First-contact incidence of psychosis in north-eastern Italy: Influence of age, gender, immigration and socioeconomic deprivation

British Journal of Psychiatry
Volume 205, Issue 2, 2014, Pages 127-134

First-contact incidence of psychosis in north-eastern Italy: Influence of age, gender, immigration and socioeconomic deprivation (Article) (Open Access)

Lasalvia A.* , Bonetto C. , Tosato S. , Zanatta G. , Cristofalo D. , Salazzari D. , Lazzarotto L. , Bertani M. , Bissoli S. , De Santi K. , Cremonese C. , De Rossi M. , Gardellin F. , Ramon L. , Zucchetto M. , Amaddeo F. , Tansella M. , Ruggeri M. , Brambilla P. , Marrella G. , Perlini C. , Tito P. , Lunardon M. , Gava F. , Borso E. , Grandina L. , Paliotto M. , Roggia L. , Danieli A. , Poloni C. , Altiero M.R. , Piazza F. , Ceccato E. , Busana C. , Campi A. , Zanconato A. , Zamorani P. , Binotto R. , Caneva A. , Lazzarin E. , Zordan G. , Dolce C. , Fanchin G.B. , Negro C. , Crestale M. , Paiola L. , Sale A. , Morandin I. , Biondi E. , Cordella A. , Favaretto G. , Geatti S. , Urbani P. , Spessotto J. , Penelope R. , Grando L. , Sgnaolin M. , Tozzini C. , Visentin G. , Schiavon L. , Gentile B. , Bolacchi M.G. , Marzotto L. , Moni F. , Rossi L. , Amalric I. , Miceli C. , De Zordo M.R. , Russo S. , Rossi R. , Casagrande G. , De Nardo V. , Facchetti A. , Ramaciotti F. , Marangon V. , Coppola G. , Marcolin A. , Meneghini P. , Sbraccia F. , Segato C. , Riolo R. , Cappellari L. , Cutugno M. , Meneghetti L. , Longhin L. , Paoleschi B. , Scalabrin D. , Antonello L. , Purgato A. , Santucci G. , Tosin C. , Volpato R. , Zurlo R. , Pedron M. , Pinton S. , Benetazzo M. , Pavan L. , Semenzin M. , Sifari L. , Zorzi F. , Martucci M.M. , Magno N. , Meloni G. , Toniolo E. , Pavanati M. , Destro E. , Finotti L. , Fiorio R. , Marsilio A. , Pedrocco N. , Pollola P. , Nosè F. , Rossin P. , Vivenza V. , Mazzoncini R. , Urbani A. , Bianchi L. , Carcereri G. , Lunardi L. , Migliorini G. , Perdoná G. , Piazza C. , La Monaca D. , D'Agostini G. , Boggian I. , Piccione G. , Saladini E. , Gomez F. , Frazzingaro S. , Nicolaou S. , Cordioli L. , Bertolazzi G. , Pagliuca V. , Abate M. , Bortolomasi M. , Giacopuzzi M. , Segala M. , De Nardi F. , Basetto F. , Bernardis C. , Bezzetto A. , Santi M.

^a Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^b Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^c Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^d Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^e Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^f Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^g Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^h Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
ⁱ Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^j Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^k Psychiatric Clinic, Department of Neuroscience, University of Padua, Padua, Italy
^l Department of Mental Health, NHS, Local Health Authority Adria, Rovigo, Italy
^m Department of Mental Health, NHS, Local Health Authority Vicenza, Italy
ⁿ Department of Mental Health, NHS, Local Health Authority Portogruaro, Venezia, Italy
^o Department of Mental Health, NHS, Local Health Authority Padua, Italy
^p Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^q Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
^r Department of Public Health and Community Medicine, Section of Psychiatry, University of Verona, Policlinico G.B. Rossi, 37134 - Verona, Italy
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Abstract

Background: Considerable variations in the incidence of psychosis have been observed across countries, in terms of age, gender, immigration status, urbanicity and socioeconomic deprivation. Aims: To evaluate the incidence rate of first-episode psychosis in a large area of north-eastern Italy and the distribution of the above-mentioned risk factors in individuals with psychoses. Method: Epidemiologically based survey. Over a 3-year period individuals with psychosis on first contact with services were identified and diagnosed according to ICD-10 criteria. Results: In total, 558 individuals with first-episode psychosis were identified during 3 077 555 person-years at risk. The annual incidence rate per 100 000 was 18.1 for all psychoses, 14.3 for non-affective psychoses and 3.8 for affective psychoses. The rate for all psychoses was higher in young people aged 20-29 (incidence rate ratio (IRR) = 4.18, 95% CI 2.77-6.30), immigrants (IRR = 2.26, 95% CI 1.85-2.75) and those living in the most deprived areas (IRR = 2.09, 95% CI 1.54-2.85). Conclusions: The incidence rate in our study area was lower than that found in other European and North American studies and provides new insights into the factors that may increase and/or decrease risk for developing psychosis.

Author Keywords

[No Keywords available]

Index Keywords

urban area immigrant depression multicenter study clinical trial demography poverty human delusional disorder social isolation middle aged immigration psychosis statistics and numerical data sex difference brief psychotic disorder mania bipolar disorder Mental Disorders Residence Characteristics Young Adult social status migrant psychology Humans Adolescent male affective psychosis Emigrants and Immigrants female Psychotic Disorders risk factor Risk Factors Incidence Article major clinical study adult gender Social Environment age Sex Factors Age Factors Italy ICD-10 schizoaffective psychosis health survey

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84905657683&doi=10.1192%2fbjp.bp.113.134445&partnerID=40&md5=145ebbea03727e2a998ad04272a2c166

DOI: 10.1192/bjp.bp.113.134445

ISSN: 00071250

Cited by: 27

Original Language: English