Assessing Psychological Stress among Arab Migrant Women in the City of Cologne/Germany Using the Community Oriented Primary Care (COPC) Approach

Irfaeya M, Maxwell AE, Krämer A (2007)
Journal of Immigrant and Minority Health 10(4): 337-344.

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Abstract
Migrants suffer from various health problems including psychological stress. This study is the first to use the Community Oriented Primary Care methodology to address a health problem among Arab migrant women in Germany. In partnership with the Muslim Women's Educational Center in Cologne, we defined a community, identified an important health problem through focus groups, key informant interviews and a community discussion group, and studied psychological stress in a sample of Arab migrant women (N = 116) using a questionnaire that included the Symptom Checklist-90-Revised (SCL-90-R) instrument. Almost 90% of participating women were psychologically stressed. About half of the women cited "feeling lonely'' as a main source of stress and another third cited religious, moral and personal factors as sources of stress. While the majority of women reacted to stressful situations with crying, 23% coped by talking to others and 20% through worship. Higher stress scores were associated with older age, lower level of education, having more children, coming from a North African rather than Middle Eastern or European country, having lived in Germany for < 15 years, having had a disease since migrating to Germany, being ill at the time of the study, and feeling negatively about being a migrant. To date, this study provides the most comprehensive study of psychological distress among Arab migrants in Germany, and provides important information for future studies and interventions.
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Irfaeya M, Maxwell AE, Krämer A. Assessing Psychological Stress among Arab Migrant Women in the City of Cologne/Germany Using the Community Oriented Primary Care (COPC) Approach. Journal of Immigrant and Minority Health. 2007;10(4):337-344.
Irfaeya, M., Maxwell, A. E., & Krämer, A. (2007). Assessing Psychological Stress among Arab Migrant Women in the City of Cologne/Germany Using the Community Oriented Primary Care (COPC) Approach. Journal of Immigrant and Minority Health, 10(4), 337-344.
Irfaeya, M., Maxwell, A. E., and Krämer, A. (2007). Assessing Psychological Stress among Arab Migrant Women in the City of Cologne/Germany Using the Community Oriented Primary Care (COPC) Approach. Journal of Immigrant and Minority Health 10, 337-344.
Irfaeya, M., Maxwell, A.E., & Krämer, A., 2007. Assessing Psychological Stress among Arab Migrant Women in the City of Cologne/Germany Using the Community Oriented Primary Care (COPC) Approach. Journal of Immigrant and Minority Health, 10(4), p 337-344.
M. Irfaeya, A.E. Maxwell, and A. Krämer, “Assessing Psychological Stress among Arab Migrant Women in the City of Cologne/Germany Using the Community Oriented Primary Care (COPC) Approach”, Journal of Immigrant and Minority Health, vol. 10, 2007, pp. 337-344.
Irfaeya, M., Maxwell, A.E., Krämer, A.: Assessing Psychological Stress among Arab Migrant Women in the City of Cologne/Germany Using the Community Oriented Primary Care (COPC) Approach. Journal of Immigrant and Minority Health. 10, 337-344 (2007).
Irfaeya, Maesa, Maxwell, Annette E., and Krämer, Alexander. “Assessing Psychological Stress among Arab Migrant Women in the City of Cologne/Germany Using the Community Oriented Primary Care (COPC) Approach”. Journal of Immigrant and Minority Health 10.4 (2007): 337-344.
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