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Comparison of Clinical Characteristics of Generalized Anxiety Disorder Between Turkish Immigrants, Native Turkish and German Patients

Published online by Cambridge University Press:  15 April 2020

U. Altunoz ,
T. Hashimi ,
M. Malik ,
O. Pekdogan-Caglar ,
A. Kokurcan ,
E.T. Ozel-Kizil  and
I.T. Graef-Calliess
U. Altunoz
Affiliation:
Transcultural Psychiatry and Psychotherapy, Klinikum Wahrendorff Psychiatry Hospital, Hannover, Germany
T. Hashimi
Affiliation:
Psychology, Carolo Wilhelmina University of Technology, Braunschweig, Germany
M. Malik
Affiliation:
Transcultural Psychiatry and Psychotherapy, Klinikum Wahrendorff Psychiatry Hospital, Hannover, Germany
O. Pekdogan-Caglar
Affiliation:
Transcultural Psychiatry and Psychotherapy, Klinikum Wahrendorff Psychiatry Hospital, Hannover, Germany
A. Kokurcan
Affiliation:
Psychiatry Unit, Sungurlu State Hospital, Corum, Turkey
E.T. Ozel-Kizil
Affiliation:
Department of Psychiatry, Ankara University School Of Medicine, Ankara, Turkey
I.T. Graef-Calliess
Affiliation:
Transcultural Psychiatry and Psychotherapy, Klinikum Wahrendorff Psychiatry Hospital, Hannover, Germany

Abstract

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Introduction

Although there is an ongoing discussion about variation of clinical characteristics of Generalized Anxiety Disorder (GAD) across different cultures and immigrant populations, there is great paucity of evidence regarding this area.

Aims and Objectives

That study was aimed to compare clinical characteristics of the GAD between Turkish immigrants, native Turkish and German patients.

Method

Turkish immigrants (Hannover-Germany) (n=36, F/M=27/9), Turkish (Ankara-Turkey) (n=52, F/M=40/12), German patients (Hannover-Germany) (n=35, F/M=20/15) were diagnosed with GAD according to the ICD-10 Criteria. Groups were assessed by Composite International Diagnostic Interview (CIDI), Hamilton Anxiety Scale (HAM-A), Hamilton Depression Scale (HAM-D), Penn State Worry Questionnaire (PSWQ), Generalized Anxiety Disorder Severity Scale (GADSS).

Results

German patients' educational level (years:13.4±3.1) was significantly higher and their age (35.4±11.3) was significantly lower than the other groups. Table summarises clinical characteristics of the groups (covariates:age&education).

 Turkish ImmigrantsTurkishGermanStatistics(MANOVA; posthoc:Bonferroni)
HAM-A36.4±8.3*26.7±6.823.6±8F=20.608. p<0.001
HAM-A-psychic15.9±3.3*11.2±2.711.4±3.5F=24.329, p<0.001
HAM-A-somatic20.5±5.8*15.3±4.812.2±5.7F=14.753, p<0.001
HAM-D24±7.1*14.6±5.614±5.3F=27.240, p<0.001
PSWQ65.5±8.6*51.3±5.754.7±11.4F=28.158, p<0.001
GADSS16.9±2.6**14.5±3.214.6±4.8F=4.531, p=0.013
Main Worry ContentsHealth (own, others)Health (own, others)Future, Family wellbeing 
*

p<0.001

**

p<0.05 only between Turkish immigrants and Turkish group

Moreover, data on comorbidity structure, differential symptomatology will be reported.

Conclusions

That study shows that Turkish immigrants with GAD had more severe anxiety and depression than the Turkish and German GAD patients. Worry contents in GAD vary widely based on the cultural backrounds. Suggestions for future research based on the results will be discussed.

Type
Article: 1941
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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