title: Occupation and first episode psychosis in Northern Italy: better outcomes for migrants.
abstract: Many studies show that migrants have a higher incidence of psychosis compared to natives, but the influence of migration on psychosis outcomes is little investigated. We aimed to evaluate the occupational outcomes of a first episode psychosis (FEP) sample in Bologna (Northern Italy).
  
  
  
  An incidence cohort of FEP patients presenting at the Bologna West Community Mental Health Centers between 2002 and 2009 was assessed at the baseline and at 12th month follow-up. Return to school or work was used as occupational outcome.
  
  
  
  Most of the patients (82.8%) were still in contact at 12 months. Migrants showed significantly higher rate of return to work compared to natives (adjusted OR 4.45, 95% CI 1.55-12.76).
  
  
  
  First generation migrants had better occupational outcomes. Further cross-cultural studies are needed to further explain these findings.
authors.affiliation: Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.|Department of Mental Health and Pathological Addictions, Local Health Trust, Bologna, Italy.|Institute of Psychiatry, Psychology & Neuroscience King's College, London, UK.
authors.forename: Ilaria
authors.initials: I
authors.lastname: Tarricone
authors.affiliation: Institute of Psychiatry, Psychology & Neuroscience King's College, London, UK.
authors.forename: Craig
authors.initials: C
authors.lastname: Morgan
authors.affiliation: Institute of Psychiatry, Psychology & Neuroscience King's College, London, UK.
authors.forename: Jane
authors.initials: J
authors.lastname: Boydell
authors.affiliation: Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
authors.forename: Serena
authors.initials: S
authors.lastname: Panigada
authors.affiliation: Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
authors.forename: Raffaele
authors.initials: R
authors.lastname: Morigi
authors.affiliation: Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.|Department of Mental Health and Pathological Addictions, Local Health Trust, Bologna, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Braca
authors.affiliation: Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
authors.forename: Enrico
authors.initials: E
authors.lastname: Sutti
authors.affiliation: Department of Mental Health and Pathological Addictions, Local Health Trust, Bologna, Italy.
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Boldri
authors.affiliation: Institute of Psychiatry, Psychology & Neuroscience King's College, London, UK.
authors.forename: Marta
authors.initials: M
authors.lastname: Di Forti
authors.affiliation: Institute of Psychiatry, Psychology & Neuroscience King's College, London, UK.
authors.forename: Robin M
authors.initials: RM
authors.lastname: Murray
authors.affiliation: Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.|Department of Mental Health and Pathological Addictions, Local Health Trust, Bologna, Italy.
authors.forename: Domenico
authors.initials: D
authors.lastname: Berardi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D009790:Occupations / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D011618:Psychotic Disorders / Q000453:epidemiology* / Q000523:psychology*; D014171:Transients and Migrants / Q000523:psychology* / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: First episode psychosis; migrants; occupational outcomes; psychosis course