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Inmigración y psicopatología: un estudio clínico

Published online by Cambridge University Press:  12 May 2020

E. Charalabaki ,
F. Bauwens ,
G. Stefos ,
M. G. Madianos  and
J. Mendlewicz
E. Charalabaki
Affiliation:
Hospital Psiquiátrico de Atenas, 360 Athinon Av, 12462 Dafni, Atenas, Grecia
F. Bauwens
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, Route de Lennik 808, NB-1070Bruselas, Bélgica
G. Stefos
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, Route de Lennik 808, NB-1070Bruselas, Bélgica
M. G. Madianos
Affiliation:
Departamento de Psiquiatría, Escuela Médica, Universidad de Atenas, 74 Vasilissis Sofias Av, 1523Atenas, Grecia
J. Mendlewicz
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, Route de Lennik 808, NB-1070Bruselas, Bélgica
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Resumen

Se compararon tres grupos de 342 pacientes psiquiátricos griegos, ibéricos y belgas, emparejados según sexo, edad y tiempo de intemamiento en un hospital universitario en Bruselas. Entre los pacientes inmigrantes, se diagnosticaba más esquizofrenia y trastorno esquizoafectivo/psicosis atípica. Ansiedad somática, pérdida de libido, ideas delirantes y alucinaciones eran síntomas que los clínicos observaban más en los pacientes inmigrantes que en los nativos. Era más probable que se produjeran síntomas atípicos y cambio de diagnóstico entre pacientes inmigrantes. Una proporción más elevada de pacientes inmigrantes de segunda generación tenía un diagnóstico de esquizofrenia que la primera generación o los belgas. A los pacientes inmigrantes varones les prescribían fármacos ansiolíticos con más frecuencia que a los nativos varones, pero era menos probable que los derivaran para psicoterapia. Los autores se preguntan si estos hallazgos se derivan de usos específicos de los servicios psiquiátricos o de sesgos en la actitud de los clínicos hacia pacientes de origen étnico diferente.

Keywords

inmigraciónservicios de salud mentalvaloración psiquiátricaasistencia
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 2 , Issue 6 , December 1995 , pp. 386 - 397
Copyright
Copyright © European Psychiatric Association 1995

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References

Bibliografia

Arpin, JOngarelli-Loup, F“Sinistrose” ou “role de malade chronique”: alternatives diagnostiques. Nouvelle Revue d'Ethnopsychiatrie 1990; 16, 201–18.Google Scholar
Baratia, SPerego, PZimmerman-Tansella, CTranscultural differences in the perception of Ufe events. Acta Psychiatr Scand 1987; 75: 509–15.CrossRefGoogle Scholar
Berthelier, RLejeune, FLes emigres en France, problemes de sinistrose. L’Information Psychiatrique 1981; 57: 4; 483–90.Google Scholar
Bleys, JLReview of the acute admisions of 442 foreign born in closed psychiatric wards (Antwerp, 1967-1975). Acta Psychiat Belg 1978; 78: 287–301.Google Scholar
Boukris, SGautier, GADepression et culture chez le Maghrebin. Ann Psychiatr 1987; 3: 247–52.Google Scholar
Bouras, NLittlewood, RStress and coping in the Greek Communities in Britain. London: Research, Evaluation and Developement Unit Division of Psychiatry Guy’s Hospital, 1988; 5–10.Google Scholar
Burvill, PWArmstrong, BKCarlson, DJAttempted suicide and immigration in Perth, Western Australia, 1969-1978. Acta Psychiatr Scand 1983; 68: 89–99.CrossRefGoogle ScholarPubMed
Caplan, HSadock, BClinical Psychiatry. Baltimore: Williams & Wilkings, 1988; 262–78.Google Scholar
Cheng, LYLo, YTOn the Advantages o f Cross-culture Psychotherapy: The Minority Therapist/ Mainstream Patient Dyad. Psychiatry 1991; 54: 386–96.CrossRefGoogle Scholar
Cochrane, RMental illness in Immigrants to England and Wales: An Analysis of Mental Hospital Admissions. Soc Psychiatry 1977; 12: 225–35.CrossRefGoogle Scholar
Cochrane, RBal, SSMigration and schizophrenia: an examination of five hypotheses. Social Psychiatry 1987; 22: 181–91.CrossRefGoogle ScholarPubMed
Dean, GWalsh, DDowning, HShelley, EFirst Admissions o f Native-Born and Immigrants to Psychiatric Hospitals in South-East England 1976. Br J Psychiat 1981; 139: 506–12.CrossRefGoogle Scholar
Fabrega, HNguyen, HCulture, Social structure, and Quandaries of Psychiatric diagnosis: A Vietnamese Case Study. Psychiatry 1992; 55: 230–49.CrossRefGoogle ScholarPubMed
Falicov, CJLearning to think culturallyIn: Liddle, HBreulin, DSchwartz, R, eds. Handbook of Family Therapy Training and Supervision. New York: The Guilford Press, 1988; 335–57.Google Scholar
Fombonne, E, Mendes-Pedro A. Caracteristiques psychopathologiques des enfants Portugais dans un centre de consultation parisien. Soc Psychiatry 1987; 22: 58–64.CrossRefGoogle Scholar
Genijovich, EStrangers in a strange land: working with ethnic minority families. Presented in “Feelings and Systems” Sorrento, Italy, 12-15 Nov 1992.Google Scholar
Grove, WClayton, PJEndicott, JHirschfeld, RMAAndreasen, NCClerman, GLImmigration and major affective disorder. Acta Psychiatr Scand 1986; 74: 548–52.CrossRefGoogle ScholarPubMed
Jablensky, ASartorius, NCulture and schizophrenia. Psychol Medicine 1975; 5: 113–24.CrossRefGoogle Scholar
Littlewood, RLipsedge, MSome social and phenomenological characteristics of psychotic immigrants. Psychol Med 1981a; 11: 289–302.CrossRefGoogle Scholar
Littlewood, RLipsedge, MAcute psychotic reactions in Caribbean-born patients. Psychol Med 1981b; 11: 303–18.CrossRefGoogle Scholar
Littlewood, RKareem, JafarIntercultural Therapy. London: Blackwell Scientific Publications, 1992; 3-13, 101–11.Google Scholar
Madianos, MMadianou, DStefanis, CA cross cultural study of immigration and mental health. Neurol Psychiatr 1981; 4: 4–79.Google Scholar
Madianos, MMasked depression and immigration. In: Stefanis, C, ed. Recent advances in depression. New York: Pergamon Press, 1983; 79–85.Google Scholar
Madianos, MAcculturation and mental health of Greek immigrants in US. In: Hudolin, V, ed. Social Psychiatry. New York: Plenum Press, 1984; 549–58.CrossRefGoogle Scholar
Madianos, MMadianou, DStefanis, KHelp-seeking behaviour for psychiatric disorder from physicians or psychiatrists in Greece. Soc Psychiatry Psychiatr Epidemiol 1993; 28: 285–91.CrossRefGoogle ScholarPubMed
Mavreas, V Psychiatric Morbidity among Greek Cypriot Immigrants in London: A Community Survey. Thesis. University of London, 1989.Google Scholar
Me Govern, DCope, RVFirst psychiatric admission rates of first and second generation Afro Caribbeans. Soc Psychiatry 1987; 22: 139–49.CrossRefGoogle Scholar
Mechanic, DThe concept of illnes behavior: culture, situation and personal predisposition. Psychol Med 1986; 16: 1–7.CrossRefGoogle Scholar
Mirdal, G.MThe condition of “tightness”: the somatic complaints of Turkish migrant women. Acta Psychiatr Scand 1985; 71: 287–96.CrossRefGoogle ScholarPubMed
Moitoza, EPortuguese Families. In: Me Goldrick, MPearce, JGiordano, J, eds. Ethnicity and family therapy. New York: The Guilford Press, 1982; 412–37.Google Scholar
Morel, DRobert, MLe pays de l’étrange. Dialoguerecherches cliniques et sociologiques sur le couple et la famille 1989; 4: 37–42.Google Scholar
Nathan, TLa migration des ames. Nouv Rev Ethnopsychiatrie 1988; 11: 25–42.Google Scholar
Norusis, MJStatistical Package of the Social Sciences/ PC+ for the IBM PC/XT/AT. Chicago: SPSS, 1986.Google Scholar
Odegaard, O Immigration and insanity: a study of mental disease among the Norwegian-born population in Minnesota. Acta Psychiatr Scand 1932; (suppl 4): 1–206.Google Scholar
Pons, MKabyle sous la peau. Nouv Rev Ethnopsychiatrie 1986; 5: 85–100.Google Scholar
Pope, HG JrIonescu-Pioggia, MYurgelum-Todd, DMigration and manic-depressive illness. Compr Psychiatry 1983; 24: 158–65.CrossRefGoogle ScholarPubMed
Primpas Welts, EGreek families. In: Me Goldrick, MPearce, JGiordano, J, eds. Ethnicity and family therapy. New York: The Guilford Press, 1982; 269–88.Google Scholar
Rosen, GNostalgia: a “forgotten” psychological disorder. Psychol Med 1975; 5: 340–54.CrossRefGoogle ScholarPubMed
Safilios Rothschild, CThe options of Greek men and women. Soc Focus 1972; 2: 71–83.CrossRefGoogle Scholar
Sanchez, EMohl, P Psychotherapy With Mexican-American Patients. Am J Psychiatry, 1992; 626–30.CrossRefGoogle Scholar
Scotto, JAntoni, MDravet, AFrot, NPin, MWarney, FSante mentale et migration: aspeets actiuels. L’information psychiatrique 1990; 66, 10, 999–1004.Google Scholar
Sluzki, CThe Latin Lover revisited. In: McGoldrick, MPearce, JGiordano, J, eds. Ethnicity and family therapy. New York: The Guilford Press, 1982; 492–8.Google Scholar
Turner, JEMigrants and their therapists: a trans-context approach. Fam Process 1991; 30: 407–19.CrossRefGoogle ScholarPubMed
Varela, FLes multiples figures de la circulante. Cahiers critiques de therapie familiale et de pratiques de réseaux (Toulouse, Privat) 1988; 9.Google Scholar
Vassiliou, VVassiliou, GThe implicative meaning of the Greek concept of philotimo. J Cross Culi Psychol 1973; 14: 326–47.CrossRefGoogle Scholar