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Trabsa A, Casanovas F, Pérez V, Moreno A, Amann B, Mané A. Comparison of male and female non-refugee immigrants with psychosis: clinical, sociodemographic, and migration-related differences and impact on stress. Arch Womens Ment Health 2024; 27:679-692. [PMID: 38374484 PMCID: PMC11405427 DOI: 10.1007/s00737-024-01431-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Accepted: 01/20/2024] [Indexed: 02/21/2024]
Abstract
PURPOSE To compare social, clinical, and migration-related factors between male and female immigrants with psychotic disorders and to determine the association between these variables and stress in the last year. METHODS We administered the Holmes and Rahe Social Readjustment Scale to evaluate psychological stress in 99 non-refugee immigrants (26 women, 73 men) who presented ≥ one psychotic episode (ICD-10 criteria). We compared the two groups in terms of sociodemographic, clinical, cultural, and migration-related variables. A multivariable analysis using a linear regression model (stepwise method) was performed to evaluate potential associations between these variables and stress. RESULTS Women were more likely to be married and divorced, had less access to welfare payments, and lower unemployment and homeless rates than men. The most common psychiatric diagnosis was psychosis not otherwise specified with more women being affected (61.5% in women vs. 45.2% in men), but the diagnosis of schizophrenia was more common in men (38.4% vs 15.4%). Both groups exhibited very high levels of stress in the past year (mean total distress score > 300). In women, stress was significantly associated with age at first migration and be a racialized person. By contrast, among men stress was significantly associated with language barrier and comorbidity with a physical disorder. CONCLUSIONS The results of this study reveal important differences between men and women immigrants. These findings underscore the importance of understanding how gender-specific roles and social expectations intersect with the timing and nature of migration to influence stress levels differently in immigrant women and men with psychotic disorders.
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Affiliation(s)
- Amira Trabsa
- PhD Programme, Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain
- Institute of Mental Health, Hospital del Mar, Passeig Marítim de la Barceloneta 25-29, 08019, Barcelona, Spain
- Hospital del Mar Medical Research Institute, C/del Aiguader 88, 08003, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
| | - Francesc Casanovas
- Hospital del Mar Medical Research Institute, C/del Aiguader 88, 08003, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
| | - Víctor Pérez
- Institute of Mental Health, Hospital del Mar, Passeig Marítim de la Barceloneta 25-29, 08019, Barcelona, Spain
- Hospital del Mar Medical Research Institute, C/del Aiguader 88, 08003, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
- Centre Fòrum Research Unit, Hospital del Mar, C/Llull 410, 08019, Barcelona, Spain
- Department of Medicine and Life Sciences, Pompeu Fabra University, Barcelona, Spain
| | - Ana Moreno
- Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
- Centre Fòrum Research Unit, Hospital del Mar, C/Llull 410, 08019, Barcelona, Spain
| | - Benedikt Amann
- Institute of Mental Health, Hospital del Mar, Passeig Marítim de la Barceloneta 25-29, 08019, Barcelona, Spain
- Hospital del Mar Medical Research Institute, C/del Aiguader 88, 08003, Barcelona, Spain
- Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain
- Centre Fòrum Research Unit, Hospital del Mar, C/Llull 410, 08019, Barcelona, Spain
- Department of Medicine and Life Sciences, Pompeu Fabra University, Barcelona, Spain
| | - Anna Mané
- Institute of Mental Health, Hospital del Mar, Passeig Marítim de la Barceloneta 25-29, 08019, Barcelona, Spain.
- Hospital del Mar Medical Research Institute, C/del Aiguader 88, 08003, Barcelona, Spain.
- Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III, Barcelona, Spain.
- Centre Fòrum Research Unit, Hospital del Mar, C/Llull 410, 08019, Barcelona, Spain.
- Department of Medicine and Life Sciences, Pompeu Fabra University, Barcelona, Spain.
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Roldán-Chicano MT, Fernández-Rufete J, Hueso-Montoro C, García-López MDM, Rodríguez-Tello J, Flores-Bienert MD. Culture-bound syndromes in migratory contexts: the case of Bolivian immigrants. Rev Lat Am Enfermagem 2017; 25:e2915. [PMID: 28699998 PMCID: PMC5511005 DOI: 10.1590/1518-8345.1982.2915] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Accepted: 04/18/2017] [Indexed: 11/22/2022] Open
Abstract
Objective: to describe the culture-bound syndromes maintained by Bolivian immigrants in the
new migratory context and analyze the care processes of these health problems.
Method: qualitative research with an ethnographic methodological approach. Sample: 27
Bolivian immigrants. In-depth interviews and participatory observation were the
strategies used for data collection. Data were classified and categorized into
logical schemes manually and using the ATLAS-ti program v.5. Results: susto, “wayras”, amartelo, pasmo de sol, pasmo de luna and pasmo de sereno are
some of the folk illnesses that affect the Bolivian immigrants and that they have
to treat in the new migratory context. Conclusions: in the new environment, the group under study preserves culture-bound syndromes
that are common in their country of origin. The care strategies used for these
health problems are adapted to the resources of the new context and based on
interactions with the domestic environment, biomedicine and traditional medicine.
It was observed the need for the health professionals to realize that the efficacy
of certain therapies occurs within the scope of cultural beliefs and not in that
of the scientific evidence.
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Affiliation(s)
| | | | | | | | - Javier Rodríguez-Tello
- MSc, RN, Hospital General Universitario Santa Lucía, Servicio Murciano de Salud, Cartagena, Murcia, Spain
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