Role of migration in the development of a first episode of psychosis

Introduction Currently, there is scientific evidence supporting the relationship between socio-environmental factors and the onset of a first episode of psychosis (FEP). In this context, the phenomenon of migration, seen as a negative life experience, may become an important risk factor in develo...

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Main Authors: R. Vaz, J. Martins, A. Costa, J. Brás, R. Sousa, E. Almeida, J. Abreu, D. Teixeira, A. Marques, N. Gil
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822016236/type/journal_article
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author R. Vaz
J. Martins
A. Costa
J. Brás
R. Sousa
E. Almeida
J. Abreu
D. Teixeira
A. Marques
N. Gil
author_facet R. Vaz
J. Martins
A. Costa
J. Brás
R. Sousa
E. Almeida
J. Abreu
D. Teixeira
A. Marques
N. Gil
author_sort R. Vaz
collection DOAJ
description Introduction Currently, there is scientific evidence supporting the relationship between socio-environmental factors and the onset of a first episode of psychosis (FEP). In this context, the phenomenon of migration, seen as a negative life experience, may become an important risk factor in developing a psychotic disorder (PD). In Europe, the impact of this phenomenon is growing and, therefore, it’s necessary to provide a proper answer to these individual’s mental health problems. Objectives Identify which phases of this migration process are most important in the development of a FEP and what are the more significant socio-environmental factors in each phase. Methods Bibliographic research in Pubmed database using the terms “Migration” and “First Episode Psychosis”. Results Research confirms that migrants have a 2 to 3-fold increased risk of developing a PD. This risk will be even higher in the refugee population. Pre- and post-migration factors demonstrated to be more important than factors related with the migration process itself. In the pre-migration phase highlight factors like the lower parental social class and a previous trauma. In the post-migration phase highlight factors like discrimination, social disadvantage and a mismatch between expectations and reality. Conclusions Literature is unanimous in considering migrant status as an independent risk factor for the development of FEP, possibly due to the outsider’s role in society. Thus, despite the growing interest in Biological Psychiatry, this work demonstrates that socio-environmental factors are very preponderant in the development of these disorders and because of that further investigation is still necessary. Disclosure No significant relationships.
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spelling doaj.art-169c0df05c034821805b566e0af1211f2023-11-17T05:07:13ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S633S63310.1192/j.eurpsy.2022.1623Role of migration in the development of a first episode of psychosisR. Vaz0J. Martins1A. Costa2J. Brás3R. Sousa4E. Almeida5J. Abreu6D. Teixeira7A. Marques8N. Gil9Centro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, PortugalCentro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, PortugalCentro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, PortugalCentro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, PortugalCentro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, PortugalCentro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, PortugalCentro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, PortugalCentro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, PortugalCentro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, PortugalCentro Hospitalar Tondela-Viseu , Departamento De Psiquiatria E Saúde Mental, Viseu, Portugal Introduction Currently, there is scientific evidence supporting the relationship between socio-environmental factors and the onset of a first episode of psychosis (FEP). In this context, the phenomenon of migration, seen as a negative life experience, may become an important risk factor in developing a psychotic disorder (PD). In Europe, the impact of this phenomenon is growing and, therefore, it’s necessary to provide a proper answer to these individual’s mental health problems. Objectives Identify which phases of this migration process are most important in the development of a FEP and what are the more significant socio-environmental factors in each phase. Methods Bibliographic research in Pubmed database using the terms “Migration” and “First Episode Psychosis”. Results Research confirms that migrants have a 2 to 3-fold increased risk of developing a PD. This risk will be even higher in the refugee population. Pre- and post-migration factors demonstrated to be more important than factors related with the migration process itself. In the pre-migration phase highlight factors like the lower parental social class and a previous trauma. In the post-migration phase highlight factors like discrimination, social disadvantage and a mismatch between expectations and reality. Conclusions Literature is unanimous in considering migrant status as an independent risk factor for the development of FEP, possibly due to the outsider’s role in society. Thus, despite the growing interest in Biological Psychiatry, this work demonstrates that socio-environmental factors are very preponderant in the development of these disorders and because of that further investigation is still necessary. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822016236/type/journal_articleFirst Episode Psychosismigration
spellingShingle R. Vaz
J. Martins
A. Costa
J. Brás
R. Sousa
E. Almeida
J. Abreu
D. Teixeira
A. Marques
N. Gil
Role of migration in the development of a first episode of psychosis
European Psychiatry
First Episode Psychosis
migration
title Role of migration in the development of a first episode of psychosis
title_full Role of migration in the development of a first episode of psychosis
title_fullStr Role of migration in the development of a first episode of psychosis
title_full_unstemmed Role of migration in the development of a first episode of psychosis
title_short Role of migration in the development of a first episode of psychosis
title_sort role of migration in the development of a first episode of psychosis
topic First Episode Psychosis
migration
url https://www.cambridge.org/core/product/identifier/S0924933822016236/type/journal_article
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