Migration history and risk of psychosis: results from the multinational EU-GEI study.

BACKGROUND: Psychosis rates are higher among some migrant groups. We hypothesized that psychosis in migrants is associated with cumulative social disadvantage during different phases of migration. METHODS: We used data from the EUropean Network of National Schizophrenia Networks studying Gene-Enviro...

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Autores: Tarricone, Ilaria, D'Andrea, Giuseppe, Jongsma, Hannah E, Tosato, Sarah, Gayer-Anderson, Charlotte, Stilo, Simona A, Suprani, Federico, Iyegbe, Conrad, van der Ven, Els, Quattrone, Diego, di Forti, Marta, Velthorst, Eva, Rossi Menezes, Paulo, Arango, Celso, Parellada, Mara, Lasalvia, Antonio, La Cascia, Caterina, Ferraro, Laura, Bobes, Julio, Bernardo, Miguel, Sanjuan, Iulio, Santos, Jose Luis, Arrojo, Manuel, Del-Ben, Cristina Marta, Tripoli, Giada, Llorca, Pierre-Michel, de Haan, Lieuwe, Selten, Jean-Paul, Tortelli, Andrea, Szoke, Andrei, Muratori, Roberto, Rutten, Bart P, van Os, Jim, Jones, Peter B, Kirkbride, James B, Berardi, Domenico, Murray, Robin M, Morgan, Craig
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p15486
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/15486
Access Level:acceso abierto
Palabra clave:First-episode psychosis
first-generation migrants
migration adversities
migration history
psychosis risk
social disadvantages
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spelling Migration history and risk of psychosis: results from the multinational EU-GEI study.Tarricone, IlariaD'Andrea, GiuseppeJongsma, Hannah ETosato, SarahGayer-Anderson, CharlotteStilo, Simona ASuprani, FedericoIyegbe, Conradvan der Ven, ElsQuattrone, Diegodi Forti, MartaVelthorst, EvaRossi Menezes, PauloArango, CelsoParellada, MaraLasalvia, AntonioLa Cascia, CaterinaFerraro, LauraBobes, JulioBernardo, MiguelSanjuan, IulioSantos, Jose LuisArrojo, ManuelDel-Ben, Cristina MartaTripoli, GiadaLlorca, Pierre-Michelde Haan, LieuweSelten, Jean-PaulTortelli, AndreaSzoke, AndreiMuratori, RobertoRutten, Bart Pvan Os, JimJones, Peter BKirkbride, James BBerardi, DomenicoMurray, Robin MMorgan, CraigFirst-episode psychosisfirst-generation migrantsmigration adversitiesmigration historypsychosis risksocial disadvantagesBACKGROUND: Psychosis rates are higher among some migrant groups. We hypothesized that psychosis in migrants is associated with cumulative social disadvantage during different phases of migration. METHODS: We used data from the EUropean Network of National Schizophrenia Networks studying Gene-Environment Interactions (EU-GEI) case-control study. We defined a set of three indicators of social disadvantage for each phase: pre-migration, migration and post-migration. We examined whether social disadvantage in the pre- and post-migration phases, migration adversities, and mismatch between achievements and expectations differed between first-generation migrants with first-episode psychosis and healthy first-generation migrants, and tested whether this accounted for differences in odds of psychosis in multivariable logistic regression models. RESULTS: In total, 249 cases and 219 controls were assessed. Pre-migration (OR 1.61, 95% CI 1.06-2.44, p = 0.027) and post-migration social disadvantages (OR 1.89, 95% CI 1.02-3.51, p = 0.044), along with expectations/achievements mismatch (OR 1.14, 95% CI 1.03-1.26, p = 0.014) were all significantly associated with psychosis. Migration adversities (OR 1.18, 95% CI 0.672-2.06, p = 0.568) were not significantly related to the outcome. Finally, we found a dose-response effect between the number of adversities across all phases and odds of psychosis (?6: OR 14.09, 95% CI 2.06-96.47, p = 0.007). CONCLUSIONS: The cumulative effect of social disadvantages before, during and after migration was associated with increased odds of psychosis in migrants, independently of ethnicity or length of stay in the country of arrival. Public health initiatives that address the social disadvantages that many migrants face during the whole migration process and post-migration psychological support may reduce the excess of psychosis in migrants.CAMBRIDGE UNIV PRESS2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/15486PSYCHOLOGICAL MEDICINEISSN: 00332917ISSNe: 14698978reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p154862026-06-07T16:35:31Z
dc.title.none.fl_str_mv Migration history and risk of psychosis: results from the multinational EU-GEI study.
title Migration history and risk of psychosis: results from the multinational EU-GEI study.
spellingShingle Migration history and risk of psychosis: results from the multinational EU-GEI study.
Tarricone, Ilaria
First-episode psychosis
first-generation migrants
migration adversities
migration history
psychosis risk
social disadvantages
title_short Migration history and risk of psychosis: results from the multinational EU-GEI study.
title_full Migration history and risk of psychosis: results from the multinational EU-GEI study.
title_fullStr Migration history and risk of psychosis: results from the multinational EU-GEI study.
title_full_unstemmed Migration history and risk of psychosis: results from the multinational EU-GEI study.
title_sort Migration history and risk of psychosis: results from the multinational EU-GEI study.
dc.creator.none.fl_str_mv Tarricone, Ilaria
D'Andrea, Giuseppe
Jongsma, Hannah E
Tosato, Sarah
Gayer-Anderson, Charlotte
Stilo, Simona A
Suprani, Federico
Iyegbe, Conrad
van der Ven, Els
Quattrone, Diego
di Forti, Marta
Velthorst, Eva
Rossi Menezes, Paulo
Arango, Celso
Parellada, Mara
Lasalvia, Antonio
La Cascia, Caterina
Ferraro, Laura
Bobes, Julio
Bernardo, Miguel
Sanjuan, Iulio
Santos, Jose Luis
Arrojo, Manuel
Del-Ben, Cristina Marta
Tripoli, Giada
Llorca, Pierre-Michel
de Haan, Lieuwe
Selten, Jean-Paul
Tortelli, Andrea
Szoke, Andrei
Muratori, Roberto
Rutten, Bart P
van Os, Jim
Jones, Peter B
Kirkbride, James B
Berardi, Domenico
Murray, Robin M
Morgan, Craig
author Tarricone, Ilaria
author_facet Tarricone, Ilaria
D'Andrea, Giuseppe
Jongsma, Hannah E
Tosato, Sarah
Gayer-Anderson, Charlotte
Stilo, Simona A
Suprani, Federico
Iyegbe, Conrad
van der Ven, Els
Quattrone, Diego
di Forti, Marta
Velthorst, Eva
Rossi Menezes, Paulo
Arango, Celso
Parellada, Mara
Lasalvia, Antonio
La Cascia, Caterina
Ferraro, Laura
Bobes, Julio
Bernardo, Miguel
Sanjuan, Iulio
Santos, Jose Luis
Arrojo, Manuel
Del-Ben, Cristina Marta
Tripoli, Giada
Llorca, Pierre-Michel
de Haan, Lieuwe
Selten, Jean-Paul
Tortelli, Andrea
Szoke, Andrei
Muratori, Roberto
Rutten, Bart P
van Os, Jim
Jones, Peter B
Kirkbride, James B
Berardi, Domenico
Murray, Robin M
Morgan, Craig
author_role author
author2 D'Andrea, Giuseppe
Jongsma, Hannah E
Tosato, Sarah
Gayer-Anderson, Charlotte
Stilo, Simona A
Suprani, Federico
Iyegbe, Conrad
van der Ven, Els
Quattrone, Diego
di Forti, Marta
Velthorst, Eva
Rossi Menezes, Paulo
Arango, Celso
Parellada, Mara
Lasalvia, Antonio
La Cascia, Caterina
Ferraro, Laura
Bobes, Julio
Bernardo, Miguel
Sanjuan, Iulio
Santos, Jose Luis
Arrojo, Manuel
Del-Ben, Cristina Marta
Tripoli, Giada
Llorca, Pierre-Michel
de Haan, Lieuwe
Selten, Jean-Paul
Tortelli, Andrea
Szoke, Andrei
Muratori, Roberto
Rutten, Bart P
van Os, Jim
Jones, Peter B
Kirkbride, James B
Berardi, Domenico
Murray, Robin M
Morgan, Craig
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv First-episode psychosis
first-generation migrants
migration adversities
migration history
psychosis risk
social disadvantages
topic First-episode psychosis
first-generation migrants
migration adversities
migration history
psychosis risk
social disadvantages
description BACKGROUND: Psychosis rates are higher among some migrant groups. We hypothesized that psychosis in migrants is associated with cumulative social disadvantage during different phases of migration. METHODS: We used data from the EUropean Network of National Schizophrenia Networks studying Gene-Environment Interactions (EU-GEI) case-control study. We defined a set of three indicators of social disadvantage for each phase: pre-migration, migration and post-migration. We examined whether social disadvantage in the pre- and post-migration phases, migration adversities, and mismatch between achievements and expectations differed between first-generation migrants with first-episode psychosis and healthy first-generation migrants, and tested whether this accounted for differences in odds of psychosis in multivariable logistic regression models. RESULTS: In total, 249 cases and 219 controls were assessed. Pre-migration (OR 1.61, 95% CI 1.06-2.44, p = 0.027) and post-migration social disadvantages (OR 1.89, 95% CI 1.02-3.51, p = 0.044), along with expectations/achievements mismatch (OR 1.14, 95% CI 1.03-1.26, p = 0.014) were all significantly associated with psychosis. Migration adversities (OR 1.18, 95% CI 0.672-2.06, p = 0.568) were not significantly related to the outcome. Finally, we found a dose-response effect between the number of adversities across all phases and odds of psychosis (?6: OR 14.09, 95% CI 2.06-96.47, p = 0.007). CONCLUSIONS: The cumulative effect of social disadvantages before, during and after migration was associated with increased odds of psychosis in migrants, independently of ethnicity or length of stay in the country of arrival. Public health initiatives that address the social disadvantages that many migrants face during the whole migration process and post-migration psychological support may reduce the excess of psychosis in migrants.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/15486
url https://incliva.portalinvestigacion.com/publicaciones/15486
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv CAMBRIDGE UNIV PRESS
publisher.none.fl_str_mv CAMBRIDGE UNIV PRESS
dc.source.none.fl_str_mv PSYCHOLOGICAL MEDICINE
ISSN: 00332917
ISSNe: 14698978
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname:INCLIVA
instname_str INCLIVA
reponame_str r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
collection r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
repository.name.fl_str_mv
repository.mail.fl_str_mv
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