意大利的首发精神病与移民：意大利精神卫生服务中的一项研究结果（Pep-Ita 研究）。
First-episode Psychosis and Migration in Italy: Results from a Study in the Italian Mental Health Services (Pep-Ita Study).
机构信息
Department of Medical and Surgical Sciences, Bologna Transcultural Psychosomatic Team (BoTPT), University of Bologna, Viale C. Pepoli 5, 40123, Bologna, Italy.
Department of Mental Health and Pathological Addiction, Local Health Authority, Bologna, Italy.
出版信息
J Immigr Minor Health. 2021 Jun;23(3):519-527. doi: 10.1007/s10903-021-01168-w. Epub 2021 Mar 10.
BACKGROUND
Migrants present high rates of psychosis. A better understanding of this phenomenon is needed.
METHODS
We conducted a multicentre First-Episode Psychosis (FEP) prospective study over two years (January 2012-December 2013) to evaluate first-generation migrants presenting with FEP at the participating Community Mental Health Centers (CMHCs).
RESULTS
109 FEP migrants were identified. Almost half of them were highly educated, employed and in a stable affective relationship. The average age was 32.8 (± 9.8) years, and the average length of stay in Italy was 8.6 (± 8.8) years. About 2/3 of patients were referred to CMHCs following Emergency Department access or psychiatric admission.
CONCLUSIONS
Our finding of a "high functioning portrait" of FEP migrants allow us to hypothesize that a high burden of negative psychosocial factors is likely to be needed for the FEP onset. Furtherly, mental health services should implement more appropriate resources and organizational methods to respond to migrants' health needs.
背景
移民的精神病发病率较高。需要更好地了解这一现象。
方法
我们进行了一项为期两年的多中心首发精神病（FEP）前瞻性研究（2012 年 1 月至 2013 年 12 月），以评估在参与的社区精神卫生中心（CMHC）就诊的 FEP 首发的第一代移民。
结果
共确定了 109 例 FEP 移民。他们中近一半人受过高等教育，有工作，并且处于稳定的情感关系中。平均年龄为 32.8（±9.8）岁，在意大利的平均居住时间为 8.6（±8.8）年。约 2/3 的患者是在急诊室就诊或精神科住院后被转介到 CMHC 的。
结论
我们发现 FEP 移民的“高功能特征”，这使我们假设，FEP 的发病可能需要有较高的负面心理社会因素负担。此外，精神卫生服务机构应实施更合适的资源和组织方法，以满足移民的健康需求。
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