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与在意住院移民中精神疾病发作相关的因素:一项图表回顾。

Factors Associated to the Onset of Mental Illness Among Hospitalized Migrants to Italy: A Chart Review.

机构信息

Department of Clinical and Experimental Medicine, University of Foggia, presso Policlinico "Riuniti" di Foggia, Foggia, 71121, Italy.

Institute of Psychiatry, King's College, London, UK.

出版信息

J Immigr Minor Health. 2021 Jun;23(3):425-433. doi: 10.1007/s10903-020-01105-3. Epub 2020 Oct 8.

Abstract

Migration is a complex phenomenon and mental illness among immigrants remains a major matter of concern in Italy and worldwide. 243 medical and pharmacy records of patients admitted to University of Foggia hospital between 2004 and 2018 were retrospectively screened and included in the study. Socio-demographic data and clinical characteristics of inpatients were compared in those with and without first-episode of mental illness (FEMI). Subjects (140 men, 103 women; aged 34.4 ± 10.2 years) represented 6.66 ± 3.73% of all hospitalizations in 15 years. Nearly half of them (48.5%) had emigrated from other European countries. 30.8% were diagnosed with a DSM-IV TR unspecified psychosis. 103 patients (42.3%) were in first-lifetime episodes of mental illness. Factors significantly associated with FEMI were: younger age, sex (men), immigrating from Africa, poor language proficiency, lower amount of prescribed psychotropics. Mental health among immigrants is of major concern in Italy. Our findings report on factors possibly associated to the onset of mental illness among immigrant psychiatric inpatients.

摘要

移民是一个复杂的现象,移民中的精神疾病仍然是意大利和全世界关注的主要问题。研究回顾性筛选了 2004 年至 2018 年间在福贾大学医院住院的 243 名患者的医疗和药房记录,并将其纳入研究。比较了有和无首发精神疾病(FEMI)的住院患者的社会人口统计学数据和临床特征。研究对象(140 名男性,103 名女性;年龄 34.4±10.2 岁)代表了 15 年内所有住院患者的 6.66±3.73%。其中近一半(48.5%)来自其他欧洲国家。30.8%被诊断为 DSM-IV TR 未指定的精神病。103 名患者(42.3%)首次出现精神疾病。与 FEMI 显著相关的因素包括:年龄较小、男性、来自非洲移民、语言能力差、开的精神药物较少。移民的心理健康是意大利关注的主要问题。我们的研究结果报告了与移民精神科住院患者精神疾病发病相关的可能因素。

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