Migration in patients with early psychosis: A 3-year prospective follow-up study.
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Serval ID
serval:BIB_6A5D54EDABCA
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Migration in patients with early psychosis: A 3-year prospective follow-up study.
Journal
Psychiatry research
ISSN
1872-7123 (Electronic)
ISSN-L
0165-1781
Publication state
Published
Issued date
05/2019
Peer-reviewed
Oui
Volume
275
Pages
108-114
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
Early psychosis programs treat high ratios of migrants, given they display higher rates of psychosis. Studies on this topic are limited and less is known about outcomes. The aim of this study was to compare the premorbid, baseline and outcome profile of patients according to migration (M) and migration in psychosocial adversity (MA) in order to explore if there were differences suggesting particular needs in terms of treatment. 257 early psychosis patients aged 18-35 years old were followed-up over 36 months. MA (29.6%) and M (17.9%) were compared to patients who were born in Switzerland (NM). At entry to the program, MA patients had poorer functional levels and higher symptom intensity. MA patients were more likely to report past exposure to trauma. While M patients have similar outcome compared to NM patients, MA patients were less likely to reach symptom remission, displayed lower functioning and were more likely to relapse. Results suggests that migration in adversity is a potential determinant of functional impairment in early psychosis. While patients who migrated in other contexts have a better outcome, patients who experienced migration in adversity have specific needs considering they are less integrated and more likely to have been exposed to trauma.
Keywords
Adolescent, Adult, Age of Onset, Female, Follow-Up Studies, Human Migration, Humans, Male, Prospective Studies, Psychotic Disorders/epidemiology, Psychotic Disorders/psychology, Recurrence, Switzerland/epidemiology, Young Adult
Pubmed
Web of science
Create date
13/03/2019 10:09
Last modification date
28/04/2022 7:10