Depressive episodes in Sardinian emigrants to Argentina: why are females at risk?

  • Mauro Giovanni CartaEmail author
  • Mario Antonio Reda
  • Maria Eugenia Consul
  • Veronica Brasesco
  • Marcelo Cetkovich-Bakmans
  • Maria Carolina Hardoy



To compare the frequency of ICD-10 depressive episodes in a community sample of Sardinian immigrants in Argentina and a community sample of Sardinian residents in Sardinia, Italy.


A search of telephone directories provided all subscribers with Sardinian surnames in the Argentinean area involved. A 75.8% of all subjects thus identified took part in the study (n = 210). The characteristics of randomisation methods used to identify the community sample in Sardinia (n = 1040) have already been published elsewhere. All subjects were interviewed using the Composite International Diagnostic Interview Simplified.


A higher frequency of depressive disorders was observed among the Sardinian immigrants in Argentina (26.7 vs. 13.5%, P < 0.0001). Females in particular showed a higher risk with respect to the Sardinian sample resident in Sardinia.


On comparison of the present findings with the lifetime rate of depressive episodes in Sardinian immigrants in Paris (France), reported in a previous research study, a lower prevalence was observed among the latter group than in Sardinian immigrants in Argentina but the young male immigrants in Paris were at risk.


The results obtained seem to suggest that emigration to a country where economic conditions have since dramatically changed may predispose subjects to depressive disorders, particularly when compared to the percentage of affected subjects in their native population and among subjects who had emigrated to more economically stable countries. Further epidemiological studies are warranted in order to confirm the present results and to clarify the determinants of the major risk for females in such a condition.

Key words

migration depressive episodes mood disorders transcultural psychiatry community survey risk gender  



The authors would like to thank the “Circolo Antonio Segni La Plata” for their friendly hospitality and support and Maria Elena Lo Feudo “Mamama” for her warm hospitality in La Plata (Argentina). The Project Leader Mauro Giovanni Carta is grateful to “Presidenza” of “Regione Autonoma della Sardegna” for the grant “Legge Regionale 19/96, Programma di Ricerca a favore dei Paesi in Via di Sviluppo”.


  1. 1.
    Carta MG, Bernal M, Hardoy MC, Haro-Abad JM, Report on the State of the Mental Health in Europe Working group (2005) Migration and mental health in Europe (the state of the mental health in Europe working group: appendix 1). Clin Pract Epidemiol Mental Health 1:13CrossRefGoogle Scholar
  2. 2.
    Murphy HB (1977) Migration culture and mental health. Psychol Med 7:677–684PubMedCrossRefGoogle Scholar
  3. 3.
    Rack PH (1986) Migration and mental illness. In: Cox JL (ed) Transcultural psychiatry. Croom Helm, LondonGoogle Scholar
  4. 4.
    Carta MG, Carpiniello B, Rudas N (1991) L’èmigration senegalaise et marocaine en Sardaigne. Psychopathol Afr 23:329–352Google Scholar
  5. 5.
    Carta MG, Kovess V, Hardoy MC, Morosini PL, Murgia S, Carpiniello B (2002) Psychiatric disorders in Sardinian immigrants in Paris: a comparison with Parisians and Sardinians resident in Sardinia. Social Psychiat Psychiat Epidemiol 37:112–117CrossRefGoogle Scholar
  6. 6.
    Kovess V, Fournier L, Lesage AD, Lebigre FA, Caria A (2001) Two validation studies of the CIDIS: a simplified version of the Composite International Diagnostic Interview. Psychiat Networks 4:10–24Google Scholar
  7. 7.
    Robins LN, Wing J, Wittchen HU, Helzer JE (1988) The Composite International Diagnostic Interview. an epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Arch General Psychiat 45:1069–1077Google Scholar
  8. 8.
    WorldHealth Organization (1992) The 10th Revision of the International Classification of Diseases and Related Health Problems (ICD-10). WHO, Division of Mental Health, GenevaGoogle Scholar
  9. 9.
    Miettinen O (1974) Confounding and effect modification. Am J Epidemiol 100:350–353PubMedGoogle Scholar
  10. 10.
    Carta MG, Rudas N (1998) Psichiatria Transculturale. CUEC, CagliariGoogle Scholar
  11. 11.
    Carlson HM, Nielsen EL (1995) Ireland: gender, psychological health, and attitudes toward emigration. Psychol Rep 76:179–186PubMedGoogle Scholar
  12. 12.
    Guidano VF (1988) Selfhood processes and life span development. Guilford, New YorkGoogle Scholar
  13. 13.
    Csikszentmihalyi M (1993) The evolving self. A psychology for the third millennium. Harper Collins, New YorkGoogle Scholar
  14. 14.
    Carta MG, Carpiniello B, Dazzan P, Reda MA (2000) Depressive symptoms and occupational role among female groups: a research in a south-east African village. Psychopathology 32:240–245CrossRefGoogle Scholar
  15. 15.
    Kleiner RI, Parker I (1979) Social psychological aspects of migration. In: Brody ED (ed) Behaviour in new environments. Sage, Thousand Oaks, LondonGoogle Scholar
  16. 16.
    Klerman Gl, Weissman MM (1989) Increase rate of depression. JAMA 261:2229–2235CrossRefPubMedGoogle Scholar
  17. 17.
    Cross National Collaborative Group (1992) The changing rates of major depression. JAMA 268:3098–3105CrossRefGoogle Scholar
  18. 18.
    Report on the state of the mental health in Europe (2004) Kovess V, Brugha T, Carta MG, Lethinen V (eds) EU Directorate Heath and Consumer Protection, Bruxelles.
  19. 19.
    Carta MG, Angst J (2005) Epidemiological and clinical aspects of bipolar disorders: controversies or a common need to redefine the aims and methodological aspects of surveys. Clin Pract Epidemiol Mental Health 1:4CrossRefGoogle Scholar
  20. 20.
    Akiskal KK, Akiskal HS (2005) The theoretical underpinnings of affective temperaments: implications for evolutionary foundations of bipolar disorder and human nature. J Affect Disord 85:231–239CrossRefPubMedGoogle Scholar

Copyright information

© Steinkopff Verlag Darmstadt 2006

Authors and Affiliations

  • Mauro Giovanni Carta
    • 1
    Email author
  • Mario Antonio Reda
    • 2
  • Maria Eugenia Consul
    • 3
  • Veronica Brasesco
    • 4
  • Marcelo Cetkovich-Bakmans
    • 5
  • Maria Carolina Hardoy
    • 1
  1. 1.Division of Psychiatry, Dept. of Public HealthUniversity of CagliariCagliariItaly
  2. 2.Istituto di Psicologia Generale e ClinicaUniversity of SienaSienaItaly
  3. 3.Asociacion Medica Primo CamillettiLa PlataArgentina
  4. 4.Universidad del SalvadorBuenos AiresArgentina
  5. 5.Asociacion Argentina Psiquiatria BiologicaBuenos AiresArgentina

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