Multilevel Determinants of Women's Mental Health for Migrant Wives and Non-Migrant Wives in Tajikistan
Globally, young women in low and middle income countries (LMICs) bear a disproportionate burden of common mental disorders (CMDs), especially depression, anxiety, and PTSD. Lifting this burden requires finding ways to identify CMDs and their risk and protective factors, including migration, violence exposure, family relationships, and poverty. In Tajikistan, a low-income Central Asian country, women of reproductive age are exposed to separation from their migrant husbands, violence both within and outside of the home, STIs transmitted by their spouses, as well as high stigma, access, and resource barriers to mental health services. The purpose of this cross-sectional, descriptive and correlational study is to investigate mental health functioning, co-morbid conditions, family and social characteristics, help-seeking behavior, access and attitudes to psychiatric care among Tajik migrant and non-migrant wives. This study integrates neuroscience-based on prediction models by investigating how Research Domain Criteria (RDoC) subconstructs of fear to acute threat and cognitive control associated with risk factors, symptoms and functioning difficulties, and strength resources.
Principal Investigator: Gulchekhra Pirova, M.D., GMHM Postdoctoral Fellow
Multilevel Determinants of Psychosocial Wellbeing among Kosovar Adolescent Migrant’s in Switzerland
This study focuses on the global phenomenon of migration and psychosocial wellbeing of children and adolescent migrants from LMICs (low and medium income countries) to developed countries. About 10% of the Kosovo population lives in Switzerland and they compose one of the largest migrant groups in this country. This study focuses on Kosovar migrant adolescent living in Switzerland almost exclusively of Albanian ethnicity and Muslim religion. The study utilizes family ecodevelopmental theory, to contextualize migrant adolescents’ wellbeing and adjustment in the context of families and communities, as well as individual and developmental processes. This study also looks at the differences between first and second generation of adolescent migrants.
Principal Investigator: Aliriza Arenliu, Ph.D., GMHM Postdoctoral Fellow
Diabetes and Co-Morbid Mental Health Problems in Returned Migrants
The purpose of this study is to investigate diabetes and co-morbid mental health problems in returned migrants from Tajikistan. It addresses the following research questions: What are the co-morbid mental health problems among returned migrants with diabetes? Is migration associated with delayed access to diagnosis and worse physical and mental outcomes? This application focuses on several factors related to these commorbidities In particular, the project will examine the prevalence of common mental disorders (depression, anxiety, PTSD) among adult returned migrants with diabetes (n=100) and non-migrants with diabetes (n=100). In addition, comparisons will be made to determine whether migration is associated with delayed access to diagnosis and worse physical and mental outcomes. Finally, a purposive sample (n=30) of adults with diabetes will be drawn and qualitatively evaluated in order to determine whether the migration-related and non-migration related factors which impact access to care affect engagement in ongoing treatment for co-morbid physical and mental health problems. The findings will inform practice and policy for NCDs in LMICs and will lead to the development of an intervention study for diabetes and mental health in Tajikistan.
Principal Investigator: Huvaydo Mirzoshoev, M.D., GMHM Postdoctoral Fellow
Suicide Attempt by Poisoning Among Young Adult Females in Tajikistan
This study focuses on women in Tajikistan and uses a case-control, longitudinal, and mixed methods design. This study builds the knowledge about the multilevel risk and protective factors associated with suicide, and also, about the experiences of women post suicide attempt. The research will investigate the association between suicide attempt and multilevel determinants risk and protective factors among Tajik females age 18-30 through a case-control study with 100 women hospitalized in a post poisoning department and a control group of 100 women in primary care. The project will follow up with 60 of the cases at 6 months who have either been referred for psychiatric treatment or not referred for treatment to assess suicidality, hopelessness, and common mental disorders.
Principal Investigator: Barakatullo Niyozov, M.D., GMHM Postdoctoral Fellow
Impact of Migration on Emotional and Behavior Problems Among Adolescents in Kosovo
This study is innovative in investigating and building scientific knowledge about impact of returned migration phase on emotional and behavioral problems among adolescents. The purpose of the study is to evaluate the emotional and behavioral problems in 100 returned adolescent migrant in Kosovo age 14- 18 and compare with 100 non-migrant adolescents through a case control study. This study will investigate mental health functioning, family and social support, access and attitude to psychiatric care, both from perspective of traditional symptom based diagnostic categories and the newly emerging Research Domain Criteria methodology. This study uses case control design and mixed methods that includes survey and qualitative methods. We focus also on the RDoC subconstructs of fear to acute threat, rumination for loss and cognitive control and assess whether RDoC subconstructs of fear to acute threat, rumination for loss and cognitive control can predict underlying cognitive and affective mechanisms.
Principal Investigator: Shukrije Statovci, M.D., GMHM Postdoctoral Fellow