title: The role of post-migration living difficulties on somatization among first-generation immigrants visited in a primary care service.
abstract: The role of post-migration living difficulties (PMLD) on somatization was studied in 101 first generation immigrants visited in primary care. Premigratory traumas and post-traumatic stress disorder (PTSD) were also assessed. About one third of patients somatized. Sociodemographic variables were similar in somatizers and non-somatizers. Premigratory traumas, PTSD and the likelihood to report at least one serious or very serious PMLD were higher in somatizers. Four kinds of PMLD were more frequent in somatizers: worries about unavailability of health assistance, working problems, discrimination and poor social help. Traumas and PTSD influenced the effect of PMLD on somatization. Findings suggest that in specific samples of primary care immigrants severe premigratory traumas increase the sensitivity to PMLD and in turn distress due to PMLD amplifies the tendency to somatize.
authors.affiliation: Caritas Health Service Network, Rome, Italy. massimiliano.aragona@uniroma1.it
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Aragona
authors.forename: Daniela
authors.initials: D
authors.lastname: Pucci
authors.forename: Sara
authors.initials: S
authors.lastname: Carrer
authors.forename: Elena
authors.initials: E
authors.lastname: Catino
authors.forename: Adriana
authors.initials: A
authors.lastname: Tomaselli
authors.forename: Francesco
authors.initials: F
authors.lastname: Colosimo
authors.forename: Montserrat
authors.initials: M
authors.lastname: Lafuente
authors.forename: Marco
authors.initials: M
authors.lastname: Mazzetti
authors.forename: Bianca
authors.initials: B
authors.lastname: Maisano
authors.forename: Salvatore
authors.initials: S
authors.lastname: Geraci
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012924:Social Conditions; D012959:Socioeconomic Factors; D013001:Somatoform Disorders / Q000453:epidemiology* / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000523:psychology*