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

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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.

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References

  1. The Italian National Statistics Institute (ISTAT). Infographic on Demographic Indicators; 2019. https://www.istat.it/it/files//2020/02/indicatori-demografici-2019-EN.pdf. Accessed 27 May 2020.

  2. The Italian National Statistics Institute (ISTAT). Non EU-citizens in Italy. 2019. https://www.istat.it/en/archivio/235265. Accessed 27 May 2020.

  3. Meyer SR, Lasater M, Tol WA. Migration and mental health in low- and middle-income countries: a systematic review. Psychiatry. 2017;80(4):374–81.

    Article  Google Scholar 

  4. Ventriglio A, Bellomo A, Vitrani G, Stella E, Gentile A, Bhugra D. Migration, violence, and the role of psychiatry in Italy. Int Rev Psychiatr. 2017;29(4):327–33. https://doi.org/10.1080/09540261.2017.1343532.

    Article  Google Scholar 

  5. Tarsitani L, Biondi M. Le migrazioni e le nuovesfide per la salute mentale. Migration and mental health: new challenges. Riv Psichiatr 2016; 51: 45–46. https://org.doi/https://doi.org/10.1708/2246.24192.

  6. Kirmayer LJ, Narasiah L, Munoz M, et al. Canadian collaboration for immigrant and refugee health (CCIRH) canadian guidelines for immigrant health common mental health problems in immigrants and refugees: general approach in primary care. CMAJ. 2011;183:E959–E967967. https://doi.org/10.1503/cmaj.090292.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Aragona M, Salvatore MA, Mazzetti M, Burgio A, Geraci S, Baglio G. Is the mental health profile of immigrants changing? A national-level analysis based on hospital discharges in Italy. Ann Ig. 2020;32(2):157–65. https://doi.org/10.7416/ai.2020.2339.

    Article  CAS  PubMed  Google Scholar 

  8. Fondazione Cittalia – Anci ricerche: Le dimensioni del disagio mentale nei richiedenti asilo e rifugiati. Problemi aperti e strategie di intervento. Varigrafica Alto Lazio s.r.l.; 2010.

  9. Tarricone I, Braca M, Allegri F, Barrasso G, Bellomo A, Berlincioni V, Carpiniello B, Ceregato A, Conforti Donati M, Defilippi S, Del Vecchio V, De Rosa C, Ferrannini L, Ferrari S, Furio MA, Gramaglia C, La Cascia C, Luciano M, Mulè A, Nardini M, Podavini F, Primavera D, Reggianini C, Rigatelli M, Todarello O, Turella E, Ventriglio A, Zeppegno P, Fiorillo A, Berardi D. First-episode psychosis and migration in Italy (PEP-Ita migration): a study in the Italian mental health services. BMC Psychiatry. 2014;14:186.

    Article  Google Scholar 

  10. Cristofalo D, Bonetto C, Ballarin M, Amaddeo F, Ruggeri M, Nosè M, Barbui C. Access to and use of psychiatric services by migrants resettled in Northern Italy. J Immigr Minor Health. 2018;20(6):1309–16.

    Article  Google Scholar 

  11. Gramaglia C, Gambaro E, Rossi A, Toso A, Feggi A, Cattaneo CI, Castignoli G, Mainini P, Tarricone I, Torre E, Zeppegno P. Immigrants' pathways to outpatient mental health: are there differences with the native population? J Immigr Minor Health. 2016;18(4):878–85.

    Article  Google Scholar 

  12. Gramaglia C, Gambaro E, Delicato C, Di Marco S, Di Tullio E, Vecchi C, Bert F, Castello LM, Siliquini R, Avanzi G, Zeppegno P. Pathways to and results of psychiatric consultation for patients referred from the emergency department. Are there differences between migrant and native patients? Transcult Psychiatry. 2019;56(1):167–86.

    Article  Google Scholar 

  13. Rucci P, Piazza A, Perrone E, Tarricone I, Maisto R, Donegani I, Spigonardo V, Berardi D, Fantini MP, Fioritti A. Disparities in mental health care provision to immigrants with severe mental illness in Italy. Epidemiol Psychiatr Sci. 2015;24(4):342–52.

    Article  CAS  Google Scholar 

  14. Tarricone I, Stivanello E, Ferrari S, Colombini N, Bolla E, Braca M, Giubbarelli C, Costantini C, Cazzamalli S, Mimmi S, Tedesco D, Menchetti M, Rigatelli M, Maso E, Balestrieri M, Vender S, Berardi D. Migrant pathways to community mental health centres in Italy. Int J Soc Psychiatr. 2012;58(5):505–11.

    Article  Google Scholar 

  15. Tarricone I, Atti AR, Braca M, Pompei G, Morri M, Poggi F, Melega S, Stivanello E, Tonti L, Nolet M, Berardi D. Migrants referring to the bologna transcultural psychiatric team: reasons for drop-out. Int J Soc Psychiatry. 2011;57(6):627–30.

    Article  Google Scholar 

  16. Nosè M, Turrini G, Imoli M, Ballette F, Ostuzzi G, Cucchi F, Padoan C, Ruggeri M, Barbui C. Prevalence and correlates of psychological distress and psychiatric disorders in asylum seekers and refugees resettled in an italian catchment area. J Immigr Minor Health. 2018;20(2):263–70.

    Article  Google Scholar 

  17. Turrini G, Purgato M, Ballette F, Nosè M, Ostuzzi G, Barbui C. Common mental disorders in asylum seekers and refugees: umbrella review of prevalence and intervention studies. Int J Ment Health Syst. 2017;25(11):51.

    Article  Google Scholar 

  18. Nosè M, Ballette F, Bighelli I, Turrini G, Purgato M, Tol W, Priebe S, Barbui C. Psychosocial interventions for post-traumatic stress disorder in refugees and asylum seekers resettled in high-income countries: systematic review and meta-analysis. PLoS One. 2017;12(2):0171030.

    Article  Google Scholar 

  19. Ferrari S, Burian R, Hahn E, Chaudhry N, Chaudhry IB, Husain N, Ta TM, Diefenbacher A, Qureshi A, Berardi D, Braca M, Tarricone I. Somatization among ethnic minorities and immigrants: why does it matter to consultation liaison psychiatry? J Psychosom Res. 2015;79(1):85–6.

    Article  CAS  Google Scholar 

  20. Aragona M, Tarsitani L, Colosimo F, Martinelli B, Raad H, Maisano B, Geraci S. Somatization in primary care: a comparative survey of immigrants from various ethnic groups in Rome. Italy. Int J Psychiatr Med. 2005;35(3):241–8.

    Article  Google Scholar 

  21. Tarricone I, Atti AR, Salvatori F, Braca M, Ferrari S, Malmusi D, Berardi D. Psychotic symptoms and general health in a socially disadvantaged migrant community in Bologna. Int J Soc Psychiatr. 2009;55(3):203–13.

    Article  Google Scholar 

  22. Tarricone I, Boydell J, Kokona A, Triolo F, Gamberini L, Sutti E, Marchetta M, Menchetti M, Di Forti M, Murray RM, Morgan C, Berardi D. Risk of psychosis and internal migration: results from the bologna first episode psychosis study. Schizophr Res. 2016;173(1–2):90–3.

    Article  Google Scholar 

  23. Tortelli A, Nakamura A, Suprani F, Schürhoff F, Van der Waerden J, Szöke A, Tarricone I, Pignon B. Subclinical psychosis in adult migrants and ethnic minorities: systematic review and meta-analysis. BJPsych Open. 2018;4(6):510–8.

    Article  Google Scholar 

  24. van der Ven E, Veling W, Tortelli A, Tarricone I, Berardi D, Bourque F, Selten JP. Evidence of an excessive gender gap in the risk of psychotic disorder among North African immigrants in Europe: a systematic review and meta-analysis. Soc Psychiatr Psychiatr Epidemiol. 2016;51(12):1603–13.

    Article  Google Scholar 

  25. American Psychiatric Association: Diagnostic and statistical manual of mental disorders (4th ed. Text Revision). Washington, DC:APA Publishing; 2000.

  26. American Psychiatric Association (APA): Global Assessment of Functioning. In APA: Diagnostic and statistical manual of mental disorders (4th ed. Text Revision). Washington, DC:APA Publishing; 2000.

  27. Busner J, Targum SD. The clinical global impressions scale. Applying a research tool in clinical practice. Psychiatry (Edgmont). 2007;4(7):28–37.

    Google Scholar 

  28. Overall JE, Gorham DR. The Brief Psychiatric Rating Scale (BPRS). Psychol Rep. 1962;10:799–812. https://doi.org/10.2466/pr0.1962.10.3.799.

    Article  Google Scholar 

  29. Sidel PS. Software reviews: Statview, Version 1.0. Soc Sci Comput Rev. 1986;4(2):232–7.

    Google Scholar 

  30. Migration BD, Health M. Acta Psychitr Scand. 2004;109:243–58.

    Article  Google Scholar 

  31. Lindert J, Brähler E, Wittig U, Mielck A, Priebe S. Depression, anxiety and posttraumatic stress disorders in labor migrants, asylum seekers and refugees. A systematic overview. Psychother Psychosom Med Psychol. 2008;58(3–4):109–22. https://doi.org/10.1055/s-2008-1067358.

    Article  PubMed  Google Scholar 

  32. International Organization for Migration. Gender and Migration. 2020. https://www.iom.int/gender-and-migration. Accessed 27 May 2020.

  33. Breslau J, Borges G, Tancredi D, et al. Migration from Mexico to the United States and subsequent risk for depressive and anxiety disorders: a cross-national study. Arch Gen Psychiatr. 2011;68(4):428–33. https://doi.org/10.1001/archgenpsychiatry.2011.21.

    Article  PubMed  Google Scholar 

  34. Berry J W: Psychology of acculturation. In J. J. Berman (ed.), Nebraska Symposium on Motivation, vol. 37 (pp. 201–234). Lincoln, NB: University of Nebraska Press; 1990.

  35. Ventriglio A, Baldessarini RJ, Iuso S, et al. Language proficiency among hospitalized immigrant psychiatric patients in Italy. Int J Soc Psychiatr. 2014;60:299–303.

    Article  Google Scholar 

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Authors and Affiliations

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

    Antonio Ventriglio, Antonello Bellomo, Annamaria Petito, Marco Pascucci, Edwige Cuozzo, Giovanna Vitrani, Eleonora Stella, Luisa Borraccino & Maria Pia Varlese

  2. Institute of Psychiatry, King’s College, London, UK

    Dinesh Bhugra

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  1. Antonio Ventriglio
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  2. Antonello Bellomo
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Correspondence to Antonio Ventriglio.

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Ventriglio, A., Bellomo, A., Petito, A. et al. Factors Associated to the Onset of Mental Illness Among Hospitalized Migrants to Italy: A Chart Review. J Immigrant Minority Health 23, 425–433 (2021). https://doi.org/10.1007/s10903-020-01105-3

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  • DOI: https://doi.org/10.1007/s10903-020-01105-3

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