First-episode Psychosis and Migration in Italy: Results from a Study in the Italian Mental Health Services (Pep-Ita Study).

Autor: Tarricone I; Department of Medical and Surgical Sciences, Bologna Transcultural Psychosomatic Team (BoTPT), University of Bologna, Viale C. Pepoli 5, 40123, Bologna, Italy. ilaria.tarricone@unibo.it.; Department of Mental Health and Pathological Addiction, Local Health Authority, Bologna, Italy. ilaria.tarricone@unibo.it., D'Andrea G; Department of Medical and Surgical Sciences, Bologna Transcultural Psychosomatic Team (BoTPT), University of Bologna, Viale C. Pepoli 5, 40123, Bologna, Italy.; Department of Biomedical and NeuroMotor Sciences, Psychiatry Unit, University of Bologna, Bologna, Italy., Storbini V; Department of Biomedical and NeuroMotor Sciences, Psychiatry Unit, University of Bologna, Bologna, Italy., Braca M; Department of Biomedical and NeuroMotor Sciences, Psychiatry Unit, University of Bologna, Bologna, Italy., Ferrari S; Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, Modena, Italy., Reggianini C; Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, Modena, Italy., Rigatelli M; Department of Biomedical, Metabolic and Neural Sciences, University of Modena & Reggio Emilia, Modena, Italy., Gramaglia C; Department of Translational Medicine, Institute of Psychiatry, Università del Piemonte Orientale, Novara, Italy., Zeppegno P; Department of Translational Medicine, Institute of Psychiatry, Università del Piemonte Orientale, Novara, Italy., Gambaro E; Department of Translational Medicine, Institute of Psychiatry, Università del Piemonte Orientale, Novara, Italy., Luciano M; Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy., Ceregato A; Mental Health Department A.S.L. TO4, Community Mental Health Service, Chivasso, TO, Italy., Altamura M; Department of Clinical and Experimental Medicine, Section of Psychiatry and Clinical Psychology, University of Foggia, Foggia, Italy., Barrasso G; Andria Community Mental Health Centre, Andria, BAT, Italy., Primavera D; Department of Medical Science and Public Health-Section of Psychiatry, University of Cagliari, Cagliari, Italy., Carpiniello B; Department of Medical Science and Public Health-Section of Psychiatry, University of Cagliari, Cagliari, Italy., Todarello O; U.O. di Psichiatria - Azienda Ospedaliero-Universitaria 'Consorziale Policlinico' Bari; Dipartimento Di Scienze Mediche Di Base, Neuroscienze Ed Organi Di Senso, Università Degli Studi Aldo Moro Di Bari, Bari BA, Italy., Berlincioni V; Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy., Podavini F; Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy., Morgan C; Institute of Psychiatry, Psychology & Neuroscience, King's College London, 16 De Crespigny Park, London, SE5 8AF, UK., Murray RM; Institute of Psychiatry, Psychology & Neuroscience, King's College London, 16 De Crespigny Park, London, SE5 8AF, UK., Di Forti M; Institute of Psychiatry, Psychology & Neuroscience, King's College London, 16 De Crespigny Park, London, SE5 8AF, UK., Muratori R; Department of Mental Health and Pathological Addiction, Local Health Authority, Bologna, Italy., Berardi D; Department of Mental Health and Pathological Addiction, Local Health Authority, Bologna, Italy.; Department of Biomedical and NeuroMotor Sciences, Psychiatry Unit, University of Bologna, Bologna, Italy.
Jazyk: angličtina
Zdroj: Journal of immigrant and minority health [J Immigr Minor Health] 2021 Jun; Vol. 23 (3), pp. 519-527. Date of Electronic Publication: 2021 Mar 10.
DOI: 10.1007/s10903-021-01168-w
Abstrakt: Background: Migrants present high rates of psychosis. A better understanding of this phenomenon is needed.
Methods: We conducted a multicentre First-Episode Psychosis (FEP) prospective study over two years (January 2012-December 2013) to evaluate first-generation migrants presenting with FEP at the participating Community Mental Health Centers (CMHCs).
Results: 109 FEP migrants were identified. Almost half of them were highly educated, employed and in a stable affective relationship. The average age was 32.8 (± 9.8) years, and the average length of stay in Italy was 8.6 (± 8.8) years. About 2/3 of patients were referred to CMHCs following Emergency Department access or psychiatric admission.
Conclusions: Our finding of a "high functioning portrait" of FEP migrants allow us to hypothesize that a high burden of negative psychosocial factors is likely to be needed for the FEP onset. Furtherly, mental health services should implement more appropriate resources and organizational methods to respond to migrants' health needs.
Databáze: MEDLINE
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