Low incidence of psychosis in Italy: confirmation from the first epidemiological study in Sicily
| Autor: | Alice Mulè, Robin M. Murray, F. Seminerio, Paul Fearon, Veronica Capuccio, C. La Cascia, D. La Barbera, M. Di Forti, Crocettarachele Sartorio, Laura Ferraro, Lucia Sideli, James B. Kirkbride, Giada Tripoli |
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| Přispěvatelé: | Mulè, A., Sideli, L., Capuccio, V., Fearon, P., Ferraro, L., Kirkbride, J., LA CASCIA, C., Sartorio, C., Seminerio, F., Tripoli, G., Di Forti, M., LA BARBERA, D., Murray, R. |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Adolescent Social Psychology Epidemiology Psychosi Rate ratio Article Young Adult 03 medical and health sciences symbols.namesake 0302 clinical medicine Settore MED/48 -Scienze Infermierist. e Tecn. Neuro-Psichiatriche e Riabilitat medicine Humans Poisson regression Psychiatry Settore MED/25 - Psichiatria Sicily Aged First episode business.industry Incidence Incidence (epidemiology) Middle Aged Psychosis medicine.disease Confidence interval 030227 psychiatry Epidemiologic Studies Psychiatry and Mental health Italy Psychotic Disorders Schizophrenia Etiology symbols population characteristics Female business Settore M-PSI/05 - Psicologia Sociale 030217 neurology & neurosurgery Demography |
| Zdroj: | Social Psychiatry and Psychiatric Epidemiology. 52:155-162 |
| ISSN: | 1433-9285 0933-7954 |
| DOI: | 10.1007/s00127-016-1322-4 |
| Popis: | Purpose: The incidence of psychotic disorders varies in different geographical areas. As there have been no reports from Southern Italy, this study aimed to determine the incidence rate of first-episode psychosis in Palermo, Sicily. Methods: All patients, aged 18–65 years, presenting with a first episode of psychosis (FEP) (ICD-10 F20–29, F30–33) to mental health services in Palermo, were recorded over a 3-year period. Incidence rates of psychotic disorders and their 95% confidence intervals (95% CI) were estimated. Poisson regression was applied to estimate the differences in incidence rate ratio (IRR) by age, sex and migrant status. Results: Two hundred and four FEP participants were identified during the 3 years; 183 (89.7%, males n = 112) participants were native Italians and 21 were migrants (10.3%, males n = 14). The crude incidence of all psychoses was 15.9 (95% CI 13.7–18.1). As predicted, the risk of schizophrenia F20 was higher in males compared to females (adjusted IRR = 1.99, 95% CI 1.36–2.88) and in migrants compared to native Italians (adjusted IRR = 4.02, 95% CI 2.39–6.75). Conclusions: This study, the first from Sicily, confirms previous findings from Northern Italy that the risk of schizophrenia and other psychoses is much lower in Italian cities than those reported from cities in Northern Europe; the reasons for this disparity may provide important clues to the aetiology of psychosis. |
| Databáze: | OpenAIRE |
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