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Post-migration trajectories and psychopathological vulnerability

Published online by Cambridge University Press:  19 July 2023

I. Tarricone ,
Ilaria Tarricone ,
Giuseppe D’Andrea ,
Hannah E Jongsma ,
Sarah Tosato ,
Charlotte Gayer-Anderson ,
Simona A. Stilo ,
Federico Suprani ,
Conrad Iyegbe  and
Els van der Ven
...Show all authors
I. Tarricone*
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Ilaria Tarricone
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Giuseppe D’Andrea
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Hannah E Jongsma
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Sarah Tosato
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Charlotte Gayer-Anderson
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Simona A. Stilo
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Federico Suprani
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Conrad Iyegbe
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Els van der Ven
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Diego Quattrone
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Marta di Forti
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Eva Velthorst
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Paulo Rossi Menezes
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Celso Arango
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
Mara Parel
Affiliation:
Department of Medical and Surgical Sciences, Bologna Univerisity, Bologna, Italy
*
*Corresponding author.

Abstract

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Abstract: Background

Psychosis rates are higher among some migrant groups. We hypothesized that psychosis in migrants is associated with cumulative social disadvantage during different phases of migration.

Methods

We used data from the EUropean Network of National Schizophrenia Networks studying Gene-Environment Interactions (EU-GEI) case-control study. We defined a set of 3 indicators of social disadvantage for each phase: pre-migration, migration, and post-migration.

Results

249 cases and 219 controls were assessed. Pre-migration (OR 1.61, 95%CI 1.06-2.44, p=0.027) and postmigration social disadvantages (OR 1.89, 95%CI 1.02-3.51, p=0.044), along with expectations/achievements mismatch (OR 1.14, 95%CI 1.03-1.26, p=0.014) were all significantly associated with psychosis. We found a dose-response effect between number of adversities across all phases and odds of psychosis (≥6: OR 14.09, 95%CI 2.06-96-47, p=0.007).

Conclusions

The cumulative effect of social disadvantages before, during and after migration was associated with increased odds of psychosis in migrants, independently of ethnicity or length of stay in the country of arrival. Public health initiatives that address the social disadvantages that many migrants face during the whole migration process and post-migration psychological support may be reduce the excess of psychosis in migrants.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S36
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 (https://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), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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