Garrido-Torres Nathalia, Alameda Luis, Cristóbal Julio Piedra, Padilla Michael Vincent, Robles Cristina Sánchez, Canal-Rivero Manuel, Crespo-Facorro Benedicto, Ruiz-Veguilla Miguel
University Hospital Virgen Del Rocio, Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; University of Seville, Spain.
University Hospital Virgen Del Rocio, Sevilla, Spain; Spanish Network for Research in Mental Health (CIBERSAM), Sevilla, Spain; Seville Biomedical Research Centre (IBIS), Sevilla, Spain; Department of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; Service of General Psychiatry, Treatment and Early Intervention in Psychosis Program, Lausanne University Hospital (CHUV), CH-1008, Lausanne, Switzerland; University of Seville, Spain.
J Psychiatr Res. 2022 Jan;145:361-365. doi: 10.1016/j.jpsychires.2021.11.005. Epub 2021 Nov 5.
The main aim of this study is to examine the association between psychosis and immigration, independent of the language barrier, drug consumption, and the social support index. The second aim is to explore the clinical and demographic characteristics of the immigrants in the catchment area, compared with the native Spanish population suffering from psychosis. All consecutive patients admitted to a hospital in Spain during 2018 and 2019 (n = 1484) were identified through the hospital's clinical records. The general representative sample (n=1484) was divided into two groups: immigrants (n=131) and non-immigrants (n=1353). Demographic, clinical, and social variables were then obtained and included in a logistic regression model. A subsample with all consecutive cases with psychosis (93 immigrants and 543 no immigrants) was also analysed to describe the diagnosis and evolution after admission. Our results show that there is higher significant prevalence of admissions due to psychosis in the immigrant population than in the non-immigrant population. This association is prominent in the population of Sub-Saharans, and is independent of cannabis use, a low social support index, or a language barrier. Understanding the specificities not only in the social context of this population but also the clinical needs is determinant for being able to shape the therapeutic intervention.
本研究的主要目的是检验精神病与移民之间的关联，不受语言障碍、药物消费和社会支持指数的影响。第二个目的是探讨集水区内移民的临床和人口统计学特征，并与患有精神病的西班牙本土人口进行比较。通过医院的临床记录识别出2018年和2019年期间在西班牙一家医院住院的所有连续患者（n = 1484）。将一般代表性样本（n = 1484）分为两组：移民（n = 131）和非移民（n = 1353）。然后获取人口统计学、临床和社会变量，并纳入逻辑回归模型。还对所有连续患有精神病的病例的子样本（93名移民和543名非移民）进行了分析，以描述入院后的诊断和病情发展。我们的结果表明，移民人口中因精神病入院的患病率显著高于非移民人口。这种关联在撒哈拉以南人口中尤为突出，且与大麻使用、低社会支持指数或语言障碍无关。了解这一人群在社会背景和临床需求方面的特殊性对于制定治疗干预措施至关重要。
