Skip to main content
Erschienen in:

08.10.2020 | Original Paper

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

verfasst von: Antonio Ventriglio, Antonello Bellomo, Annamaria Petito, Marco Pascucci, Edwige Cuozzo, Giovanna Vitrani, Eleonora Stella, Luisa Borraccino, Maria Pia Varlese, Dinesh Bhugra

Erschienen in: Journal of Immigrant and Minority Health | Ausgabe 3/2021

Einloggen, um Zugang zu erhalten

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.
Literatur
3.
Zurück zum Zitat 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.CrossRef 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.CrossRef
8.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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.CrossRef 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.CrossRef
10.
Zurück zum Zitat 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.CrossRef 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.CrossRef
11.
Zurück zum Zitat 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.CrossRef 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.CrossRef
12.
Zurück zum Zitat 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.CrossRef 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.CrossRef
13.
Zurück zum Zitat 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.CrossRef 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.CrossRef
14.
Zurück zum Zitat 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.CrossRef 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.CrossRef
15.
Zurück zum Zitat 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.CrossRef 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.CrossRef
16.
Zurück zum Zitat 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.CrossRef 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.CrossRef
17.
Zurück zum Zitat 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.CrossRef 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.CrossRef
18.
Zurück zum Zitat 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.CrossRef 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.CrossRef
19.
Zurück zum Zitat 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.CrossRef 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.CrossRef
20.
Zurück zum Zitat 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.CrossRef 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.CrossRef
21.
Zurück zum Zitat 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.CrossRef 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.CrossRef
22.
Zurück zum Zitat 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.CrossRef 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.CrossRef
23.
Zurück zum Zitat 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.CrossRef 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.CrossRef
24.
Zurück zum Zitat 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.CrossRef 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.CrossRef
25.
Zurück zum Zitat American Psychiatric Association: Diagnostic and statistical manual of mental disorders (4th ed. Text Revision). Washington, DC:APA Publishing; 2000. American Psychiatric Association: Diagnostic and statistical manual of mental disorders (4th ed. Text Revision). Washington, DC:APA Publishing; 2000.
26.
Zurück zum Zitat 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. 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.
Zurück zum Zitat Busner J, Targum SD. The clinical global impressions scale. Applying a research tool in clinical practice. Psychiatry (Edgmont). 2007;4(7):28–37. Busner J, Targum SD. The clinical global impressions scale. Applying a research tool in clinical practice. Psychiatry (Edgmont). 2007;4(7):28–37.
29.
Zurück zum Zitat Sidel PS. Software reviews: Statview, Version 1.0. Soc Sci Comput Rev. 1986;4(2):232–7. Sidel PS. Software reviews: Statview, Version 1.0. Soc Sci Comput Rev. 1986;4(2):232–7.
30.
34.
Zurück zum Zitat 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. 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.
Zurück zum Zitat 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.CrossRef 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.CrossRef
Metadaten
Titel
Factors Associated to the Onset of Mental Illness Among Hospitalized Migrants to Italy: A Chart Review
verfasst von
Antonio Ventriglio
Antonello Bellomo
Annamaria Petito
Marco Pascucci
Edwige Cuozzo
Giovanna Vitrani
Eleonora Stella
Luisa Borraccino
Maria Pia Varlese
Dinesh Bhugra
Publikationsdatum
08.10.2020
Verlag
Springer US
Erschienen in
Journal of Immigrant and Minority Health / Ausgabe 3/2021
Print ISSN: 1557-1912
Elektronische ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-020-01105-3