Psychological Distress and Somatization in Immigrants in Primary Health Care Practices
García-Sierra, Rosa (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Moreno Gabriel, Eduard (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Arreciado Marañón, Antonia (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Ramos-Roure, Francesc (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Torán Montserrat, Pere (Universitat de Girona. Departament de Medicina)
Fernández-Cano, María Isabel (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Manresa, J. M. (Universitat Autònoma de Barcelona. Departament d'Infermeria)
Feijoo Cid, Maria (Universitat Autònoma de Barcelona. Departament d'Infermeria)

Date:	2020
Abstract:	The process of international migration causes a situation of vulnerability in people's health and greater difficulty in coping with disease. Furthermore, the adversities suffered during migration can trigger reactive signs of stress and cause anxious, depressive, confusional and somatic symptoms. This article studies the relationships between psychosocial risk, psychological distress and somatization in immigrants from four communities: Maghrebis, Sub-Saharans, South Americans and South Asian. A cross-sectional study was carried out with questionnaires on 602 immigrants who were surveyed in the primary care centers of an urban area of Catalonia. The instruments used were the Demographic Psychosocial Inventory (DPSI), the Brief Symptom Inventory (BSI) and the Somatic Symptom Inventory (SSI). The average psychosocial risk obtained was 0. 35, with the highest values in the Sub-Saharan community. Psychological distress showed a mean value of 0. 66, with the Sub-Saharan community scoring the lowest in all dimensions except depression. The average somatization values were 1. 65, with the Sub-Saharan community scoring the least. The female gender is a risk factor for somatization and psychological distress. Perceived psychosocial risk is a predictor of psychological distress, but not somatization, suggesting that the use of more adaptive coping strategies could minimize the effect of the migration process on somatizations.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Immigrants ; Somatization disorders ; Stress ; Psychological ; Primary health care ; Vulnerable populations
Published in:	Healthcare, Vol. 8 Núm. 4 (2020) , p. 557, ISSN 2227-9032

DOI: 10.3390/healthcare8040557
PMID: 33322209

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