Comparison of male and female non-refugee immigrants with psychosis : clinical, sociodemographic, and migration-related differences and impact on stress
Trabsa, Amira (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Casanovas, Francesc (Institut Hospital del Mar d'Investigacions Mèdiques)
Pérez Solà, Víctor (Institut Hospital del Mar d'Investigacions Mèdiques)
Moreno Alcázar, Ana (Hospital del Mar (Barcelona, Catalunya))
Amann, Benedikt L (Universitat Pompeu Fabra. Departament de Medicina i Ciències de la Vida)
Mané, Anna (Universitat Pompeu Fabra. Departament de Medicina i Ciències de la Vida)

Data:	2024
Resum:	To compare social, clinical, and migration-related factors between male and female immigrants with psychotic disorders and to determine the association between these variables and stress in the last year. We administered the Holmes and Rahe Social Readjustment Scale to evaluate psychological stress in 99 non-refugee immigrants (26 women, 73 men) who presented ≥ one psychotic episode (ICD-10 criteria). We compared the two groups in terms of sociodemographic, clinical, cultural, and migration-related variables. A multivariable analysis using a linear regression model (stepwise method) was performed to evaluate potential associations between these variables and stress. Women were more likely to be married and divorced, had less access to welfare payments, and lower unemployment and homeless rates than men. The most common psychiatric diagnosis was psychosis not otherwise specified with more women being affected (61. 5% in women vs. 45. 2% in men), but the diagnosis of schizophrenia was more common in men (38. 4% vs 15. 4%). Both groups exhibited very high levels of stress in the past year (mean total distress score > 300). In women, stress was significantly associated with age at first migration and be a racialized person. By contrast, among men stress was significantly associated with language barrier and comorbidity with a physical disorder. The results of this study reveal important differences between men and women immigrants. These findings underscore the importance of understanding how gender-specific roles and social expectations intersect with the timing and nature of migration to influence stress levels differently in immigrant women and men with psychotic disorders. The online version contains supplementary material available at 10. 1007/s00737-024-01431-7.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Women ; Non-refugee immigrants ; Psychosis ; Psychological stress ; Gender differences ; Migration mental health
Publicat a:	Archives of women's mental health, Vol. 27 (february 2024) , p. 679-692, ISSN 1435-1102

DOI: 10.1007/s00737-024-01431-7
PMID: 38374484

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