精神病风险与国内迁移：博洛尼亚首发精神病研究结果
Risk of psychosis and internal migration: Results from the Bologna First Episode Psychosis study.
作者信息
Tarricone Ilaria, Boydell Jane, Kokona Arnisa, Triolo Federico, Gamberini Lisa, Sutti Enrico, Marchetta Michela, Menchetti Marco, Di Forti Marta, Murray Robin M, Morgan Craig, Berardi Domenico
机构信息
Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Viale Pepoli 5, 40123 Bologna, Italy; Department of Mental Health and Pathological Addictions, Bologna Local Health Trust, Viale C. Pepoli 5, Bologna, Italy; Institute of Psychiatry, Psychology & Neuroscience, King's College London, 16 De Crespigny Park, London SE5 8AF, UK.
Institute of Psychiatry, Psychology & Neuroscience, King's College London, 16 De Crespigny Park, London SE5 8AF, UK.
出版信息
Schizophr Res. 2016 May;173(1-2):90-3. doi: 10.1016/j.schres.2016.02.032. Epub 2016 Mar 9.
BACKGROUND
Incidence of psychotic disorders is higher in many migrant groups; however little is known about internal migrants (IM). This study aims to describe the IR in natives (NA), IM and external migrants (EM).
METHOD
All patients aged 18-64years, with First Episode Psychosis (FEP), who made contact with the Bologna West psychiatric services, between 2002 and 2010, were included.
RESULTS
187 cases were included. Age and sex adjusted IR of psychosis per 100,000per year were: 12.6 for NA, 25.3 for IM and 21.4 for EM. The IRR was 1.93 (1.19-3.13, P=0.007) for IM and 1.79 (1.06-3.02, P=0.03) for EM compared to NA.
CONCLUSION
Rates of psychosis were significantly elevated in IM as well as in EM. This result adds evidence as to the role of migration itself (versus ethnicity) on the risk of psychosis.
背景
许多移民群体中精神障碍的发病率较高；然而，对于国内移民（IM）的情况却知之甚少。本研究旨在描述本地居民（NA）、国内移民和国外移民（EM）中的发病率（IR）。
方法
纳入2002年至2010年间与博洛尼亚西部精神科服务机构接触的所有年龄在18 - 64岁之间的首发精神病（FEP）患者。
结果
共纳入187例病例。按年龄和性别调整后，每年每10万人中精神病的发病率为：本地居民12.6，国内移民25.3，国外移民21.4。与本地居民相比，国内移民的发病率比（IRR）为1.93（1.19 - 3.13，P = 0.007），国外移民为1.79（1.06 - 3.02，P = 0.03）。
结论
国内移民和国外移民中的精神病发病率均显著升高。这一结果为移民本身（而非种族）在精神病风险中的作用提供了更多证据。
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