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Lasalvia A, Bonetto C, Tosato S, Zanatta G, Cristofalo D, Salazzari D, Lazzarotto L, Bertani M, Bissoli S, De Santi K, Cremonese C, De Rossi M, Gardellin F, Ramon L, Zucchetto M, Amaddeo F, Tansella M, Ruggeri M. First-contact incidence of psychosis in north-eastern Italy: influence of age, gender, immigration and socioeconomic deprivation. Br J Psychiatry 2014; 205:127-34. [PMID: 24723631 DOI: 10.1192/bjp.bp.113.134445] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
BACKGROUND Considerable variations in the incidence of psychosis have been observed across countries, in terms of age, gender, immigration status, urbanicity and socioeconomic deprivation. AIMS To evaluate the incidence rate of first-episode psychosis in a large area of north-eastern Italy and the distribution of the above-mentioned risk factors in individuals with psychoses. METHOD Epidemiologically based survey. Over a 3-year period individuals with psychosis on first contact with services were identified and diagnosed according to ICD-10 criteria. RESULTS In total, 558 individuals with first-episode psychosis were identified during 3,077,555 person-years at risk. The annual incidence rate per 100,000 was 18.1 for all psychoses, 14.3 for non-affective psychoses and 3.8 for affective psychoses. The rate for all psychoses was higher in young people aged 20-29 (incidence rate ratio (IRR) = 4.18, 95% CI 2.77-6.30), immigrants (IRR = 2.26, 95% CI 1.85-2.75) and those living in the most deprived areas (IRR = 2.09, 95% CI 1.54-2.85). CONCLUSIONS The incidence rate in our study area was lower than that found in other European and North American studies and provides new insights into the factors that may increase and/or decrease risk for developing psychosis.
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Affiliation(s)
- Antonio Lasalvia
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Chiara Bonetto
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Sarah Tosato
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Gioia Zanatta
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Doriana Cristofalo
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Damiano Salazzari
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Lorenza Lazzarotto
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Mariaelena Bertani
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Sarah Bissoli
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Katia De Santi
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Carla Cremonese
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Moreno De Rossi
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Francesco Gardellin
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Luana Ramon
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Maria Zucchetto
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Francesco Amaddeo
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Michele Tansella
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
| | - Mirella Ruggeri
- Antonio Lasalvia, MD, PhD, Chiara Bonetto, PhD, Sarah Tosato, MD, PhD, Gioia Zanatta, DClinPsy, Doriana Cristofalo, Edu Sci, Damiano Salazzari, Lorenza Lazzarotto, DClinPsy, Mariaelena Bertani, PhD, Sarah Bissoli, PhD, Katia De Santi, MD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona; Carla Cremonese, MD, Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua; Moreno De Rossi, MD, Department of Mental Health, NHS, Local Health Authority Adria, Rovigo; Francesco Gardellin, MD, Department of Mental Health, NHS, Local Health Authority Vicenza; Luana Ramon, MD, Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia; Maria Zucchetto, MD, Department of Mental Health, NHS, Local Health Authority Padua; Francesco Amaddeo, MD, PhD, Michele Tansella, MD, Mirella Ruggeri, MD, PhD, Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Verona, Italy
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