Social exclusion and psychopathology in an online cohort of Moroccan-Dutch migrants: Results of the MEDINA-study.

Journal: PloS one

Volume: 12

Issue: 7

Year of Publication: 2017

Affiliated Institutions:  Dimence Institute for Mental Health, Dimence Group, Zwolle, the Netherlands. University Center for Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Abstract summary 

Migration is seen as a risk factor for developing psychiatric symptoms and experiencing social exclusion. In the Netherlands, the Moroccan-Dutch population is the second largest migrant group. 70% of all young Moroccan-Dutch people meet each other in the online community www.marokko.nl. Within this community, we investigated the association between experiences of social exclusion and self-reported depressive symptoms and psychotic experiences.Participants were recruited via the website www.marokko.nl. They completed an online survey, with screening instruments for depressive symptoms (K10) and psychotic experiences (PQ-16), measures of social exclusion (perceived discrimination, social defeat and social support), and questions about demographical information. With regression analysis the association between social exclusion and psychiatric symptoms was investigated.We included 267 participants; 87% were female. 27% of the sample has received mental healthcare in the past. Over 50% of these people screened positive for depressive symptoms and psychotic experiences. Perceived discrimination and social defeat were significantly associated with psychotic experiences and social defeat was associated with depressive symptoms. Social support and higher education were associated with less depressive symptoms and psychotic experiences.Our findings suggest that the online environment allows for epidemiological research and early symptom detection. Levels of psychopathology were high in our sample. This suggests that a part of this young ethnic minority population might not get adequate mental healthcare. Since this population can be reached through Internet, the online environment may therefore also offer an appropriate setting for intervention, to increase resilience towards social exclusion.

Authors & Co-authors:  van de Beek Madelien H MH van der Krieke Lian L Schoevers Robert A RA Veling Wim W

Study Outcome 

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Statistics
Citations :  Bourque F, van der Ven E, Malla A. A meta-analysis of the risk for psychotic disorders among first- and second-generation immigrants. Psychol Med. 2011;41: 897–910. doi: 10.1017/S0033291710001406
Authors :  4
Identifiers
Doi : e0179827
SSN : 1932-6203
Study Population
Male,Female
Mesh Terms
Acculturation
Other Terms
Study Design
Cohort Study
Study Approach
Country of Study
Publication Country
United States