7 Citazioni (Scopus)

Abstract

Purpose: The incidence of psychotic disorders varies in different geographical areas. As there have been no reports from Southern Italy, this study aimed to determine the incidence rate of first-episode psychosis in Palermo, Sicily. Methods: All patients, aged 18–65 years, presenting with a first episode of psychosis (FEP) (ICD-10 F20–29, F30–33) to mental health services in Palermo, were recorded over a 3-year period. Incidence rates of psychotic disorders and their 95% confidence intervals (95% CI) were estimated. Poisson regression was applied to estimate the differences in incidence rate ratio (IRR) by age, sex and migrant status. Results: Two hundred and four FEP participants were identified during the 3 years; 183 (89.7%, males n = 112) participants were native Italians and 21 were migrants (10.3%, males n = 14). The crude incidence of all psychoses was 15.9 (95% CI 13.7–18.1). As predicted, the risk of schizophrenia F20 was higher in males compared to females (adjusted IRR = 1.99, 95% CI 1.36–2.88) and in migrants compared to native Italians (adjusted IRR = 4.02, 95% CI 2.39–6.75). Conclusions: This study, the first from Sicily, confirms previous findings from Northern Italy that the risk of schizophrenia and other psychoses is much lower in Italian cities than those reported from cities in Northern Europe; the reasons for this disparity may provide important clues to the aetiology of psychosis.
Lingua originaleEnglish
pagine (da-a)155-162
Numero di pagine8
RivistaSocial Psychiatry and Psychiatric Epidemiology
Volume52
Stato di pubblicazionePublished - 2017

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Sicily
psychosis
Psychotic Disorders
Italy
Epidemiologic Studies
incidence
Incidence
confidence
Confidence Intervals
migrant
schizophrenia
Population Groups
Schizophrenia
Northern Europe
etiology
Sex Ratio
Mental Health Services
International Classification of Diseases
health service
mental health

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Health(social science)
  • Social Psychology
  • Psychiatry and Mental health

Cita questo

Low incidence of psychosis in Italy: confirmation from the first epidemiological study in Sicily. / Seminerio, Fabio; Capuccio, Veronica; Ferraro, Laura; La Barbera, Daniele; Tripoli, Giada; La Cascia, Caterina; Sartorio, Crocettarachele; Di Forti, Marta; Mulè, Alice; Murray, Robin M.; Tripoli; Kirkbride; La Barbera; Fearon; Mulè, Alice; Sideli, Lucia.

In: Social Psychiatry and Psychiatric Epidemiology, Vol. 52, 2017, pag. 155-162.

Risultato della ricerca: Article

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title = "Low incidence of psychosis in Italy: confirmation from the first epidemiological study in Sicily",
abstract = "Purpose: The incidence of psychotic disorders varies in different geographical areas. As there have been no reports from Southern Italy, this study aimed to determine the incidence rate of first-episode psychosis in Palermo, Sicily. Methods: All patients, aged 18–65 years, presenting with a first episode of psychosis (FEP) (ICD-10 F20–29, F30–33) to mental health services in Palermo, were recorded over a 3-year period. Incidence rates of psychotic disorders and their 95{\%} confidence intervals (95{\%} CI) were estimated. Poisson regression was applied to estimate the differences in incidence rate ratio (IRR) by age, sex and migrant status. Results: Two hundred and four FEP participants were identified during the 3 years; 183 (89.7{\%}, males n = 112) participants were native Italians and 21 were migrants (10.3{\%}, males n = 14). The crude incidence of all psychoses was 15.9 (95{\%} CI 13.7–18.1). As predicted, the risk of schizophrenia F20 was higher in males compared to females (adjusted IRR = 1.99, 95{\%} CI 1.36–2.88) and in migrants compared to native Italians (adjusted IRR = 4.02, 95{\%} CI 2.39–6.75). Conclusions: This study, the first from Sicily, confirms previous findings from Northern Italy that the risk of schizophrenia and other psychoses is much lower in Italian cities than those reported from cities in Northern Europe; the reasons for this disparity may provide important clues to the aetiology of psychosis.",
author = "Fabio Seminerio and Veronica Capuccio and Laura Ferraro and {La Barbera}, Daniele and Giada Tripoli and {La Cascia}, Caterina and Crocettarachele Sartorio and {Di Forti}, Marta and Alice Mul{\`e} and Murray, {Robin M.} and Tripoli and Kirkbride and {La Barbera} and Fearon and Alice Mul{\`e} and Lucia Sideli",
year = "2017",
language = "English",
volume = "52",
pages = "155--162",
journal = "Social Psychiatry",
issn = "0037-7813",
publisher = "D. Steinkopff-Verlag",

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TY - JOUR

T1 - Low incidence of psychosis in Italy: confirmation from the first epidemiological study in Sicily

AU - Seminerio, Fabio

AU - Capuccio, Veronica

AU - Ferraro, Laura

AU - La Barbera, Daniele

AU - Tripoli, Giada

AU - La Cascia, Caterina

AU - Sartorio, Crocettarachele

AU - Di Forti, Marta

AU - Mulè, Alice

AU - Murray, Robin M.

AU - Tripoli, null

AU - Kirkbride, null

AU - La Barbera, null

AU - Fearon, null

AU - Mulè, Alice

AU - Sideli, Lucia

PY - 2017

Y1 - 2017

N2 - Purpose: The incidence of psychotic disorders varies in different geographical areas. As there have been no reports from Southern Italy, this study aimed to determine the incidence rate of first-episode psychosis in Palermo, Sicily. Methods: All patients, aged 18–65 years, presenting with a first episode of psychosis (FEP) (ICD-10 F20–29, F30–33) to mental health services in Palermo, were recorded over a 3-year period. Incidence rates of psychotic disorders and their 95% confidence intervals (95% CI) were estimated. Poisson regression was applied to estimate the differences in incidence rate ratio (IRR) by age, sex and migrant status. Results: Two hundred and four FEP participants were identified during the 3 years; 183 (89.7%, males n = 112) participants were native Italians and 21 were migrants (10.3%, males n = 14). The crude incidence of all psychoses was 15.9 (95% CI 13.7–18.1). As predicted, the risk of schizophrenia F20 was higher in males compared to females (adjusted IRR = 1.99, 95% CI 1.36–2.88) and in migrants compared to native Italians (adjusted IRR = 4.02, 95% CI 2.39–6.75). Conclusions: This study, the first from Sicily, confirms previous findings from Northern Italy that the risk of schizophrenia and other psychoses is much lower in Italian cities than those reported from cities in Northern Europe; the reasons for this disparity may provide important clues to the aetiology of psychosis.

AB - Purpose: The incidence of psychotic disorders varies in different geographical areas. As there have been no reports from Southern Italy, this study aimed to determine the incidence rate of first-episode psychosis in Palermo, Sicily. Methods: All patients, aged 18–65 years, presenting with a first episode of psychosis (FEP) (ICD-10 F20–29, F30–33) to mental health services in Palermo, were recorded over a 3-year period. Incidence rates of psychotic disorders and their 95% confidence intervals (95% CI) were estimated. Poisson regression was applied to estimate the differences in incidence rate ratio (IRR) by age, sex and migrant status. Results: Two hundred and four FEP participants were identified during the 3 years; 183 (89.7%, males n = 112) participants were native Italians and 21 were migrants (10.3%, males n = 14). The crude incidence of all psychoses was 15.9 (95% CI 13.7–18.1). As predicted, the risk of schizophrenia F20 was higher in males compared to females (adjusted IRR = 1.99, 95% CI 1.36–2.88) and in migrants compared to native Italians (adjusted IRR = 4.02, 95% CI 2.39–6.75). Conclusions: This study, the first from Sicily, confirms previous findings from Northern Italy that the risk of schizophrenia and other psychoses is much lower in Italian cities than those reported from cities in Northern Europe; the reasons for this disparity may provide important clues to the aetiology of psychosis.

UR - http://hdl.handle.net/10447/220686

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M3 - Article

VL - 52

SP - 155

EP - 162

JO - Social Psychiatry

JF - Social Psychiatry

SN - 0037-7813

ER -