1. Objectifs

Intentions :
«[W]e sought to study 2-year symptomatic and functional outcome, as well as service use, of immigrants compared with non-immigrants in FEP [first-episode psychosis].» (p. 2)

2. Méthode

Échantillon/Matériau :
«A 2-year prospective longitudinal cohort study took place in two urban early intervention services (EIS) in the University of Montreal’s network of early psychosis intervention programmes in Montreal, Quebec, Canada. [The sample includes] non-immigrants (n = 120), first-generation immigrants (FGI) (n = 56), SGI (n = 38) and mixed SGI (one immigrant parent and one non-immigrant parent) (n = 9).» (p. 2)

Instruments :
Questionnaires

Type de traitement des données :
Analyse statistique

3. Résumé

«[D]ifferences were generally found in FGI [first-generation immigrant] attending more to their education and having less SUD [substance use disorder], and SGI [second-generation immigrant] more likely to be living with their families. This could probably be explained by immigrants’ more traditional cultural values, such as family support, valorization of work/education and drugs being considered morally wrong.» (p. 6) «[A]t 24 months, FGI showed more depressive symptoms than SGI. This could be related to insufficient social/familial support in the stressful context of coping with both the burden of illness and recent immigration status, for FGI who immigrated alone and often find themselves isolated. [W]e showed that SGI had less history of homelessness and were more likely to be living with their families at baseline, 12-month and 24-month follow-ups, as shown previously. Lack of social support in FGI compared with SGI having greater family support and possibly more relationships and greater community integration may […] explain homelessness when psychosis emerges in FGI. On the contrary, immigrants, especially second generation, were more likely to live with their parents. Indeed, in many cultures, young people are expected to stay at their parents’ home until they marry (or even beyond) or form their own family.» (p. 7)