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Trastornos psiquiátricos y características sociales entre emigrantes marroquíes de segunda generación en Bélgica: Un estudio controlado por la edad y el género realizado en un departamento de urgencias psiquiátricas

Published online by Cambridge University Press:  12 May 2020

P. Fossion ,
Y. Ledoux ,
F. Valente ,
L. Serváis ,
L. Staner ,
I. Pelc  and
P. Minner
P. Fossion
Affiliation:
Departamento de Psiquiatría, CHU Brugmann, 4, Place Van Gehuchten, 1020, Bruselas, Bélgica
Y. Ledoux
Affiliation:
Departamento de Psiquiatría, CHU Brugmann, 4, Place Van Gehuchten, 1020, Bruselas, Bélgica
F. Valente
Affiliation:
Laboratorio de Estadística, Escuela de Salud Pública, Universidad Libre de Bruselas, Bélgica
L. Serváis
Affiliation:
Departamento de Psiquiatría, CHU Brugmann, 4, Place Van Gehuchten, 1020, Bruselas, Bélgica
L. Staner
Affiliation:
Centro Hospitalario Sector VIII, 27, rué du 4e R. S. M., 68250Rouffach, Francia
I. Pelc
Affiliation:
Departamento de Psiquiatría, CHU Brugmann, 4, Place Van Gehuchten, 1020, Bruselas, Bélgica
P. Minner
Affiliation:
Departamento de Psiquiatría, CHU Brugmann, 4, Place Van Gehuchten, 1020, Bruselas, Bélgica
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Resumen

Clínicamente, uno de los hallazgos clínicos más uniformes entre los pacientes emigrantes es un aumento en la tasa de psicosis. El propósito del presente estudio era confirmar este hallazgo en Bélgica comparando pacientes emigrantes marroquíes de segunda generación con pacientes belgas emparejados en cuanto a las variables de edad y género.

Sujetos y método

Realizamos un estudio transversal sobre 272 pacientes admitidos en una unidad de urgencias psiquiátricas durante el año 1998. Utilizamos análisis uni-variables y multivariables para comparar los dos subgrupos.

Resultados

Los análisis multivariables mos-traron que los pacientes emigrantes vivían más a menudo con su familia de origen y que presentaban una tasa más alta de ingreso por trastornos psicóticos y una tasa más baja de empleo.

Discusión

Nuestros hallazgos se suman al conjunto creciente de resultados que muestran un aumento de la incidencia de psicosis entre los emigrantes en pai'ses europeos, pero se han tenido en cuenta varios factores, particularmente con respecto a los sesgos de selección y las diferencias en el comportamiento de búsqueda de ayuda, y en la percepción de la familia de la enfermedad mental.

Conclusión

Nuestros resultados son compatibles con la hipótesis de que el desempleo es un factor parcialmente responsable en el riesgo de psicosis entre los grupos emigrantes. Se necesitarían estudios adicionales para explicar mejor algunos de nuestros resultados, particularmente el papel que desempeñan las familias de los pacientes emigrantes.

Keywords

emigrantes de segunda generaciónpsicosisdesempleofamiliaacceso a la asistencia
Type
Artículo original
Information
European Psychiatry (Ed. Española) , Volume 10 , Issue 5 , June 2003 , pp. 285 - 292
Copyright
Copyright © European Psychiatric Association 2003

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References

BIBUOGRAFÍA

Bebbinton, PE, Hurry, J, Termant, C. Psychiatric disorders in selected immigrant groups in Camberwell. Soc Psychiatry 1981;16:43–51.CrossRefGoogle Scholar
Bebbington, P, Wilkins, S, Jones, P, Foerster, A, Murray, R, Toone, B, et al. Life events psychosis Initialresults from the Camberwell Collaborative Psychosis Study. Br J Psychiatry 1993;162:72-9.CrossRefGoogle ScholarPubMed
Bhugra, D, Leff, J, Mallett, R, DerG Corridan B, Rudge S G Corridan B, Rudge S. Incidence outcome of schizophrenia in whites. African-Caribbeans and Asians in London Psychol Med 1997;27:791-8.Google ScholarPubMed
Charalabaki, E, Bauwens, F, Stefos, G, Madianos, MG, Mendlewitz, J. Immigration psychopathology: a clinical Eur Psychiatry 1995;10:237-44.Google Scholar
Cochrane, R. Mental illness in immigrants to England Wales: an analysis of mental hospital admission. Soc Psychiatry 1977;12:25–35.CrossRefGoogle Scholar
Cochrane, R, Bal, S. Migration schizophrenia: an examination of five hypotheses. Soc Psychiatry 1987;22:181-91.CrossRefGoogle ScholarPubMed
Cochrane, R, Bal, SS. Mental hospital admission rates of immigrants to England: a comparison of 1971 and Soc Psychiatry Psychiatr Epidemiol 1989;24:2–11.Google Scholar
Davies, S, Thornicroft, G, Leese, M, Higgingbotharn, A, Phelan, M. Ethnic differences in risk of compulsory psychiatric admission among representative cases of psychosis in London. Br Med J 1996;2(312):533-7.CrossRefGoogle Scholar
Eagles, J. The relationship between schizophrenia Are there alternatives to psychosocial hypotheses? Br J Psychiatry 1991;159:783-9.CrossRefGoogle ScholarPubMed
El-Islam, F. A better outlook for schizophrenics living in extended families. Br J Psychiatry 1979;135:343-7.CrossRefGoogle ScholarPubMed
Gilvarry, CM, Walsh, E, Sámele, C, Hutchinson, G, Mallett, R, Rabe-Hesketh, S, et al. Life events ethnicity perceptions of discrimination in patients with severe mental illness. Soc Psychiatry Psychiatr Epidemiol 1999;11:600-8.CrossRefGoogle Scholar
Glover, GR. The pattern of psychiatric admissions of Caribbean-born immigrants in London. Soc Psychiatry Psychiatr Epidemiol 1989;24:49–56.CrossRefGoogle Scholar
Goodman, R, Richards, H. Child adolescent psychiatric presentations of second-generation Afro-Caribbeans in Britain. Br J Psychiatry 1995;167:362-9.CrossRefGoogle ScholarPubMed
Gupta, S. Can environmental factors explain the epidemiology of schizophrenia in immigrant groups? See Psychiatry Psychiatr Epidemiol 1993;28:263-6.CrossRefGoogle ScholarPubMed
Haasen, C, Lambert, M, Yagdiran, O, Krausz, M. Psychiatric disordets among migrants in Germany: prevalence in a psychiatric clinic and implications for services and research. Eur Psychiatry 1997;12:305-10.CrossRefGoogle Scholar
Haasen, C, Lambert, M, Yagdiran, O, Krausz, M. Impact of ethnicity on the prevalence of psychiatric disorders among migrants in Germany. Ethn Health 1998;3:159-65.CrossRefGoogle ScholarPubMed
Haasen, C, Yagdiran, O, Mass, R, Krausz, M. Potential for misdiagnosis among Turkish migrants with psychotic disorders: a clinical controlled study in Germany. Acta Psychiatr Scand 2000;101:125-9.CrossRefGoogle ScholarPubMed
Hamdi, E, Amin, Y, Abou-Saleh, M. Problems in validating endogenous depression in the Arab culture by contemporary diagnostic criteria. J Affect Disord 1997;44:131-43.CrossRefGoogle ScholarPubMed
Harrison, G, Owens, D, Holton, D, Neilson, D, Boot, D. A prospective study of severe mental disorders in Afro-Caribbean patients. Psychol Med 1988;18:643-57.CrossRefGoogle ScholarPubMed
Harrison, G, Holton, A, Neilson, D, Owens, D, Boot, D, Cooper, J.Severe mental disorder in Afro-Caribbean patients: some social, demographic Service factors. Psychol Med 1989;19:683-96.CrossRefGoogle ScholarPubMed
Harrison, G. Searching for the causes of schizophrenia: the role of migrant studies. Schizophr Bull 1990;l6:663-57.CrossRefGoogle Scholar
Harrison, G, Glazebrook, C, Brewin, J, Cantwell, R, Dalkin, T, Fox Retal. Increased incidence of psychotic disorders in migrants from the Caribbean to the United Psychol Med 1997;27:799–806.CrossRefGoogle Scholar
Harvey, L, Williams, M, McGuffin, P, Toone, BK. The functional psychoses in Afro-Caribbeans. Br J Psychiatry 1990;157:515-22.CrossRefGoogle ScholarPubMed
King, M, Coker, E, Leavey, G, Hoare, A, Johnson-Sabine Incidence of psychotic illness in London: comparison of ethnic groups. Br Med J 1994;309:1115-9.CrossRefGoogle ScholarPubMed
Koffinan, J, Fulop, NJ, Pashley, D, Coleman, K. Ethnicity use of acute psychiatric beds: one-day survey in North and South Thames regions. Br J Psychiatry 1997;171:238-41.CrossRefGoogle Scholar
Lin, K Metal. Ethnicity family involvement in the treatment of schizophrenic patients. J Nerv Merit Dis 1991;179:631-3.CrossRefGoogle ScholarPubMed
Lincoln, CV, McGorry, P. Who cares? Pathways to psychiatric care for young people experiencing a first episode of psychosis. Psychiatr Serv 1995;46:1166-71.Google ScholarPubMed
Littlewood, R, Lipsedge, M. Psychiatric illness among British Afro-Caribbeans. Br Med J 1998;296:950-1.CrossRefGoogle Scholar
McGovern, D, Cope, R. First psychotic admission rates of first-and-second-generation African-Caribbeans. Soc Psychiatry 1987;22:139-49.CrossRefGoogle Scholar
Mortensen, PB, Cantor-Graae, E, McNeil, TF. Increased rates of schizophrenia among immigrants: some methodological concerns raised by Danish findings. Psychol Med 1997;27:813-20.CrossRefGoogle ScholarPubMed
Odegaard, O. Emigration and insanity: a study of mental disease among Norwegian-born population in Acta Psychiatr Neurol Scand 1932;7 (Suppl 4):l–206.Google Scholar
Parkman, S, Davies, S, Leese, M, Phelan, M, Thornicroft Ethnic differences in satisfaction with mental health services among representative people with psychosis in south London: PRiSM study. Br J Psychiatry 1997;171:260-4.CrossRefGoogle ScholarPubMed
Perera, R. Ethnicity relapse in schizophrenia. Br J Psychiatry 1993;162:845-6.CrossRefGoogle Scholar
Perkins, RE, Moodley, P. Perception of problems in psychiatric patients: denial, race Service usage. Soc Psychiatry Psychiatr Epidemiol 1993;28:189-93.CrossRefGoogle Scholar
Rwegellera, GG. Differential use of psychiatric services by West Indians, West Africans English in London. Br J Psychiatry 1980;137:428-32.CrossRefGoogle Scholar
Schrier, AC, van de Wetering, BJ, Mulder, PG, Selten, JP. Point prevalence of schizophrenia in immigrant groups in Rotterdam: data from outpatient. Eur Psychiatry 2001;16:162-6.CrossRefGoogle ScholarPubMed
Selten, J, Sijben, N. First admission rates for schizophrenia in immigrants to The Netherlands. The Dutch National Register. Soc Psychiatry Psychiatr Epidemiol 1994;29:71-7.Google ScholarPubMed
Selten, JP, Veen, N, Feller, W, Blom, JD, Schols, D, Camoe-nie, W, et al. Incidence of psychotic disorders in immigrant groups to The Netherlands. Br J Psychiatry 2001; 178:367-72.CrossRefGoogle ScholarPubMed
Sharpley, M, Hutchinson, G, McKenzie, K, Murray, RM. Understanding the excess of psychosis among the African-Caribbean population in England. Review of current hypotheses. Br J Psychiatry 2001;40 (Suppl):s60–8.Google ScholarPubMed
Thomas, CS, Stone, K, Osborn, M, Thomas, PF, Fisher, M. Psychiatric morbidity compulsory admission among UK-born Europeans Afro-Caribbeans and Asians in central Manchester. Br J Psychiatry 1991;163:91-9.CrossRefGoogle Scholar
Van, OSJ, Castle, DJ, Takei, N, Der, G, Murray, RM. Psychotic illness in ethnic minorities: clarification from the 1991 census. Psychol Med 1996;26:203-8.CrossRefGoogle Scholar
Wessely, S, Castle, D, Der, G, Murray, R. Schizophrenia and Afro-Caribbeans. A case-control study. Br J Psychiatry 1991;159:795–801.CrossRefGoogle ScholarPubMed
Zolkowska, K, Cantor-Graae, E, McNeil, TF. Increased rates of psychosis among immigrants to Sweden: is migration a risk factor for psychosis? Psychol Med 2001;31:669-78.CrossRefGoogle Scholar