First-episode psychosis and migration in Italy (PEP-Ita migration): a study in the Italian mental health services

BMC Psychiatry

Domenico Berardi^1,14  Andrea Fiorillo^1,12  Patrizia Zeppegno^1,13  Antonio Ventriglio²  Elena Turella⁶  Orlando Todarello¹  Marco Rigatelli⁷  Corinna Reggianini⁷  Diego Primavera^1,10  Francesca Podavini⁵  Marcello Nardini¹  Alice Mulè⁹  Mario Luciano^1,12  Caterina La Cascia⁹  Carla Gramaglia^1,13  Maria Antonietta Furio¹  Silvia Ferrari⁷  Luigi Ferrannini³  Corrado De Rosa^1,12  Valeria Del Vecchio^1,12  Samuele Defilippi⁸  Marco Conforti Donati^1,11  Alessio Ceregato⁸  Bernardo Carpiniello^1,10  Vanna Berlincioni⁵  Antonello Bellomo²  Giuseppe Barrasso⁴  Fabio Allegri^1,11  Mauro Braca^1,11  Ilaria Tarricone^1,14 

[1] Dipartimento di Scienze Mediche di Base, Neuroscienze ed Organi di Senso, Università degli Studi Aldo Moro di Bari, Bari, Italy;Department of Clinical and Experimental Sciences, Section of Psychiatry and Clinical Psychology, University of Foggia, Foggia, Italy;Department of Mental Health ASL 3 Liguria, Genova, Italy;Andria Community Mental Health Centre, Andria, BAT, Italy;Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy;U.O.A. di Psichiatria di Camposampiero (PD), Camposampiero, PD, Italy;U.O. Psichiatria Ospedaliero-Universitaria Modena Centro, University of Modena and Reggio Emilia, Modena, Italy;Mental Health Department A.S.L. TO4, Chivasso, TO, Italy;Department of Experimental Biomedicine and Clinical Neuroscience, Section of Psychiatry, University of Palermo, Palermo, Italy;Clinica Psichiatrica - Università degli Studi di Cagliari, Cagliari, Italy;Department of Medical and Surgical Sciences, Bologna University, Bologna, Italy;Department of Psychiatry, University of Naples SUN, Napoli, Italy;SC Psichiatria, AOU Ospedale Maggiore della Carità, Dipartimento di Medicina Traslazionale, Università del Piemonte Orientale Amedeo Avogadro, Novara, Italy;Department of Mental Health and Pathological Addictions, Local Health Trust, Bologna, Italy

关键词: Protective factors;    Risk factors;    Italy;    First-episode psychosis;    Migrants;   

Others  :  1123495
DOI  :  10.1186/1471-244X-14-186

 received in 2013-08-08, accepted in 2014-05-28,  发布年份 2014

【 摘 要 】

Background

It has been frequently reported a higher incidence of psychotic disorders in immigrants than in native populations. There is, however, a lack of knowledge about risk factors which may explain this phenomenon. A better understanding of the causes of psychosis among first-generation migrants is highly needed, particularly in Italy, a country with a recent massive migration.

Methods/Design

The “Italian study on first-episode psychosis and migration (PEP-Ita)” is a prospective observational study over a two-year period (1 January 2012–31 December 2013) which will be carried out in 11 Italian mental health centres. All participating centres will collect data about all new cases of migrants with first-episode psychosis. The general purpose (“core”) of the PEP-Ita study is to explore the socio-demographic and clinical characteristics, and the pathways to care of a population of first-episode psychosis migrants in Italy. Secondary aims of the study will be: 1) to understand risk and protective factors for the development of psychotic disorders in migrants; 2) to evaluate the correlations between psychopathology of psychotic disorders in migrants and socio-demographic characteristics, migration history, life experiences; 3) to evaluate the clinical and social outcomes of first-episode psychoses in migrants.

Discussion

The results of the PEP-Ita study will allow a better understanding of risk factors for psychosis in first-generation migrants in Italy. Moreover, our results will contribute to the development of prevention programmes for psychosis and to the improvement of early intervention treatments for the migrant population in Italy.

【 授权许可】

   
2014 Tarricone et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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