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Luciano M, De Rosa C, Del Vecchio V, Sampogna G, Sbordone D, Atti AR, Bardicchia F, Bertossi F, Calò S, Cava L, Ciafone M, De Fazio P, Di Iorio G, Fantini E, Ferrari S, Ginanneschi A, Gotelli S, Macina A, Mulè A, Papanti D, Pingani L, Pinna F, Piselli M, Signorelli MS, Tarricone I, Tarsitani L, Ventriglio A, Carrà G, Catapano F, Fiorillo A. Perceived insecurity, mental health and urbanization: Results from a multicentric study. Int J Soc Psychiatry 2016; 62:252-61. [PMID: 26896027 DOI: 10.1177/0020764016629694] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
AIMS This article aims to (1) explore the levels of perceived insecurity in a sample of patients with mood or anxiety disorders and (2) assess whether living in 'big cities' can influence the levels of patients' perceived insecurity and social contacts compared to living in a non-urbanized context. METHODS A total of 24 Italian mental health centers (MHCs) have been invited to participate. Twenty patients consecutively accessing the MHC have been recruited. All patients have been assessed using validated assessment tools. RESULTS The sample consisted of 426 patients, mostly female, with a mean age of 45 years. Globally, 52.2% of patients had a diagnosis of mood disorders, and 37.8% had anxiety disorders. Half of the sample declared that the main feeling toward life is uncertainty; higher levels of pessimistic views toward life have been detected in patients living in urban areas. A positive association between negative attitudes toward life and higher levels of depressive and anxiety symptoms, poor social functioning and higher levels of perceived psychological distress has been found. CONCLUSION Our findings confirm the presence of a common sense of perceived uncertainty among our sample. Such attitude toward life can have a detrimental impact on patients' psychological and physical well-being, contributing to high levels of distress.
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Affiliation(s)
- M Luciano
- Department of Psychiatry, University of Naples SUN, Naples, Italy
| | - C De Rosa
- Department of Psychiatry, University of Naples SUN, Naples, Italy
| | - V Del Vecchio
- Department of Psychiatry, University of Naples SUN, Naples, Italy
| | - G Sampogna
- Department of Psychiatry, University of Naples SUN, Naples, Italy
| | - D Sbordone
- Department of Psychiatry, University of Naples SUN, Naples, Italy
| | - A R Atti
- Department of Biomedical and Neuromotor Sciences, Institute of Psychiatry, University of Bologna, Bologna, Italy
| | | | - F Bertossi
- Mental Health Centre of Maddalena, ASS1 'Triestina', Trieste, Italy
| | - S Calò
- 'Vito Fazzi' Hospital, Lecce, Italy
| | - L Cava
- Mental Health Centre of Rende, Rende, Italy
| | - M Ciafone
- Mental Health Centre of Reggio Calabria, Reggio Calabria, Italy
| | - P De Fazio
- Psychiatric Unit, Department of Health Sciences, University of Magna Graecia of Catanzaro, Catanzaro, Italy
| | - G Di Iorio
- Department of Mental Health, 'G. Mazzini' Hospital, Teramo, Italy
| | - E Fantini
- Mental Health Centre of Camerino, Camerino, Italy
| | - S Ferrari
- Department of Diagnostic-Clinical Medicine and Public Health, University of Modena and Reggio Emilia, Modena, Italy
| | - A Ginanneschi
- Department of Psychiatry, University of Sassari, Sassari, Italy
| | - S Gotelli
- DSMeD, ASL3 Genovese, IDEA Onlus, Genova, Italy
| | - A Macina
- Department of Mental Health, Mons. Dimiccoli Hospital, Barletta, Italy
| | - A Mulè
- Psychiatric Unit, University Hospital 'P. Giaccone', Palermo, Italy
| | - D Papanti
- Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy
| | - L Pingani
- Human Resource Department, Local Health Agency of Reggio Emilia, Reggio Emilia, Italy
| | - F Pinna
- Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Cagliari, Italy
| | - M Piselli
- Perugia University and SPDC 'S. Giovanni Battista', Foligno, Italy
| | - M S Signorelli
- Department of Clinical and Experimental Medicine, Institute of Psychiatry, University of Catania, Catania, Italy
| | - I Tarricone
- Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Bologna University Hospital Authority St. Orsola-Malpighi Polyclinic, Bologna, Italy
| | - L Tarsitani
- Department of Neurology and Psychiatry, Policlinico Umberto I, Sapienza - University of Rome, Rome, Italy
| | - A Ventriglio
- Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
| | - G Carrà
- University College London, London, UK
| | - F Catapano
- Department of Psychiatry, University of Naples SUN, Naples, Italy
| | - A Fiorillo
- Department of Psychiatry, University of Naples SUN, Naples, Italy
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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. [PMID: 24957972 PMCID: PMC4079180 DOI: 10.1186/1471-244x-14-186] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2013] [Accepted: 05/28/2014] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND It has been frequently reported a higher incidence of psychotic disorders in immigrants than in native populations. There is, however, a lack of knowledge about risk factors which may explain this phenomenon. A better understanding of the causes of psychosis among first-generation migrants is highly needed, particularly in Italy, a country with a recent massive migration. METHODS/DESIGN The "Italian study on first-episode psychosis and migration (PEP-Ita)" is a prospective observational study over a two-year period (1 January 2012-31 December 2013) which will be carried out in 11 Italian mental health centres. All participating centres will collect data about all new cases of migrants with first-episode psychosis. The general purpose ("core") of the PEP-Ita study is to explore the socio-demographic and clinical characteristics, and the pathways to care of a population of first-episode psychosis migrants in Italy. Secondary aims of the study will be: 1) to understand risk and protective factors for the development of psychotic disorders in migrants; 2) to evaluate the correlations between psychopathology of psychotic disorders in migrants and socio-demographic characteristics, migration history, life experiences; 3) to evaluate the clinical and social outcomes of first-episode psychoses in migrants. DISCUSSION The results of the PEP-Ita study will allow a better understanding of risk factors for psychosis in first-generation migrants in Italy. Moreover, our results will contribute to the development of prevention programmes for psychosis and to the improvement of early intervention treatments for the migrant population in Italy.
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Affiliation(s)
- Ilaria Tarricone
- Department of Medical and Surgical Sciences, Bologna University, Bologna, Italy,Department of Mental Health and Pathological Addictions, Local Health Trust, Bologna, Italy
| | - Mauro Braca
- Department of Medical and Surgical Sciences, Bologna University, Bologna, Italy.
| | - Fabio Allegri
- Department of Medical and Surgical Sciences, Bologna University, Bologna, Italy
| | | | - Antonello Bellomo
- Department of Clinical and Experimental Sciences, Section of Psychiatry and Clinical Psychology, University of Foggia, Foggia, Italy
| | - Vanna Berlincioni
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | | | | | | | | | | | - Corrado De Rosa
- Department of Psychiatry, University of Naples SUN, Napoli, Italy
| | | | - Silvia Ferrari
- U.O. Psichiatria Ospedaliero-Universitaria Modena Centro, University of Modena and Reggio Emilia, Modena, Italy
| | - Maria Antonietta Furio
- Dipartimento di Scienze Mediche di Base, Neuroscienze ed Organi di Senso, Università degli Studi Aldo Moro di Bari, Bari, Italy
| | - Carla Gramaglia
- SC Psichiatria, AOU Ospedale Maggiore della Carità, Dipartimento di Medicina Traslazionale, Università del Piemonte Orientale Amedeo Avogadro, Novara, Italy
| | - Caterina La Cascia
- Psychiatric Unit, Azienda Ospedaliera Universitaria Policlinico “P. Giaccone” Palermo, Palermo, Italy,Department of Experimental Biomedicine and Clinical Neuroscience, Section of Psychiatry, University of Palermo, Palermo, Italy
| | - Mario Luciano
- Department of Psychiatry, University of Naples SUN, Napoli, Italy
| | - Alice Mulè
- Psychiatric Unit, Azienda Ospedaliera Universitaria Policlinico “P. Giaccone” Palermo, Palermo, Italy,Department of Experimental Biomedicine and Clinical Neuroscience, Section of Psychiatry, University of Palermo, Palermo, Italy
| | - Marcello Nardini
- U.O. di Psichiatria - Azienda Ospedaliero Universitaria “Consorziale Policlinico” Bari, Bari, Italy,Dipartimento di Scienze Mediche di Base, Neuroscienze ed Organi di Senso, Università degli Studi Aldo Moro di Bari, Bari, Italy
| | - Francesca Podavini
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Diego Primavera
- Clinica Psichiatrica - Università degli Studi di Cagliari, Cagliari, Italy
| | - Corinna Reggianini
- U.O. Psichiatria Ospedaliero-Universitaria Modena Centro, University of Modena and Reggio Emilia, Modena, Italy
| | - Marco Rigatelli
- U.O. Psichiatria Ospedaliero-Universitaria Modena Centro, University of Modena and Reggio Emilia, Modena, Italy
| | - Orlando Todarello
- U.O. di Psichiatria - Azienda Ospedaliero Universitaria “Consorziale Policlinico” Bari, Bari, Italy,Dipartimento di Scienze Mediche di Base, Neuroscienze ed Organi di Senso, Università degli Studi Aldo Moro di Bari, Bari, Italy
| | - Elena Turella
- U.O.A. di Psichiatria di Camposampiero (PD), Camposampiero, PD, Italy
| | - Antonio Ventriglio
- Department of Clinical and Experimental Sciences, Section of Psychiatry and Clinical Psychology, University of Foggia, Foggia, Italy
| | - Patrizia Zeppegno
- SC Psichiatria, AOU Ospedale Maggiore della Carità, Dipartimento di Medicina Traslazionale, Università del Piemonte Orientale Amedeo Avogadro, Novara, Italy
| | - Andrea Fiorillo
- Department of Psychiatry, University of Naples SUN, Napoli, Italy
| | - Domenico Berardi
- Department of Medical and Surgical Sciences, Bologna University, Bologna, Italy,Department of Mental Health and Pathological Addictions, Local Health Trust, Bologna, Italy
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