Mental Health

Mental health, perceived social support, and sense of belonging among immigrants.

TL;DR

Among Farsi- and Arabic-speaking immigrants in Canada, 25.70% reported generalized anxiety symptoms and 26.40% exhibited major depression symptoms, rates considerably higher than the general Canadian population, with lower perceived social support significantly associated with higher anxiety and depression scores.

Key Findings

Approximately one quarter of immigrant participants reported clinically significant anxiety symptoms.

  • 25.70% of participants reported symptoms of generalized anxiety disorder as measured by the GAD-7
  • 16.70% reported moderate anxiety symptoms and 9.00% reported severe anxiety symptoms
  • Sample consisted of 144 Farsi- and Arabic-speaking adults with a mean age of 36.50 years
  • Rates were described as 'considerably higher than those reported in the general Canadian population and comparable studies'

Approximately one quarter of immigrant participants exhibited symptoms of major depression.

  • 26.40% of participants exhibited symptoms of major depression as measured by the PHQ-9
  • 20.80% reported moderate depression symptoms and 5.60% reported moderately severe depression symptoms
  • Depression rates were described as considerably higher than those in the general Canadian population
  • All participants completed validated Farsi or Arabic versions of the PHQ-9 in their primary language

Lower levels of perceived social support were significantly associated with higher anxiety and depression scores.

  • One-third of participants reported moderate or low levels of perceived social support as measured by the Multidimensional Scale of Perceived Social Support (MSPSS)
  • The association between lower perceived social support and higher anxiety and depression scores was statistically significant
  • The MSPSS was administered in validated Farsi or Arabic versions

Sense of belonging among immigrant participants was only slightly above moderate.

  • The overall sense of belonging was measured using the Challenged Sense of Belonging Scale (CSBS)
  • The overall score was described as 'slightly above moderate'
  • The CSBS was administered in validated Farsi or Arabic versions in participants' primary language

Several sociodemographic factors were identified as significant contributors to worse mental health outcomes among immigrants.

  • Younger age was a significant contributing factor to worse mental health
  • Active job-seeking status was a significant contributing factor
  • Lower economic status was a significant contributing factor
  • Shorter length of residence in Canada was a significant contributing factor, with 51.40% of participants having resided in Canada for less than three years
  • Limited English language proficiency was also identified as a significant contributing factor

The study recruited 144 Farsi- and Arabic-speaking adult immigrants from non-English-speaking backgrounds in Canada.

  • Participants had a mean age of 36.50 years
  • 51.40% had resided in Canada for less than three years
  • All participants completed validated versions of the GAD-7, PHQ-9, MSPSS, and Challenged Sense of Belonging Scale in Farsi or Arabic
  • The study focused on immigrants from non-English-speaking backgrounds

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Citation

Jafari Z, Habibnezhad M, Hotkani M, Balkam E, MacDonell K, Hickey E. (2026). Mental health, perceived social support, and sense of belonging among immigrants.. PloS one. https://doi.org/10.1371/journal.pone.0343075