Psychotic disorders in migrant population

Introduction One of the defining features of the modern world is a large scale migration that occurs due to a range of factors, from political conflicts to personal and voluntary reasons. This process can cause a severe disruption in individuals’ biography and can be followed by a large period of...

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Main Authors: P. Felgueiras, P. Barbosa
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821019404/type/journal_article
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author P. Felgueiras
P. Barbosa
author_facet P. Felgueiras
P. Barbosa
author_sort P. Felgueiras
collection DOAJ
description Introduction One of the defining features of the modern world is a large scale migration that occurs due to a range of factors, from political conflicts to personal and voluntary reasons. This process can cause a severe disruption in individuals’ biography and can be followed by a large period of adaptation and a phenomenon of acculturation. Surprisingly, there is little research on the impact of migration and settlement on risk of psychosis. Objectives Regarding a clinical case, we aim to enphasize the current evidence about the risk of psychotic disorders in migrants. Methods We present a qualitative review of this topic using the Pubmed database. Results 27 years old portuguese female, with hyperthymic temperament and history of depressive episode. Her process of migration in 2016 was motivated by an academic purpose. In context of stressful life events she developed psychotic symptoms - messianic and persecutory delusions, with visual and auditory hallucinations. Conclusions There is an increased risk of psychosis among migrant population that is well documented. This is even the main risk factor with the exception of a family history of psychosis. The risk can be explained by socio-demographic and psychological features, factors involving the migration process, and socio-occupational environment in the host country. A socio-developmental-cognitive model theorize how exposure to a stressful environment and social defeat interacts with underlying genetic risk to create an enduring liability to psychosis. These findings can help in important decisions about mental health resources and accessibility, including protocols to identify and treat migrants at higher risk of mental diseases. Disclosure No significant relationships.
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spelling doaj.art-cfd57def26e442f5936affaef2f975002023-11-17T05:06:23ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S732S73310.1192/j.eurpsy.2021.1940Psychotic disorders in migrant populationP. Felgueiras0P. Barbosa1Psychiatry, Vila Nova de Gaia Hospital Center, Vila Nova de Gaia, PortugalPsychiatry, Vila Nova de Gaia Hospital Center, Vila Nova de Gaia, Portugal Introduction One of the defining features of the modern world is a large scale migration that occurs due to a range of factors, from political conflicts to personal and voluntary reasons. This process can cause a severe disruption in individuals’ biography and can be followed by a large period of adaptation and a phenomenon of acculturation. Surprisingly, there is little research on the impact of migration and settlement on risk of psychosis. Objectives Regarding a clinical case, we aim to enphasize the current evidence about the risk of psychotic disorders in migrants. Methods We present a qualitative review of this topic using the Pubmed database. Results 27 years old portuguese female, with hyperthymic temperament and history of depressive episode. Her process of migration in 2016 was motivated by an academic purpose. In context of stressful life events she developed psychotic symptoms - messianic and persecutory delusions, with visual and auditory hallucinations. Conclusions There is an increased risk of psychosis among migrant population that is well documented. This is even the main risk factor with the exception of a family history of psychosis. The risk can be explained by socio-demographic and psychological features, factors involving the migration process, and socio-occupational environment in the host country. A socio-developmental-cognitive model theorize how exposure to a stressful environment and social defeat interacts with underlying genetic risk to create an enduring liability to psychosis. These findings can help in important decisions about mental health resources and accessibility, including protocols to identify and treat migrants at higher risk of mental diseases. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933821019404/type/journal_articlesocio-developmental-cognitive modelacculturationpsychosismigrants
spellingShingle P. Felgueiras
P. Barbosa
Psychotic disorders in migrant population
European Psychiatry
socio-developmental-cognitive model
acculturation
psychosis
migrants
title Psychotic disorders in migrant population
title_full Psychotic disorders in migrant population
title_fullStr Psychotic disorders in migrant population
title_full_unstemmed Psychotic disorders in migrant population
title_short Psychotic disorders in migrant population
title_sort psychotic disorders in migrant population
topic socio-developmental-cognitive model
acculturation
psychosis
migrants
url https://www.cambridge.org/core/product/identifier/S0924933821019404/type/journal_article
work_keys_str_mv AT pfelgueiras psychoticdisordersinmigrantpopulation
AT pbarbosa psychoticdisordersinmigrantpopulation