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Psychosis, migration and social environment: an age-and-gender controlled study

Published online by Cambridge University Press:  16 April 2020

P. Fossion ,
L. Servais ,
M.-C. Rejas ,
Y. Ledoux ,
I. Pelc  and
P. Minner
P. Fossion*
Affiliation:
Department of Psychiatry, Brugmann University Hospital, CHU Brugmann, 4, place Van Gehuchten, 1020 Brussels, Belgium
L. Servais
Affiliation:
Centre Hospitalier Jean Titeca, 11 rue de la Luzerne, 1030Brussels, Belgium
M.-C. Rejas
Affiliation:
Department of Psychiatry, Brugmann University Hospital, CHU Brugmann, 4, place Van Gehuchten, 1020 Brussels, Belgium
Y. Ledoux
Affiliation:
Department of Psychiatry, Brugmann University Hospital, CHU Brugmann, 4, place Van Gehuchten, 1020 Brussels, Belgium
I. Pelc
Affiliation:
Department of Psychiatry, Brugmann University Hospital, CHU Brugmann, 4, place Van Gehuchten, 1020 Brussels, Belgium
P. Minner
Affiliation:
Department of Psychiatry, Brugmann University Hospital, CHU Brugmann, 4, place Van Gehuchten, 1020 Brussels, Belgium
*
*Corresponding author. Email address: [email protected] (P. Fossion).
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Abstract

Purpose

Adverse social experiences are frequently invoked to explain the higher rate of psychosis among migrant groups. The aim of the present study was to establish the socio-environmental factors distinguishing migrant psychotic patients from autochthonous patients.

Subjects and method

We conducted a cross-sectional survey involving 341 migrant psychotic patients matched for age and gender with 341 autochthonous psychotic patients.

Results

Migrant patients lived more often with their parental family, were less often enrolled with a referral psychiatrist, presented a lower rate of employment, a lower percentage of alcohol misuse and of suicide attempts.

Discussion

Our findings add to the growing body of results showing that more attention needs to be focused on socio-environmental variables in psychosis research. However, several limitations have to be taken into account, particularly with regard to selection biases and age of onset of the psychotic illness.

Conclusion

Our results are compatible with the hypothesis that unemployment is a contributing factor in the risk for psychosis among migrant groups. Migrants’ families are an important keystone in the mental health care process of their sick relatives. Our service models need to be adapted with the aim to make the treatment easier for migrant patients.

Keywords

MigrationPsychosisUnemploymentExtended family structureAccess to care
Type
Original article
Information
European Psychiatry , Volume 19 , Issue 6 , September 2004 , pp. 338 - 343
Copyright
Copyright © 2004 European Psychiatric Association

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References

Aspinall, PJ. Suicide amongst Irish migrants in Britain: a review of the identity and integration hypothesis. Int J Soc Psychiatry 2002;48:290–304.CrossRefGoogle ScholarPubMed
Bebbington, PHurry, JTennant, C. Psychiatric disorders in selected immigrant groups in Camberwell. Soc Psychiatry 1981;16:43–51.CrossRefGoogle Scholar
Bebbington, PWilkins, SJones, PFoerster, AMurray, RToone, B, et al. Life events and psychosis. Initial results from the Camberwell Collaborative Psychosis Study. Br J Psychiatry 1993;162:72–9.CrossRefGoogle ScholarPubMed
Bhugra, DLeff, JMallett, RDer, GCorridan, BRudge, S. Incidence and outcome of schizophrenia in whites, African-Caribbeans and Asians in London. Psychol Med 1997;27:791–8.CrossRefGoogle Scholar
Bhugra, DHilwig, MMallett, RCorridan, BLeff, JNeehall, J, et al. Factors in the onset of schizophrenia: a comparison between London and Trinidad samples. Acta Psychiatr Scand 2000;101:135–41.CrossRefGoogle ScholarPubMed
Birchwood, MCochrane, RMacmillan, FCopestake, SKucharska, JCariss, M. The influence of ethnicity and family structure on relapse in first-episode schizophrenia. Br J Psychiatry 1992;161:783–90.CrossRefGoogle ScholarPubMed
Charalabaki, EBauwens, FStefos, GMadianos, MGMendlewicz, J. Immigration and psychopathology: a clinical study. Eur Psychiatry 1995;10:237–44.CrossRefGoogle ScholarPubMed
Cochrane, R. Mental illness in immigrants to England and Wales: an analysis of mental hospital admission. Soc Psychiatry 1977;12:25–35.CrossRefGoogle Scholar
Cochrane, RBal, S. Migration and schizophrenia: an examination of five hypotheses. Soc Psychiatry 1987;22:181–91.CrossRefGoogle ScholarPubMed
Cochrane, RBal, S. Mental hospital admission rates of immigrants to England: a comparison of 1971 and 1981. Soc Psychiatry Psychiatr Epidemiol 1989;24:2–11.CrossRefGoogle ScholarPubMed
Daneshpour, M. Muslim families and family therapy. J Marital Fam Ther 1998;24:355–68.CrossRefGoogle ScholarPubMed
Davies, SThornicroft, GLeese, MHiggingbotham, APhelan, M. Ethnic differences in risk of compulsory psychiatric admission among representative cases of psychosis in London. BMJ 1996;2:533–7.CrossRefGoogle Scholar
Eagles, J. The relationship between schizophrenia and immigration: are there alternatives to psychosocial hypotheses? Br J Psychiatry 1991;159:783–9.CrossRefGoogle ScholarPubMed
El-Islam, F. A better outlook for schizophrenics living in extended families. Br J Psychiatry 1979;135:343–7.CrossRefGoogle ScholarPubMed
Estroff, SEZimmer, CLachicotte, WSBenoit, J. The influence of social networks and social support on violence by persons with serious mental illness. Hosp Community Psychiatry 1994;45:669–79.Google ScholarPubMed
Ferrada-Noli, MAsberg, MOrmstad, KNordstrom, P. Definite and undetermined forensic diagnoses of suicide among immigrants in Sweden. Acta Psychiatr Scand 1995;91:130–5.CrossRefGoogle ScholarPubMed
Ferrada-Noli, MAsberg, M. Psychiatric health, ethnicity and socioeconomic factors among suicides in Stockholm. Psychol Rep 1997;81:323–32.CrossRefGoogle ScholarPubMed
Fossion, PLedoux, YValente, FServais, LStaner, LPelc, I, et al. Psychiatric disorders and social characteristics among second-generation Moroccan migrants in Belgium: an age-and gender-controlled study conducted in a psychiatric emergency department. Eur Psychiatry 2002;17:443–50.CrossRefGoogle Scholar
Freeman, H. Schizophrenia and city residence. Br J Psychiatry 1994;23(Suppl):39–50.CrossRefGoogle Scholar
Giesbrecht, NDick, R. Societal norms and risk-taking behaviour: intercultural comparisons of casualties and alcohol consumption. Addiction 1993;88:867–76.CrossRefGoogle Scholar
Gilvarry, CMWalsh, ESamele, CHutchinson, GMallett, RRabe-Hesketh, S, et al. Life events, ethnicity and perceptions of discrimination in patients with severe mental illness. Soc Psychiatry Psychiatr Epidemiol 1999;11:600–8.CrossRefGoogle Scholar
Glover, GR. The pattern of psychiatric admissions of Caribbean-born immigrants in London. Soc Psychiatry Psychiatr Epidemiol 1989;24:49–56.CrossRefGoogle Scholar
Goodman, RRichards, H. Child and adolescent psychiatric presentations of second-generation Afro-Caribbeans in Britain. Br J Psychiatry 1995;167:362–9.CrossRefGoogle ScholarPubMed
Haasen, CLambert, MYagdiran, OKrausz, M. Impact of ethnicity on the prevalence of psychiatric disorders among migrants in Germany. Ethn Health 1998;3:159–65.CrossRefGoogle ScholarPubMed
Haasen, CYagdiran, OMass, RKrausz, M. Potential for misdiagnosis among Turkish migrants with psychotic disorders: a clinical controlled study in Germany. Acta Psychiatr Scand 2000;101:125–9.CrossRefGoogle ScholarPubMed
Hafner, HLoffler, WMaurer, KHambrecht, MVan der Heiden, W. Depression, negative symptoms, social stagnation and social decline in the early course of schizophrenia. Acta Psychiatr Scand 1999;100:105–18.CrossRefGoogle ScholarPubMed
Hamdi, EAmin, YAbou-Saleh, M. Problems in validating endogenous depression in the Arab culture by contemporary diagnostic criteria. J Affect Disord 1997;44:131–43.CrossRefGoogle ScholarPubMed
Harrison, GOwens, DHolton, DNeilson, DBoot, D. A prospective study of severe mental disorders in Afro-Caribbean patients. Psychol Med 1988;18:643–57.CrossRefGoogle ScholarPubMed
Harrison, GHolton, ANeilson, DOwens, DBoot, DCooper, J. Severe mental disorder in Afro-Caribbean patients: some social, demographic and service factors. Psychol Med 1989;19:683–96.CrossRefGoogle ScholarPubMed
Harrison, GGlazebrook, CBrewin, JCantwell, RDalkin, TFox, R, et al. Increased incidence of psychotic disorders in migrants from the Caribbean to the United Kingdom. Psychol Med 1997;27:799–806.CrossRefGoogle ScholarPubMed
Harvey, IWilliams, MMcGuffin, PToone, BK. The functional psychoses in Afro-Caribbeans. Br J Psychiatry 1990;157:515–22.CrossRefGoogle ScholarPubMed
Hjern, AAllebeck, P. Suicide in first- and second-generation immigrants in Sweden: a comparative study. Soc Psychiatry Psychiatr Epidemiol 2002;37:423–9.CrossRefGoogle ScholarPubMed
Hovey, JD. Religion and suicidal ideation in a sample of Latin American immigrants. Psychol Rep 1999;85:171–7.CrossRefGoogle Scholar
Johansson, LMSundquist, JJohansson, SEBergman, BQvist, JTraskman-Bendz, L. Suicide among foreign-born minorities and Native Swedes: an epidemiological follow-up study of a defined population. Soc Sci Med 1997;44:181–7.CrossRefGoogle ScholarPubMed
King, MCoker, ELeavey, GHoare, AJohnson-Sabine, E. Incidence of psychotic illness in London: comparison of ethnic groups. BMJ 1994;309:1115–9.CrossRefGoogle ScholarPubMed
Koffman, JFulop, NPashley, DColeman, K. Ethnicity and use of acute psychiatric beds: one-day survey in North and South Thames regions. Br J Psychiatry 1997;171:238–41.CrossRefGoogle ScholarPubMed
Lin, KMMiller, MHPoland, RENuccio, IYamaguchi, M. Ethnicity and family involvement in the treatment of schizophrenic patients. J Nerv Ment Dis 1991;179:631–3.CrossRefGoogle ScholarPubMed
Littlewood, RLipsedge, M. Some social and phenomenological characteristics of psychotic immigrants. Psychol Med 1981;II:289–302.CrossRefGoogle Scholar
Mallett, RLeff, JBhugra, DPang, DZhao, JH. Social environment, ethnicity and schizophrenia. A case-control study. Soc Psychiatry Psychiatr Epidemiol 2002;37:329–35.CrossRefGoogle ScholarPubMed
McGovern, DCope, R. First psychotic admission rates of first-and-second-generation African-Caribbeans. Soc Psychiatry 1987;22:139–49.CrossRefGoogle Scholar
Neeleman, JWessely, S. Ethnic minority suicide: a small area geographical study in south London. Psychol Med 1999;29:429–36.CrossRefGoogle ScholarPubMed
O’Connor, RCSheehy, NPO’Connor, DB. The classification of completed suicide into subtypes. J Ment Health 1999;289:1029–32.Google Scholar
Odegaard, O. Emigration and insanity: a study of mental disease among Norwegian-born population in Minnesota. Acta Psychiatr Neurol Scand 1932;7(Suppl 4):1–206.Google Scholar
Perera, R. Ethnicity and relapse in schizophrenia. Br J Psychiatry 1993;162:845–6.CrossRefGoogle Scholar
Perkins, REMoodley, P. Perception of problems in psychiatric patients: denial, race and service usage. Soc Psychiatry Psychiatr Epidemiol 1993;28:189–93.CrossRefGoogle Scholar
Roberts, NCawthorpe, D. Immigrant child and adolescent psychiatric referrals: a five-year retrospective study of Asian and Caucasian families. Can J Psychiatry 1995;40:252–6.CrossRefGoogle ScholarPubMed
Rwegellera, GG. Differential use of psychiatric services by West Indians, West Africans and English in London. Br J Psychiatry 1980;137:428–32.CrossRefGoogle Scholar
Schrier, ACvan de Wetering, BJMulder, PGSelten, JP. Point prevalence of schizophrenia in immigrant groups in Rotterdam: data from outpatient facilities. Eur Psychiatry 2001;16:162–6.CrossRefGoogle ScholarPubMed
Selten, JPVeen, NFeller, WBlom, JDSchols, DCamoenie, W, et al. Incidence of psychotic disorders in immigrant groups to The Netherlands. Br J Psychiatry 2001;178:367–72.CrossRefGoogle ScholarPubMed
Sharpley, MHutchinson, GMcKenzie, KMurray, RM. Understanding the excess of psychosis among the African-Caribbean population in England. Review of current hypotheses. Br J Psychiatry [Suppl] 2001;40:S60–8.CrossRefGoogle ScholarPubMed
Sher, L. On the role of neurobiological and genetic factors in the etiology and pathogenesis of suicidal behavior among immigrants. Med Hypotheses 1999;53:110–1.CrossRefGoogle ScholarPubMed
Singh, GKSiahpush, M. All-cause and cause-specific mortality of immigrants and native born in the United States. Am J Public Health 2001;91:392–9.Google ScholarPubMed
Thomas, CSStone, KOsborn, MThomas, PFFisher, M. Psychiatric morbidity and compulsory admission among UK-born Europeans, Afro-Caribbeans and Asians in central Manchester. Br J Psychiatry 1993;163:91–9.CrossRefGoogle ScholarPubMed
Van OS, JCastle, DJTakei, NDer, GMurray, RM. Psychotic illness in ethnic minorities: clarification from the 1991 census. Psychol Med 1996;26:203–8.CrossRefGoogle ScholarPubMed
Wessely, SCastle, DDer, GMurray, R. Schizophrenia and Afro-Caribbeans. A case-control study. Br J Psychiatry 1991;159:795–801.CrossRefGoogle ScholarPubMed
Wijesinghe, CPClancy, DJ. Schizophrenia in migrants living in the western region of Melbourne. Aust N Z J Psychiatry 1991;25:350–7.CrossRefGoogle ScholarPubMed
Zolkowska, K, Cantor-Graae, EMcNeil, TF. Increased rates of psychosis among immigrants to Sweden: is migration a risk factor for psychosis? Psychol Med 2001;31:669–78.CrossRefGoogle Scholar
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