Clinical, psychosocial, and neuropsychological evidences in an immigrants’ chronic patients’ sample in Italy

Author/s Claudia Spinosa, Laura Angioletti, Michela Balconi
Publishing Year 2020 Issue 2020/1
Language Italian Pages 22 P. 221-242 File size 258 KB
DOI 10.3280/RIP2020-001010
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The main aims of this study are to explore the psychosocial and neuropsychological state of health of immigrant patients with chronic disease in Italy, and the development of a first multidimensional neuropsychological screening model for the immigrant population, to promote the validation of a standardized set of tests for populations with different cultural backgrounds. A total of 80 chronic patients were enrolled in the study, including 44 regular immigrant patients and 36 Italian patients (control sample). The multidimensional screening was administered only to participants who demonstrated an adequate level of understanding and production of the Italian language and it was based on three sections: (i) psychosocial evaluation, (ii) neuropsychological assessment and (iii) a semi-structured interview. The first section includes psychosocial scales aimed at investigating basic language skills, health status, perceived social support, the degree of daily perceived discrimination, the socio-economic status and the presence of comorbidity with other clinical disorders. The second section consists of a battery of neuropsychological tests evaluating global cognitive functioning. The semi-structured interviews were recorded and analysed with the method of the agreement between the judges. Psychosocial findings showed that chronic immigrant patients are significantly younger than Italians, perceive greater discrimination and less social support, especially by the family, than Italian patients. Neuropsychological data showed that the chronic immigrant sample appears to be cognitively vulnerable, particularly in short-term auditory-verbal memory and non-verbal abstract reasoning, compared to the Italian sample. The analysis of the interviews reveals some differences were found for the topics referred by all patients, such as, the experience within the outpatient and/or hospital services, that the foreign chronic sample describes as better than the Italian sample.

Keywords: Chronic disease, immigrants, multidimensional evaluation, quali-quantitative research, neuropsychological screening.

  1. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Washington, D.S.
  2. Ambrosetti, E. (2009). The Impact of the Economic Crisis on Migrations Flows between Italy and North Africa. CARIM Analytic and Synthetic Notes, Vol. 36.
  3. Anderson, J. M. (1987). Migration and health: perspectives on immigrant women. Sociology of Health & Illness, 9(4), 410-438.
  4. Angioletti, L., Bossola, M., De Filippis, D., & Balconi, M. (2018). Lived experiences of patients on hemodialytic treatment: A discursive perspective on fatigue and mo t iv a t io n a l i s s u e s . Health Psychology Open, 5(2) , 1-10. DOI: 10.1177/2055102918809761
  5. Angioletti, L., Spinosa, C., Bossola, M., Fadelli, S., Villa, A. M., Sabbatini, F., & Balconi, M. (2020). Italians and immigrants’ chronic patients’ representation of health and medical care: a semantic and discourse analysis approach. Neuropsychological Trends, 27, in press.
  6. Apolone, G., & Mosconi, P. (1998). The Italian SF-36 Health Survey. Journal of Clinical Epidemiology, 51(11), 1025-1036.
  7. Balconi, M., Angioletti, L., De Filippis, D., & Bossola, M. (2019). Association between fatigue, motivational measures (BIS/BAS) and semi-structured psychosocial interview in hemodialytic treatment. BMC Psychology, 7(1), 1-11.
  8. Bauder, H. (2003). “Brain abuse”, or the devaluation of immigrant labour in Canada. Antipode.
  9. Bossola, M., Angioletti, L., Stasio, E. Di, Vulpio, C., De Filippis, D., Balconi, M., Vulpio, C. (2019). Reward ( BIS / BAS ) mechanisms and fatigue in patients on chronic hemodialysis. Psychology, Health & Medicine, 1-9. DOI: 10.1080/13548506.2019.1653477
  10. Buja, A., Gini, R., Visca, M., Damiani, G., Federico, B., Francesconi, P., Donato, D., Marini, A., Donatini, A., Brugaletta, S. Baldo, V., Bellentani, M. (2013).
  11. Prevalence of chronic diseases by immigrant status and disparities in chronic disease management in immigrants: A population-based cohort study, Valore Project. BMC Public Health, 13(1). DOI: 10.1186/1471-2458-13-504
  12. Bunker, S. J., Colquhoun, D. M., Esler, M. D., Hickie, I. B., Hunt, D., Jelinek, V. M., Oldenburg, B.F., Peach, G.H., Ruth,D., Tennant, C.C., Tonkin, A. M. (2003). “Stress” and coronary heart disease: psychosocial risk factors. Medical Journal of Australia.
  13. Caffarra, P., Vezzadini, G., Dieci, F., Zonato, F., & Venneri, A. (2002). Una versione abbreviata del test di Stroop: Dati normativi nella popolazione Italiana. Nuova Rivista Di Neurologia, 12(4), 111-115.
  14. Chen, J., Wilkins, R., & Ng, E. (1996). Health expectancy by immigrant status, 1986 and 1991. Health Reports / Statistics Canada, Canadian Centre for Health Information = Rapports Sur La Sante / Statistique Canada, Centre Canadien d’information Sur La Sante.
  15. Comijs, H. C., Kriegsman, D. M. W., Dik, M. G., Deeg, D. J. H., Jonker, C., & Stalman, W. A. B. (2009). Somatic chronic diseases and 6-year change in cognitive functioning among older persons. Archives of Gerontology and Geriatrics, 48(2), 191-196.
  16. Cova, I., Del Tedesco, F., Maggiore, L., Pantoni, L., & Pomati, S. (2019). Cognitive disorders in migrants: retrospective analysis in a Center for Cognitive Disorders and Dementia in Milan. Aging Clinical and Experimental Research, 4-7.
  17. Croxson, S. C. M., & Jagger, C. (1995). Diabetes and cognitive impairment: A community-based study of elderly subjects. Age and Ageing, 24(5), 421-424.
  18. Daker-White, G., Beattie, A. M., Gilliard, J., & Means, R. (2002). Minority ethnic groups in dementia care: A review of service needs, service provision and models of good practice. Aging and Mental Health, Vol. 6, pp. 101-108.
  19. De Luca, G., Ponzo, M., & Andres, A. R. (2013). Health care utilization by immigrants in Italy. International Journal of Health Care Finance and Economics, 13(1), 1-31.
  20. Di Napoli, A., Gatta, R., Rossi, A., Perez, M., Costanzo, G., Mirisola, C., & Petrelli, A. (2017). Perceived discrimination at work for being an immigrant: A study on self-perceived mental health status among immigrants in Italy. In Epidemiologia e Prevenzione (Vol. 41, pp. 33-40). DOI: 10.19191/EP17.3-4S1.P033.063
  21. Elliott, S. J., & Gillie, J. (1998). Moving experiences: A qualitative analysis of health and migration. Health and Place. DOI: 10.1016/S1353-8292(98)00029-X
  22. Gipson, D. S., Hooper, S. R., Duquette, P. J., Wetherington, C. E., Stellwagen, K.
  23. K., Jenkins, T. L., & Ferris, M. E. (2006). Memory and executive functions in pediatric chronic kidney disease. Child Neuropsychology, 12(6), 391-405. DOI: 10.1080/09297040600876311
  24. Groothoff, J. W., Grootenhuis, M. A., Offringa, M., Gruppen, M. P., Korevaar, J.C., & Heymans, H. S. A. (2003). Quality of life in adults with end-stage renal disease since childhood is only partially impaired. Nephrology Dialysis Transplantation, 18(2), 310-317.
  25. Grossi, G., Soares, J. J. F., Angesleva, J., & Perski, A. (1999). Psychosocial correlates of long-term sick-leave among patients with musculoskeletal pain. Pain, 80(3), 607-620. DOI: 10.1016/S0304-3959(98)00253-X
  26. Hanna, J. M. (1998). Migration and acculturation among Samoans: Some sources of stress and support. Social Science and Medicine, 46(10), 1325-1336. DOI: 10.1016/S0277-9536(97)10065-X
  27. Hopman, W. M., Harrison, M. B., Coo, H., Friedberg, E., Buchanan, M., & Vandenkerkhof, E. G. (2009). Associac de dca cronica(nao so DRC) com idade, saude fisica e mental.pdf. 29(2), 108-117.
  28. Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content a n a l y s i s . Qual i tat i ve Heal t h Re search, 15(9), 127-1288. DOI: 10.1177/1049732305276687
  29. Lindert, J., Schouler-Ocak, M., Heinz, A., Priebe, S. (2008). Mental health, health care utilisation of migrants in Europe. European Psychiatry, 23(1), 14-20.
  30. Kaplan, R. M., Criqui, M. H., Denenberg, J. O., Bergan, J., & Fronek, A. (2003). Quality of life in patients with chronic venous disease: San Diego population s t u d y . J o u r n a l o f V a s c u l a r S u r g e r y, 37(5), 1047-1053.
  31. Kim, G., Sellbom, M., & Ford, K. L. (2014). Race/ethnicity and measurement equivalence of the Everyday Discrimination Scale. Psychological Assessment, 26(3), 892-900.
  32. Lincoln, Y. S., & Guba, E. G. (1985). Naturalistic injuiry. In Volume 75.
  33. Lock, M. (1991). Nerves and Nostalgia. Greek-Canadian Immigrants and Medical Care in Quebec. Anthropologies of Medicine, 7(91), 87-103.
  34. Matuk, L. C. (1996). Health status of newcomers. Canadian Journal of Public Health, 87(1), 52-55.
  35. Measso, G., Grigoletto, F., Zappala, G., Massari, D., Cavarzeran, F., Lebowitz, B. D., Crook, T.H., Pirozzolo, J.F., Amaducci, L. A., Massari, D., & Grigoletto
  36. F. (1993). The Mini-Mental State Examination: Normative Study of An Italian Random Sample. Developmental Neuropsychology, 9(2), 77-85. DOI: 10.1080/8756564910954054
  37. Newbold, K. B. (2006). Chronic conditions and the healthy immigrant effect: Evidence from Canadian immigrants. Journal of Ethnic and Migration Studies, 32(5), 765-784. DOI: 10.1080/13691830600704149
  38. Oppedal, B., Roysamb, E., & Sam, D. L. (2004). The effect of acculturation and social support on change in mental health among young immigrants. International Journal of Behavioral Development, 28(6), 481-494. DOI: 10.1080/01650250444000126
  39. Parmalee, P., Thuras, P. D., Katz, I. R., & Lawton, M. P. (1995). Validation of the Cumulative Illness Rating Scale in a Geriatric Residential Population. Journal of the American Geriatrics Society, 43(2), 130-137.
  40. Saldov, M. (1991). The Ethnic Elderly: Communication Barriers to Health Care. Canadian Social Work Review, 8(2), 269-277.
  41. Schneider, S. M., Kielstein, J. T., Braverman, J., & Novak, M. (2015). Cognitive Function in Patients With Chronic Kidney Disease: Challenges in Neuropsychological Assessments. Seminars in Nephrology, 35(4), 304-310.
  42. Singer, M. A., Hopman, W. M., & Mackenzie, T. A. (1999). Physical functioning and mental health in patients with chronic medical conditions. Quality of Life Research, 8(8), 687-691. DOI: 10.1023/A:1008917016998
  43. Sottini, D., Benedetti, L., Comincini, F., Mangerini, E., El Hamad, I., Provasi, M., Maestrelli, R. (2011). Valutazione dei rischi per la sicurezza e la salute con riferimento alla provenienza da altri Paesi. Brescia.
  44. Spinnler, H., & Tognoni, G. (1987). Standardizzazione e Taratura Italiana di Test Neuropsicologici. I n The Italian Journal of Neurological Sciences (Suppl.8/to). Milano: Masson Italia Periodici, Milano.
  45. Williams, D. R. (1997). Race and health: Basic questions, emerging directions. Annals of Epidemiology, 7(5), 322-333. DOI: 10.1016/S1047-2797(97)00051-3
  46. Williams, D. R., & Mohammed, S. A. (2009). Discrimination and racial disparities in health: Evidence and needed research. Journal of Behavioral Medicine, 32(1), 20-47.
  47. Zammit, A. R., Katz, M. J., Lai, J. Y., Zimmerman, M. E., Bitzer, M., & Lipton, R. B. (2015). Association between Renal Function and Cognitive Ability Domains in the Einstein Aging Study: A Cross-Sectional Analysis. Journals of Gerontology - Series A Biological Sciences and Medical Sciences, 70(6), 764–770.
  48. Zimet, G. D., Dahlem, N. W., Zimet, S. G., Gordon, K., & Farley, G. K. (1998). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1)(1), 30-41.

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Claudia Spinosa, Laura Angioletti, Michela Balconi, Evidenze cliniche, psicosociali e neuropsicologiche su un campione di pazienti cronici immigrati in Italia in "RICERCHE DI PSICOLOGIA " 1/2020, pp 221-242, DOI: 10.3280/RIP2020-001010