Migration and psychosis: the link between them

Introduction Migrations are a source of stress for patients, which can have repercussions on their Mental Health. We present the case of a native Senegalese patient who presented a first psychotic episode. Objectives Presentation of a clinical case of an immigrant patient with a psychotic disorder...

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Main Authors: C. De Andrés Lobo, T. Jiménez Aparicio, C. Vallecillo Adame, A. Gonzaga Ramírez, G. Guerra Valera, I. Santos Carrasco, J. Gonçalves Cerejeira, M. Fernández Lozano, B. Rodríguez Rodríguez, N. Navarro Barriga, M.J. Mateos Sexmero, N. De Uribe Viloria
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S092493382200565X/type/journal_article
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author C. De Andrés Lobo
T. Jiménez Aparicio
C. Vallecillo Adame
A. Gonzaga Ramírez
G. Guerra Valera
I. Santos Carrasco
J. Gonçalves Cerejeira
M. Fernández Lozano
B. Rodríguez Rodríguez
N. Navarro Barriga
M.J. Mateos Sexmero
N. De Uribe Viloria
author_facet C. De Andrés Lobo
T. Jiménez Aparicio
C. Vallecillo Adame
A. Gonzaga Ramírez
G. Guerra Valera
I. Santos Carrasco
J. Gonçalves Cerejeira
M. Fernández Lozano
B. Rodríguez Rodríguez
N. Navarro Barriga
M.J. Mateos Sexmero
N. De Uribe Viloria
author_sort C. De Andrés Lobo
collection DOAJ
description Introduction Migrations are a source of stress for patients, which can have repercussions on their Mental Health. We present the case of a native Senegalese patient who presented a first psychotic episode. Objectives Presentation of a clinical case of an immigrant patient with a psychotic disorder. Methods Bibliographic review on migration and psychosis by searching for articles in Pubmed. Results We present the case of a patient of 20 years, a native of Senegal, who has been living in Spain for 3 months in a shelter home. He has no family or relations in Spain, and only speaks Wolof, presenting serious difficulties in communication with healthcare workers. He came to Hospital with his social worker because strange behaviors had been observed. He presented delusional ideation of self-referential and mystical-religious content, related to “the prophet” and “the need to fulfill a mission”. He also presented auditory hallucinations that he identified as of divine origin, and ordered him to perform behaviors such as picking hairs from the ground and various rituals. He acknowledges cannabis and alcohol use in the previous days. Paliperidone treatment was started. Throughout the admission, he begins to show concern for the state of his relatives in Senegal and the need to send them money. Conclusions Multiple studies indicate that migrants are at higher risk of psychosis, specially those from countries where the majority of population was black, according to some series. The challenge lies in understanding the mechanisms underlying this increased incidence, taking into account psychosocial factors such as social isolation and trauma. Disclosure No significant relationships.
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spelling doaj.art-2e28bff3d3504c9d9aa1f1b3f0d623a82023-11-17T05:05:14ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S217S21710.1192/j.eurpsy.2022.565Migration and psychosis: the link between themC. De Andrés Lobo0T. Jiménez Aparicio1C. Vallecillo Adame2A. Gonzaga Ramírez3G. Guerra Valera4I. Santos Carrasco5J. Gonçalves Cerejeira6M. Fernández Lozano7B. Rodríguez Rodríguez8N. Navarro Barriga9M.J. Mateos Sexmero10N. De Uribe Viloria11Hospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainClinical Hospital of Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Universitario Fundación de Alcorcón, Psiquiatría, Valladolid, Spain Introduction Migrations are a source of stress for patients, which can have repercussions on their Mental Health. We present the case of a native Senegalese patient who presented a first psychotic episode. Objectives Presentation of a clinical case of an immigrant patient with a psychotic disorder. Methods Bibliographic review on migration and psychosis by searching for articles in Pubmed. Results We present the case of a patient of 20 years, a native of Senegal, who has been living in Spain for 3 months in a shelter home. He has no family or relations in Spain, and only speaks Wolof, presenting serious difficulties in communication with healthcare workers. He came to Hospital with his social worker because strange behaviors had been observed. He presented delusional ideation of self-referential and mystical-religious content, related to “the prophet” and “the need to fulfill a mission”. He also presented auditory hallucinations that he identified as of divine origin, and ordered him to perform behaviors such as picking hairs from the ground and various rituals. He acknowledges cannabis and alcohol use in the previous days. Paliperidone treatment was started. Throughout the admission, he begins to show concern for the state of his relatives in Senegal and the need to send them money. Conclusions Multiple studies indicate that migrants are at higher risk of psychosis, specially those from countries where the majority of population was black, according to some series. The challenge lies in understanding the mechanisms underlying this increased incidence, taking into account psychosocial factors such as social isolation and trauma. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S092493382200565X/type/journal_articlefirst psychotic episodemigrationrisk factors
spellingShingle C. De Andrés Lobo
T. Jiménez Aparicio
C. Vallecillo Adame
A. Gonzaga Ramírez
G. Guerra Valera
I. Santos Carrasco
J. Gonçalves Cerejeira
M. Fernández Lozano
B. Rodríguez Rodríguez
N. Navarro Barriga
M.J. Mateos Sexmero
N. De Uribe Viloria
Migration and psychosis: the link between them
European Psychiatry
first psychotic episode
migration
risk factors
title Migration and psychosis: the link between them
title_full Migration and psychosis: the link between them
title_fullStr Migration and psychosis: the link between them
title_full_unstemmed Migration and psychosis: the link between them
title_short Migration and psychosis: the link between them
title_sort migration and psychosis the link between them
topic first psychotic episode
migration
risk factors
url https://www.cambridge.org/core/product/identifier/S092493382200565X/type/journal_article
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