Addictive Behavior in Immigrant Psychiatric Inpatients: The Immigrant Paradox Failure

Abstract

INTRODUCTION:In the last years migration has become a major political and social concern in West-Europe. Some researchesindicate that immigrants are more prone to certain psychiatric disorders, while other show the "immigrant paradox".Data about immigrants' admission to acute psychiatry settings and substances and alcohol use-related considerations are still controversial. AIMS: To evaluate data about immigrants' admission to the acute Italian Psychiatry Ward of Hospital of Novara, focusing on substances and alcohol. METHODS:The study was performed from January to December 2017, without any exclusion criteria. The final database contains detailed information including diagnostic treatment-related and sociodemographic characteristics. The sample was divided into two subgroups: immigrants with (SAU) or without a history of substances or alcohol abuse (N-SAA).Each patient was assessed with the Health of the Nation Outcome Scales and the Clinical Global Impression. RESULTS: Of the total of 71 immigrants (mean age 37.95 years), 34 were female.49.3% of them with SAU. Specifically, immigrants with SAU seemed to have a shorter hospital stayand to obtain higher scores on the subscale "behavior" and "social" of HONOS(p<0.05). Differences in the use of antidepressants and atypical antipsychotics were showed.Conclusion: From our study resulted that immigrants are more prone to develop addictive behavior, maybe due to stress related to the migration, without information on the causality of relationship.This issue needs to be expanded in order to possibly align psychiatric services to the needs of immigrant patients.