying from clients/residents than the Danish respondents.     

Emotion valence,intensity and emotion regulation in immigrants and majority members in the Netherlands

We were interested in interethnic differences and similarities in how emotion regulation strategies (reappraisal, suppression and social sharing) can be predicted by emotion valence and intensity. The sample consisted of 389 Dutch majority members and members of five immigrant groups: 136 Turkish and Moroccan, 105 Antillean and Surinamese, 102 Indonesian, 313 Western and 150 other non‐Western immigrants. In a path model with latent variables we confirmed that emotion regulation strategies were significantly and similarly related to emotion valence and intensity across the groups. Negative emotions were more reappraised and suppressed than positive emotions. Intensity was positively related to social sharing and negatively related to reappraisal and suppression. The Dutch majority group scored higher on emotion valence than Turkish and Moroccan immigrants. Also, the Dutch majority group scored lower on reappraisal than all non‐Western groups, and lower on suppression than Turkish and Moroccan immigrants. We conclude that group differences reside more in mean scores on some components than in how antecedents are linked to regulation strategies.