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Psychopathology and Migration

Published online by Cambridge University Press:  15 April 2020

I. Tarricone
Affiliation:
Bologna University, Department of Medical and Surgical Science, Bologna, Italy
M. Braca
Affiliation:
Bologna University, Department of Medical and Surgical Science, Bologna, Italy
F. Mazzi
Affiliation:
Ausl Modena, Department of Mental Health, Modena, Italy
D. Berardi
Affiliation:
Bologna University, Department of Medical and Surgical Science, Bologna, Italy

Abstract

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Background

We aimed is to describe the phenomenology of mental disorders in migrants referred to Bologna West Community Mental Health Centre(CMHC), by analysing the psychopathological dimensions that underlie their clinical diagnoses.

Methods

We recruited all migrants who attended the Bologna West CMHC between May 1999 andJuly 2009. The psychopathological assessment was conducted with the Association for Methodology and Documentation in Psychiatry (AMDP) and clinical diagnoses were formulated according to ICD-10. We proceeded through a two-step analysis:(1) comparing the prevalence rates of psychopathological symptoms across diagnoses; then (2) conducting a factor analysis to assess how those symptoms configure psychopathological dimensions and how these dimensions underlieclinical diagnoses.

Results

We found significant associations between diagnoses and the prevalence of their core psychopathological symptoms. Factor analysis revealed a strong polymorphism ofthe psychopathological presentation of mental disorders and unexpectedly showed that in each diagnostic cluster, the first extracted factor was not composed of core symptoms.

Conclusions

A mixed categorical-dimensional approach adds relevant information regarding psychopathological dimensions useful to the understanding of the peculiar clinical expressivity of migrants patients.

Type
Article: 1942
Copyright
Copyright © European Psychiatric Association 2015

References

Braca, MBerardi, DMencacci, EBelvederi Murri, MMimmi, SAllegri, FMazzi, FMenchetti, MTarricone, IUnderstanding psychopathology in migrants: a mixed categorical-dimensional approach. Int J Soc Psychiatry 2014 May; 60(3): 24325310.1177/0020764013484237CrossRefGoogle Scholar
Bhugra, DGupta, SSchouler-Ocak, MGraeff-Calliess, IDeakin, NAQureshi, ADales, JMoussaoui, DKastrup, MTarricone, ITill, Bassi, MCarta, MEPA guidance mental health care of migrants. Eur Psychiatr 2014 Feb; 29(2): 10711510.1016/j.eurpsy.2014.01.003CrossRefGoogle Scholar
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