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Garrido-Torres N, Suárez-Suárez ML, Rocha-González I, Alameda L, Giner L, Canal-Rivero M, Crespo-Facorro B, Ruiz-Veguilla M. Higher rates of first episode psychosis in immigrants admitted in inpatient unit at southwest Spain. Psychiatry Res 2022; 308:114352. [PMID: 34972027 DOI: 10.1016/j.psychres.2021.114352] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 12/17/2021] [Accepted: 12/18/2021] [Indexed: 11/17/2022]
Abstract
We present data on the incidence of admissions for first episode psychosis in a region of southern Spain. All consecutive cases of admissions to the psychiatric hospitalization unit due to psychosis were selected. The incidence rates for first episode psychosis among immigrants and non-immigrants between two years were calculated. Incidence rate ratio of first episode of psychosis was higher in immigrants (IRR 5.95 95% CI 3.8-9.3 p<0.001) and also in individuals from Sub-Saharan Africa (IRR: 30.09 95% CI:16.2-55.8 p<0.001). The results reflect the risk that immigrants have a greater risk of being hospitalized than non-immigrants.
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Affiliation(s)
- Nathalia Garrido-Torres
- Department of Psychiatry, School of Medicine, University of Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; University Hospital Virgen del Rocío, Sevilla, Spain
| | | | - Idalino Rocha-González
- Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain
| | - Luis Alameda
- Department of Psychiatry, School of Medicine, University of Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom; Service of General Psychiatry, Treatment and Early Intervention in Psychosis Program, Lausanne University Hospital (CHUV), CH-1008 Lausanne, Switzerland
| | - Lucas Giner
- Department of Psychiatry, School of Medicine, University of Sevilla, Spain
| | - Manuel Canal-Rivero
- Department of Psychiatry, School of Medicine, University of Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; University Hospital Virgen del Rocío, Sevilla, Spain
| | - Benedicto Crespo-Facorro
- Department of Psychiatry, School of Medicine, University of Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; University Hospital Virgen del Rocío, Sevilla, Spain.
| | - Miguel Ruiz-Veguilla
- Department of Psychiatry, School of Medicine, University of Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; University Hospital Virgen del Rocío, Sevilla, Spain
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Garrido-Torres N, Alameda L, Cristóbal JP, Padilla MV, Robles CS, Canal-Rivero M, Crespo-Facorro B, Ruiz-Veguilla M. Examining the relationship between psychosis and immigration in Spain: The effect of cannabis use and language barrier in a large psychosis sample. J Psychiatr Res 2022; 145:361-365. [PMID: 34801256 DOI: 10.1016/j.jpsychires.2021.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 10/19/2021] [Accepted: 11/02/2021] [Indexed: 11/24/2022]
Abstract
The main aim of this study is to examine the association between psychosis and immigration, independent of the language barrier, drug consumption, and the social support index. The second aim is to explore the clinical and demographic characteristics of the immigrants in the catchment area, compared with the native Spanish population suffering from psychosis. All consecutive patients admitted to a hospital in Spain during 2018 and 2019 (n = 1484) were identified through the hospital's clinical records. The general representative sample (n=1484) was divided into two groups: immigrants (n=131) and non-immigrants (n=1353). Demographic, clinical, and social variables were then obtained and included in a logistic regression model. A subsample with all consecutive cases with psychosis (93 immigrants and 543 no immigrants) was also analysed to describe the diagnosis and evolution after admission. Our results show that there is higher significant prevalence of admissions due to psychosis in the immigrant population than in the non-immigrant population. This association is prominent in the population of Sub-Saharans, and is independent of cannabis use, a low social support index, or a language barrier. Understanding the specificities not only in the social context of this population but also the clinical needs is determinant for being able to shape the therapeutic intervention.
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Affiliation(s)
- Nathalia Garrido-Torres
- University Hospital Virgen Del Rocio, Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; University of Seville, Spain
| | - Luis Alameda
- University Hospital Virgen Del Rocio, Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; Service of General Psychiatry, Treatment and Early Intervention in Psychosis Program, Lausanne University Hospital (CHUV), CH-1008, Lausanne, Switzerland; University of Seville, Spain
| | | | | | | | - Manuel Canal-Rivero
- University Hospital Virgen Del Rocio, Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; University of Seville, Spain
| | - Benedicto Crespo-Facorro
- University Hospital Virgen Del Rocio, Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; University of Seville, Spain.
| | - Miguel Ruiz-Veguilla
- University Hospital Virgen Del Rocio, Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; University of Seville, Spain
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