Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI study

Background Child maltreatment (CM) and migrant status are independently associated with psychosis. We examined prevalence of CM by migrant status and tested whether migrant status moderated the association between CM and first-episode psychosis (FEP). We further explored whether differences in CM ex...

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Autores: D'Andrea, G., Lal, J., Tosato, S., Gayer-Anderson, C., Jongsma, H.E., Stilo, S.A., Van Der Ven, E., Quattrone, D., Velthorst, E., Berardi, D., Rossi Menezes, P., Arango, C., Parellada, M., Lasalvia, A., La Cascia, C., Ferraro, L., La Barbera, D., Sideli, L., Bobes, J., Bernardo, M., Sanjuán, J., Santos, J.L., Arrojo Romero, Manuel, Del-Ben, C.M., Tripoli, G., Llorca, P.-M., De Haan, L., Selten, J.-P., Tortelli, A., Szöke, A., Muratori, R., Rutten, B.P., Van Os, J., Jones, P.B., Kirkbride, J.B., Murray, R.M., Di Forti, M., Tarricone, I., Morgan, C.
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Servizo Galego de Saúde (SERGAS)
Repositorio:RUNA. Repositorio da Consellería de Sanidade e Sergas
OAI Identifier:oai:runa.sergas.gal:20.500.11940/21212
Acceso en línea:https://portalcientifico.sergas.gal//documentos/6522c7e1ec1a10197ffd92f3
http://hdl.handle.net/20.500.11940/21212
Access Level:acceso abierto
Palabra clave:Child
Humans
Psychotic Disorders
Transients and Migrants
Ethnicity
Incidence
Child Abuse
AS Santiago
CHUS
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spelling Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI studyD'Andrea, G.Lal, J.Tosato, S.Gayer-Anderson, C.Jongsma, H.E.Stilo, S.A.Van Der Ven, E.Quattrone, D.Velthorst, E.Berardi, D.Rossi Menezes, P.Arango, C.Parellada, M.Lasalvia, A.La Cascia, C.Ferraro, L.La Barbera, D.Sideli, L.Bobes, J.Bernardo, M.Sanjuán, J.Santos, J.L.Arrojo Romero, ManuelDel-Ben, C.M.Tripoli, G.Llorca, P.-M.De Haan, L.Selten, J.-P.Tortelli, A.Szöke, A.Muratori, R.Rutten, B.P.Van Os, J.Jones, P.B.Kirkbride, J.B.Murray, R.M.Di Forti, M.Tarricone, I.Morgan, C.ChildHumansPsychotic DisordersTransients and MigrantsEthnicityIncidenceChild AbuseAS SantiagoCHUSBackground Child maltreatment (CM) and migrant status are independently associated with psychosis. We examined prevalence of CM by migrant status and tested whether migrant status moderated the association between CM and first-episode psychosis (FEP). We further explored whether differences in CM exposure contributed to variations in the incidence rates of FEP by migrant status. Methods We included FEP patients aged 18-64 years in 14 European sites and recruited controls representative of the local populations. Migrant status was operationalized according to generation (first/further) and region of origin (Western/non-Western countries). The reference population was composed by individuals of host country's ethnicity. CM was assessed with Childhood Trauma Questionnaire. Prevalence ratios of CM were estimated using Poisson regression. We examined the moderation effect of migrant status on the odds of FEP by CM fitting adjusted logistic regressions with interaction terms. Finally, we calculated the population attributable fractions (PAFs) for CM by migrant status. Results We examined 849 FEP cases and 1142 controls. CM prevalence was higher among migrants, their descendants and migrants of non-Western heritage. Migrant status, classified by generation (likelihood test ratio:?2 = 11.3, p = 0.004) or by region of origin (likelihood test ratio:?2 = 11.4, p = 0.003), attenuated the association between CM and FEP. PAFs for CM were higher among all migrant groups compared with the reference populations. Conclusions The higher exposure to CM, despite a smaller effect on the odds of FEP, accounted for a greater proportion of incident FEP cases among migrants. Policies aimed at reducing CM should consider the increased vulnerability of specific subpopulations.2023info:eu-repo/semantics/articlehttps://portalcientifico.sergas.gal//documentos/6522c7e1ec1a10197ffd92f3http://hdl.handle.net/20.500.11940/21212reponame:RUNA. Repositorio da Consellería de Sanidade e Sergasinstname:Servizo Galego de Saúde (SERGAS)Ingléshttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:runa.sergas.gal:20.500.11940/212122026-06-12T08:40:47Z
dc.title.none.fl_str_mv Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI study
title Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI study
spellingShingle Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI study
D'Andrea, G.
Child
Humans
Psychotic Disorders
Transients and Migrants
Ethnicity
Incidence
Child Abuse
AS Santiago
CHUS
title_short Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI study
title_full Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI study
title_fullStr Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI study
title_full_unstemmed Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI study
title_sort Child maltreatment, migration and risk of first-episode psychosis: results from the multinational EU-GEI study
dc.creator.none.fl_str_mv D'Andrea, G.
Lal, J.
Tosato, S.
Gayer-Anderson, C.
Jongsma, H.E.
Stilo, S.A.
Van Der Ven, E.
Quattrone, D.
Velthorst, E.
Berardi, D.
Rossi Menezes, P.
Arango, C.
Parellada, M.
Lasalvia, A.
La Cascia, C.
Ferraro, L.
La Barbera, D.
Sideli, L.
Bobes, J.
Bernardo, M.
Sanjuán, J.
Santos, J.L.
Arrojo Romero, Manuel
Del-Ben, C.M.
Tripoli, G.
Llorca, P.-M.
De Haan, L.
Selten, J.-P.
Tortelli, A.
Szöke, A.
Muratori, R.
Rutten, B.P.
Van Os, J.
Jones, P.B.
Kirkbride, J.B.
Murray, R.M.
Di Forti, M.
Tarricone, I.
Morgan, C.
author D'Andrea, G.
author_facet D'Andrea, G.
Lal, J.
Tosato, S.
Gayer-Anderson, C.
Jongsma, H.E.
Stilo, S.A.
Van Der Ven, E.
Quattrone, D.
Velthorst, E.
Berardi, D.
Rossi Menezes, P.
Arango, C.
Parellada, M.
Lasalvia, A.
La Cascia, C.
Ferraro, L.
La Barbera, D.
Sideli, L.
Bobes, J.
Bernardo, M.
Sanjuán, J.
Santos, J.L.
Arrojo Romero, Manuel
Del-Ben, C.M.
Tripoli, G.
Llorca, P.-M.
De Haan, L.
Selten, J.-P.
Tortelli, A.
Szöke, A.
Muratori, R.
Rutten, B.P.
Van Os, J.
Jones, P.B.
Kirkbride, J.B.
Murray, R.M.
Di Forti, M.
Tarricone, I.
Morgan, C.
author_role author
author2 Lal, J.
Tosato, S.
Gayer-Anderson, C.
Jongsma, H.E.
Stilo, S.A.
Van Der Ven, E.
Quattrone, D.
Velthorst, E.
Berardi, D.
Rossi Menezes, P.
Arango, C.
Parellada, M.
Lasalvia, A.
La Cascia, C.
Ferraro, L.
La Barbera, D.
Sideli, L.
Bobes, J.
Bernardo, M.
Sanjuán, J.
Santos, J.L.
Arrojo Romero, Manuel
Del-Ben, C.M.
Tripoli, G.
Llorca, P.-M.
De Haan, L.
Selten, J.-P.
Tortelli, A.
Szöke, A.
Muratori, R.
Rutten, B.P.
Van Os, J.
Jones, P.B.
Kirkbride, J.B.
Murray, R.M.
Di Forti, M.
Tarricone, I.
Morgan, C.
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
author
dc.subject.none.fl_str_mv Child
Humans
Psychotic Disorders
Transients and Migrants
Ethnicity
Incidence
Child Abuse
AS Santiago
CHUS
topic Child
Humans
Psychotic Disorders
Transients and Migrants
Ethnicity
Incidence
Child Abuse
AS Santiago
CHUS
description Background Child maltreatment (CM) and migrant status are independently associated with psychosis. We examined prevalence of CM by migrant status and tested whether migrant status moderated the association between CM and first-episode psychosis (FEP). We further explored whether differences in CM exposure contributed to variations in the incidence rates of FEP by migrant status. Methods We included FEP patients aged 18-64 years in 14 European sites and recruited controls representative of the local populations. Migrant status was operationalized according to generation (first/further) and region of origin (Western/non-Western countries). The reference population was composed by individuals of host country's ethnicity. CM was assessed with Childhood Trauma Questionnaire. Prevalence ratios of CM were estimated using Poisson regression. We examined the moderation effect of migrant status on the odds of FEP by CM fitting adjusted logistic regressions with interaction terms. Finally, we calculated the population attributable fractions (PAFs) for CM by migrant status. Results We examined 849 FEP cases and 1142 controls. CM prevalence was higher among migrants, their descendants and migrants of non-Western heritage. Migrant status, classified by generation (likelihood test ratio:?2 = 11.3, p = 0.004) or by region of origin (likelihood test ratio:?2 = 11.4, p = 0.003), attenuated the association between CM and FEP. PAFs for CM were higher among all migrant groups compared with the reference populations. Conclusions The higher exposure to CM, despite a smaller effect on the odds of FEP, accounted for a greater proportion of incident FEP cases among migrants. Policies aimed at reducing CM should consider the increased vulnerability of specific subpopulations.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://portalcientifico.sergas.gal//documentos/6522c7e1ec1a10197ffd92f3
http://hdl.handle.net/20.500.11940/21212
url https://portalcientifico.sergas.gal//documentos/6522c7e1ec1a10197ffd92f3
http://hdl.handle.net/20.500.11940/21212
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:RUNA. Repositorio da Consellería de Sanidade e Sergas
instname:Servizo Galego de Saúde (SERGAS)
instname_str Servizo Galego de Saúde (SERGAS)
reponame_str RUNA. Repositorio da Consellería de Sanidade e Sergas
collection RUNA. Repositorio da Consellería de Sanidade e Sergas
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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