{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T19:34:07Z","timestamp":1777750447137,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,5,21]],"date-time":"2023-05-21T00:00:00Z","timestamp":1684627200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Migration is a robust risk factor for developing a psychotic disorder, yet there is a paucity of research on the outcomes of migrants who develop a psychotic disorder. Identifying sub-groups within FEP cohorts who have a poorer outcome, could assist in the development and delivery of more targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>There is a paucity of research on the outcomes of migrants who develop a psychotic disorder. This study aimed to evaluate a broad range of outcomes for those with a FEP who migrated to the Republic of Ireland, including: (i) symptomatic; (ii) functional; (iii) hospitalisation and (iv) engagement with psychosocial services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All individuals with a FEP aged 18 to 65 who presented between 01.02.2006 and 01.07.2014 were included. Structured and validated instruments were used to measure positive, negative, depressive symptoms and insight.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 573 individuals with a FEP, 22.3% were first-generation migrants and 63.4% ( n\u2009=\u2009363) were followed up at 1\u2009year. At this time, 72.4% of migrants were in remission of positive psychotic symptoms compared to 78.5% of the Irish born ( OR\u2009=\u20090.84, 95% CI [0.50\u20131.41], p\u2009=\u2009.51). In relation to negative symptoms, 60.5% of migrants were in remission compared to 67.2% of the Irish born ( OR\u2009=\u20090.75, 95% CI [0.44\u20131.27], p\u2009=\u2009.283). There was no difference in the severity of positive, negative or depressive symptoms between groups and there was a trend for the Irish born to have better insight ( p\u2009=\u2009.056). The functional outcomes were similar across groups. One third of migrants were admitted to hospital compared to 28.7% of the Irish born ( OR\u2009=\u20091.24, 95% CI [0.73\u20132.13], p\u2009=\u2009.426). Just over half of both groups attended CBT and 46.2% of caregivers for migrants attended the psychoeducation programme, compared to 39.7% for the Irish born ( OR\u2009=\u20091.30, 95% CI [0.79\u20132.16], p\u2009=\u2009.306).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>These findings demonstrate that migrants have broadly similar outcomes to the native-born populations, however there is still considerable scope for the outcomes for all individuals affected by psychotic disorders to be improved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640231174360","type":"journal-article","created":{"date-parts":[[2023,5,22]],"date-time":"2023-05-22T00:44:30Z","timestamp":1684716270000},"page":"1617-1625","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes 1\u2009year after a first episode of psychosis in migrants to the Republic of Ireland"],"prefix":"10.1177","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6240-6952","authenticated-orcid":false,"given":"Brian","family":"O\u2019Donoghue","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University College Dublin, Ireland"},{"name":"Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland"},{"name":"Centre for Youth Mental Health, University of Melbourne, Parkville VIC, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Roche","sequence":"additional","affiliation":[{"name":"Cluain Mhuire Mental Health Services, Newtownpark Avenue, Blackrock, Co. Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Lyne","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Royal College of Surgeons in Ireland, Dublin, Ireland"},{"name":"Wicklow Mental Health Services, Newcastle Hospital, Greystones, Co. Wicklow, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laoise","family":"Renwick","sequence":"additional","affiliation":[{"name":"Division of Nursing, Midwifery and Social Work, Faculty of Biology, Medicine and Health, University of Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Clarke","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University College Dublin, Ireland"},{"name":"DETECT Early Intervention for Psychosis Service, Blackrock, Co. Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,21]]},"reference":[{"key":"bibr1-00207640231174360","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12302"},{"key":"bibr2-00207640231174360","doi-asserted-by":"publisher","DOI":"10.1177\/070674370905401008"},{"key":"bibr3-00207640231174360","volume-title":"The scale for the assessment of negative symptoms","author":"Andreasen N. C.","year":"1984"},{"key":"bibr4-00207640231174360","volume-title":"Scale for the assessment of positive symptoms (SAPS)","author":"Andreasen N. 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