title: [Migration as a burdening factor for schizoaffective relapse].
abstract: OBJECTIVE
  Migrants do not always realize the burden of migration. Earlier negative personal experiences may gain relevance later in life, even in a new cultural or life context. This case report gives an example of different relevant factors, e.g. culture and living conditions, for the course of mental illness.
  
  
  METHODS
  We report on a female Brazilian patient, aged 37, suffering from schizoaffective psychosis with recurrent episodes. Obviously, stressful life events, the difficult relationship to her father and the expectations of her family were the trigger for psychotic episodes.
  
  
  RESULTS
  The process and background of migration has to be considered to better understand the patient's situation and to optimize treatment. Biological, personal, cultural and life experiences are relevant aspects for relapse prevention.
  
  
  CONCLUSIONS
  Migrants may be confronted with disadvantages resulting from cultural and communicative difficulties as an additive burden. Support from complementary health care is necessary to prevent further social isolation.
authors.affiliation: LWL-Klinik Bochum, Psychiatrie, Psychotherapie, Psychosomatik, Präventivmedizin, Ruhr-Universität Bochum, Bochum.
authors.forename: Florian
authors.initials: F
authors.lastname: Balkau
authors.forename: Georg
authors.initials: G
authors.lastname: Juckel
authors.forename: Hans-Jörg
authors.initials: HJ
authors.lastname: Assion
mesh_terms: D000069:Acculturation; D000328:Adult; D001938:Brazil / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000523:psychology*; D005006:Ethnicity / Q000523:psychology*; D005260:Female; D005858:Germany; D006801:Humans; D008016:Life Change Events; D019303:Multilingualism; D011618:Psychotic Disorders / Q000175:diagnosis / Q000208:ethnology* / Q000523:psychology; D012008:Recurrence; D012307:Risk Factors; D012931:Social Environment