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Migration and Psychosis

  • Samuel O. Okpaku
  • Ademola B. Adeponle
  • Robert Kohn
Living reference work entry
Part of the Mental Health and Illness Worldwide book series (MHIW)

Abstract

This chapter reviews the literature on migration as a risk factor for psychosis dating from the work of Ødegaard. The earlier crude hospital counts have been replaced by more sophisticated population-based incidence studies. Research has identified several major trends:
  1. I.

    European studies indicate that the risk of psychosis is higher in all immigrant groups than in the host population.

     
  2. II.

    Meta-analytic studies have shown a high mean weighted relative risk for developing schizophrenia for first generation immigrants.

     
  3. III.

    Some studies have shown also that the increased risk persists for second generation immigrants.

     

Various explanations are given for the above findings. The chapter then considers issues of screening and assessment of immigrants and concludes with treatment approaches. The need for an anthropological and ethnographic approach is emphasized. The encounters between providers and migrants and their families are to be seen essentially as transcultural encounters.

Keywords

Wars Political Unrest Extreme poverty Global migration 

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Samuel O. Okpaku
    • 1
  • Ademola B. Adeponle
    • 2
    • 3
  • Robert Kohn
    • 4
  1. 1.Center for Health, Culture and SocietySouth NashvilleUSA
  2. 2.Department of PsychiatryMcGill UniversityMontrealCanada
  3. 3.Culture and Mental Health Research UnitJewish General HospitalMontrealCanada
  4. 4.Department of Psychiatry and Human BehaviorWarren Alpert Medical School of Brown University, The Miriam HospitalProvidenceUSA

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