Opinion EDITORIAL A Finding of Increased Risk of Nonaffective Psychosis in Refugees That Is Highly Relevant to the Current Worldwide Refugee Crisis Kristina Sundquist, MD, PhD In this issue of JAMA Psychiatry, Brandt et al present what is, also acknowledge that seeking patterns and access to psychi- to my knowledge, the first systematic review and meta- atric care may differ between different population groups in analysis of the risk of nonaffective psychosis in first-generation society. They therefore state that any conclusions from the and second-generation refugees. The nonaffective psychoses in- study must take into account characteristics of the host coun- clude schizophrenia, schizoaf- tries and that social, cultural, economic and political factors fective disorders, and schizo- relevant for the interaction between refugee status and psy- Related article phreniform disorders (and chiatric health may differ between different host countries. I exclude affective psychoses, such as in depression, mania, and am inclined to agree with Brandt et al ; however, because the bipolar disorder), and the results showed significant and con- risk of nonaffective psychoses in refugees was significantly sistent increases in relative risks among refugees (1.39 [95% CI, increased (both compared with nonrefugee migrants and the 1.23-1.58] and 2.41 [95%
JAMA Psychiatry – American Medical Association
Published: Nov 14, 2019
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