Risk of Psychosis Among Refugees: A Systematic Review and Meta-analysis.

@article{Brandt2019RiskOP,
  title={Risk of Psychosis Among Refugees: A Systematic Review and Meta-analysis.},
  author={Lasse Brandt and Jonathan Henssler and Martin M{\"u}ller and Stephanie Wall and David Gabel and Andreas Heinz},
  journal={JAMA psychiatry},
  year={2019}
}
Importance This systematic review and meta-analysis is, to date, the first and most comprehensive to focus on the incidence of non-affective psychoses among refugees. Objective To assess the relative risk (RR) of incidence of non-affective psychosis in refugees compared with the RR in the native population and nonrefugee migrants. Data Sources PubMed, PsycINFO, and Embase databases were searched for studies from January 1, 1977, to March 8, 2018, with no language restrictions (PROSPERO… 

Figures from this paper

Prevalence of mental disorders in refugees and asylum seekers: a systematic review and meta-analysis

A meta-analysis of studies examining the prevalence of MDD, post-traumatic stress disorder, BPD, and psychosis in adult refugees according to a clinical diagnosis has shown a markedly high prevalence of mental disorders among refugees.

Early childhood adversity and non-affective psychosis: a study of refugees and international adoptees in Sweden.

The risk pattern in the international adoptees gives support to a link between early childhood adversity and NAPD, and male gender increased the risk of NAPD more among the refugees.

Risk of psychotic disorders in migrants to Australia

Clear health inequality needs to be addressed by sufficient funding and accessible mental health services for more vulnerable groups, and further research is needed to determine why migrants have an increased risk for developing psychotic disorders.

Treatment adherence to psychotropic drugs among non-Western migrants: a systematic review

There is a need for studies assessing the possible impact of interventions aiming at increasing adherence such as intercultural mediators and training of healthcare providers in cultural competencies.

Psychosis, ethnicity and migration

A systematic review and meta-analysis of ethnic differences in the diagnosed incidence of psychoses in England reviewed relevant studies up to the year 2009 and used an updated search between 2010 and 2018 to improve the coverage of more specific ethnic groups.

Prevalence of depressive symptoms and symptoms of post-traumatic stress disorder among newly arrived refugees and asylum seekers in Germany: systematic review and meta-analysis

Prevalence rates of depressive symptoms and PTSD symptoms in RAS are notably large and exceed the prevalence in the general German population, but should be interpreted with caution.

Migration history and risk of psychosis: results from the multinational EU-GEI study

The cumulative effect of social disadvantages before, during and after migration was associated with increased odds of psychosis in migrants, independently of ethnicity or length of stay in the country of arrival.

Racism and psychosis: an umbrella review and qualitative analysis of the mental health consequences of racism

Qualitative and quantitative evidence is provided from a quantitative and qualitative analysis that the risk of poor mental health and psychotic experiences is related to racism associated with minority status and migration.

Mental disorders among young adults of immigrant background: a nationwide register study in Norway

The general pattern was lower prevalence of most ICD-10 mental disorders for the majority of immigrant groups compared to ethnic Norwegians, except for schizophrenia and PTSD.

References

SHOWING 1-10 OF 56 REFERENCES

Risk of psychosis in refugees: a literature review

The aim of this literature review is to summarise and interpret recent research on the incidence or prevalence of psychotic disorders in refugees, additionally focusing on the aspects of gender and Middle Eastern provenance.

Refugees and psychosis: A review of the literature

Refugees are at an increased risk of psychosis, particularly within the early post‐migratory years for the first generation, and the role of psychological trauma is clearly implicated in many studies.

A meta-analysis of the risk for psychotic disorders among first- and second-generation immigrants

The increased risk of schizophrenia and related disorders among immigrants clearly persists into the second generation, suggesting that post-m migration factors play a more important role than pre-migration factors or migration per se.

Refugee migration and risk of schizophrenia and other non-affective psychoses: cohort study of 1.3 million people in Sweden

Clinicians and health service planners in refugee receiving countries should be aware of a raised risk of psychosis in addition to other mental and physical health inequalities experienced by refugees.

Risk of mental disorders in refugees and native Danes: a register-based retrospective cohort study

Refugee men and refugee women had higher overall risks of having a first-time psychiatric contact for mental disorders than did native Danes; specific risks of psychotic, affective and neurotic disorders were even higher.

Schizophrenia and migration: a meta-analysis and review.

Findings of previous studies implicating migration as a risk factor for the development of schizophrenia and a quantitative index of the associated effect size are synthesized to suggest a role for psychosocial adversity in the etiology of schizophrenia.

Psychiatric Disorders and Predictors Hereof Among Refugee Children in Early Adulthood: A Register-Based Cohort Study

Sex, geographical origin, migrant status, household income, age at residence permission, and accompanied/unaccompanied arrival predicted psychiatric contacts among refugees.

A systematic review and meta-analysis of the incidence of psychotic disorders: the distribution of rates and the influence of gender, urbanicity, immigration and socio-economic level

IR among different psychotic disorders was found to vary depending on gender, urbanicity, and immigration (as most of the previous literature focuses on non-affective psychosis or schizophrenia).

Incidence of psychotic disorders among first-generation immigrants and refugees in Ontario

The differential pattern of risk across ethnic subgroups in Ontario suggests that psychosocial and cultural factors associated with migration may contribute to the risk of psychotic disorders.
...