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Role of migration in the development of a first episode of psychosis

Published online by Cambridge University Press:  01 September 2022

R. Vaz*
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Martins
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
A. Costa
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Brás
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
R. Sousa
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
E. Almeida
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
J. Abreu
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
D. Teixeira
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
A. Marques
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
N. Gil
Affiliation:
Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal
*
*Corresponding author.

Abstract

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Introduction

Currently, there is scientific evidence supporting the relationship between socio-environmental factors and the onset of a first episode of psychosis (FEP). In this context, the phenomenon of migration, seen as a negative life experience, may become an important risk factor in developing a psychotic disorder (PD). In Europe, the impact of this phenomenon is growing and, therefore, it’s necessary to provide a proper answer to these individual’s mental health problems.

Objectives

Identify which phases of this migration process are most important in the development of a FEP and what are the more significant socio-environmental factors in each phase.

Methods

Bibliographic research in Pubmed database using the terms “Migration” and “First Episode Psychosis”.

Results

Research confirms that migrants have a 2 to 3-fold increased risk of developing a PD. This risk will be even higher in the refugee population. Pre- and post-migration factors demonstrated to be more important than factors related with the migration process itself. In the pre-migration phase highlight factors like the lower parental social class and a previous trauma. In the post-migration phase highlight factors like discrimination, social disadvantage and a mismatch between expectations and reality.

Conclusions

Literature is unanimous in considering migrant status as an independent risk factor for the development of FEP, possibly due to the outsider’s role in society. Thus, despite the growing interest in Biological Psychiatry, this work demonstrates that socio-environmental factors are very preponderant in the development of these disorders and because of that further investigation is still necessary.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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