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The British Journal of Psychiatry (2005) 186: 442-443
© 2005 The Royal College of Psychiatrists

SHORT REPORT

Migration, family dysfunction and psychotic symptoms in children and adolescents

Luis R. Patino, MD, MSc

Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht

Jean-Paul Selten, MD, PhD, Herman Van Engeland, MD, PhD, Jan H. M. Duyx, MD and Rene S. Kahn, MD, PhD

Department of Psychiatry, University Medical Center, Utrecht

Huibert Burger, MD, PhD

Julius Center for Helath Sciences and Primary Care, University Medical Center, Utrecht, The Netherlands

Correspondence: Dr Huibert Burger, Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, PO Box 85500, 3508 GA, Utrecht, The Netherlands.Tel: +3130 250 7280; fax: fax: +31 30 250 5480; e-mail: H.Burger{at}umcutrecht.nl

Declaration of interest None.

ABSTRACT

A cross-sectional study of 3426 referred children and adolescents showed that the presence of both migration history and family dysfunction was associated with a fourfold (95% CI 2–9) higher risk of psychotic symptoms compared with the absence of these factors. The relative risk was 2 (95% CI 1–4) for migration history only. Interaction between migration history and family dysfunction accounted for 58% (95% CI 5–91%) of those with psychotic symptoms. These results suggest a relationship between family dysfunction and migration in the development of psychosis.




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Copyright © 2005 The Royal College of Psychiatrists.