Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Multicenter Study
. 2021 Jun;23(3):519-527.
doi: 10.1007/s10903-021-01168-w. Epub 2021 Mar 10.

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

Affiliations
Multicenter Study

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

Ilaria Tarricone et al. J Immigr Minor Health. 2021 Jun.

Abstract

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.

Keywords: First-episode psychosis; Migrants; Pathway to care.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Distribution of study centres

References

    1. Morgan C, Knowles G, Hutchinson G. Migration, ethnicity and psychoses: evidence, models and future directions. World Psychiatry. 2019;18(3):247–258. doi: 10.1002/wps.20655. - DOI - PMC - PubMed
    1. Selten JP, Van Der Ven E, Termorshuizen F. Migration and psychosis: A meta-analysis of incidence studies. Psychol Med. 2019;50(2):303–313. doi: 10.1017/S0033291719000035. - DOI - PMC - PubMed
    1. Harrison G, Glazebrook C, Brewin J, Cantwell R, Dalkin T, Fox R, et al. Increased incidence of psychotic disorders in migrants from the Caribbean to the United Kingdom. Psychol Med. 1997;27(4):799–806. doi: 10.1017/S0033291796004643. - DOI - PubMed
    1. Cantor-Graae E, Selten JP. Schizophrenia and migration: a meta-analysis and review. Am J Psychiatry. 2005 doi: 10.1176/appi.ajp.162.1.12. - DOI - PubMed
    1. Morgan C, Charalambides M, Hutchinson G, Murray RM. Migration, ethnicity, and psychosis: toward a sociodevelopmental model. Schizophr Bull. 2010;36(4):655–664. doi: 10.1093/schbul/sbq051. - DOI - PMC - PubMed

Publication types