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Migration history, first episode psychosis and child abuse: Results from the EU-GEI study

Published online by Cambridge University Press:  13 August 2021

I. Tarricone ,
J. Lal ,
G. D’Andrea ,
R. Muratori ,
C. Morgan ,
D. Berardi ,
R. Murray  and
M. Di Forti
I. Tarricone*
Affiliation:
Department Of Medical And Surgical Sciences, Bologna University, Bologna, Italy
J. Lal
Affiliation:
Dibinem, Bologna University, Bologna, Italy
G. D’Andrea
Affiliation:
Dibinem, Bologna University, Bologna, Italy
R. Muratori
Affiliation:
Department Of Mental Health And Pathological Addictions A, Bologna Local Health Authority Lo, Bologna, Italy
C. Morgan
Affiliation:
Institute Of Psychiatry, Psychology & Neuroscience | Health Service And Population Research, King’s College London, London, United Kingdom
D. Berardi
Affiliation:
Dibinem, Bologna University, Bologna, Italy
R. Murray
Affiliation:
Institute Of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom
M. Di Forti
Affiliation:
Institute Of Psychiatry, Psychology & Neuroscience, King’s College London, London, United Kingdom
*
*Corresponding author.

Abstract

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Introduction

Child abuse is associated with a wide range of mental disease including psychotic disorders. Few studies have investigated the role of child abuse in contributing to increase the risk of psychosis in migrant population.

Objectives

To explore the risk of first episode psychosis (FEP) in migrants and natives for each type of trauma i.e. physical abuse (P.A.), sexual abuse (S.A.), emotional abuse (E.A.), physical neglect (P.N.) and emotional neglect (E.N.).

Methods

Within a large case- control incidence sample of FEP from the EU-GEI study (The EUropean Network of National Schizophrenia Networks Studying Gene–Environment Interactions) we evalued the assocition of childhood trauma with FEP in migrants and natives. Associations were adjusted for age, gender, social status, level of education, family history of psychosis and cannabis use. Trauma was assessed through Childhood Trauma Questionnaire (CTQ).

Results

CTQ mean score was higher in FEP migrants (45.4, sd 15.6) than in FEP natives (41.7, sd 13.9) (p = 0.002). In natives every type of child abuse was associated with FEP. In migrants P.A., S.A., P.N. were associated with FEP. We found a dose – dependent relationship between trauma and FEP.

Conclusions

Child abuse is common in individuals with psychosis. FEP migrants are more exposed to childhood trauma. Clinicians should routinely assess patients for childhood trauma. When treating a FEP migrant patient, clinicians must be aware of an underlying traumatic childhood adversity more than of a traumatic migration history.

Keywords

migration historyFirst episode psychosischild abuse
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S320 - S321
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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