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Inmigración y psicopatología: un estudio clínico

Published online by Cambridge University Press:  12 May 2020

E. Charalabaki ,
F. Bauwens ,
G. Stefos ,
M. G. Madianos  and
J. Mendlewicz
E. Charalabaki
Affiliation:
Hospital Psiquiátrico de Atenas, 360 Athinon Av, 12462 Dafni, Atenas, Grecia
F. Bauwens
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, Route de Lennik 808, NB-1070Bruselas, Bélgica
G. Stefos
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, Route de Lennik 808, NB-1070Bruselas, Bélgica
M. G. Madianos
Affiliation:
Departamento de Psiquiatría, Escuela Médica, Universidad de Atenas, 74 Vasilissis Sofias Av, 1523Atenas, Grecia
J. Mendlewicz
Affiliation:
Departamento de Psiquiatría, Universidad Libre de Bruselas, Hospital Erasmo, Route de Lennik 808, NB-1070Bruselas, Bélgica
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Resumen

Se compararon tres grupos de 342 pacientes psiquiátricos griegos, ibéricos y belgas, emparejados según sexo, edad y tiempo de intemamiento en un hospital universitario en Bruselas. Entre los pacientes inmigrantes, se diagnosticaba más esquizofrenia y trastorno esquizoafectivo/psicosis atípica. Ansiedad somática, pérdida de libido, ideas delirantes y alucinaciones eran síntomas que los clínicos observaban más en los pacientes inmigrantes que en los nativos. Era más probable que se produjeran síntomas atípicos y cambio de diagnóstico entre pacientes inmigrantes. Una proporción más elevada de pacientes inmigrantes de segunda generación tenía un diagnóstico de esquizofrenia que la primera generación o los belgas. A los pacientes inmigrantes varones les prescribían fármacos ansiolíticos con más frecuencia que a los nativos varones, pero era menos probable que los derivaran para psicoterapia. Los autores se preguntan si estos hallazgos se derivan de usos específicos de los servicios psiquiátricos o de sesgos en la actitud de los clínicos hacia pacientes de origen étnico diferente.

Keywords

inmigraciónservicios de salud mentalvaloración psiquiátricaasistencia
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 2 , Issue 6 , December 1995 , pp. 386 - 397
Copyright
Copyright © European Psychiatric Association 1995

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