Exploring parenthood in first episode of psychosis: the potential role of the offspring in the outcome of women

IF 3.2 3区 医学 Q2 PSYCHIATRY Archives of Women's Mental Health Pub Date : 2024-03-21 DOI:10.1007/s00737-024-01457-x
Alexandre Díaz-Pons, Marina Soler-Andrés, Víctor Ortiz-García de la Foz, Nancy Murillo-García, Angel Yorca-Ruiz, Rebeca Magdaleno Herrero, Sergio Castaño-Castaño, Alexandre González-Rodríguez, Esther Setién-Suero, Rosa Ayesa-Arriola
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Abstract

Purpose

The study aimed to explore the role of parenthood at first episode of psychosis (FEP) on recovery, with a focus on potential sex differences.

Methods

Sociodemographic, clinical, and neurocognitive information was considered on 610 FEP patients form the PAFIP cohort (Spain). Baseline and three-year follow-up comparisons were carried out. Chi-square tests and ANCOVA analysis were performed controlling for the effect of age and years of education.

Results

Men comprised 57.54% of the sample, with only 5.41% having offspring when compared to 36.29% of women. Parenthood was related to shorter duration of untreated illness (DUI) in women with children (12.08 months mothers vs. 27.61 months no mothers), showing mothers better premorbid adjustment as well. Childless men presented the worst premorbid adjustment and the highest cannabis and tobacco consumption rates. Mothers presented better global cognitive function, particularly in attention, motor dexterity and executive function at three-year follow-up.

Conclusions

Diminished parental rates among FEP men could be suggested as a consequence of a younger age of illness onset. Sex roles in caregiving may explain the potential role of parenthood on premorbid phase, with a better and heathier profile, and a more favorable long-term outcome in women. These characteristics may be relevant when adjusting treatment specific needs in men and women with and without offspring.

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探讨首次精神病发作中的亲子关系:后代对女性结局的潜在作用。
目的:本研究旨在探讨精神病首次发作(FEP)时的父母身份对康复的影响,重点关注潜在的性别差异:方法:研究考虑了西班牙 PAFIP 队列中 610 名首次精神病发作患者的社会人口学、临床和神经认知信息。对基线和三年随访进行了比较。对年龄和受教育年限的影响进行了卡方检验和方差分析:结果:男性占样本的 57.54%,只有 5.41% 的男性有后代,而女性的这一比例为 36.29%。在有子女的女性中,为人父母与较短的未治疗疾病(DUI)持续时间有关(母亲为 12.08 个月,无子女母亲为 27.61 个月),这表明母亲的病前适应性也较好。无子女男性的病前适应能力最差,大麻和烟草消费率最高。在三年的随访中,母亲的整体认知功能较好,尤其是在注意力、动作灵活性和执行功能方面:结论:可以认为,在肥胖症男性患者中,育儿率降低是发病年龄较小的结果。护理中的性别角色可能解释了为人父母对发病前阶段的潜在作用,女性的情况更好、更健康,长期结果也更有利。在调整有后代和无后代的男性和女性的具体治疗需求时,这些特征可能具有相关性。
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来源期刊
Archives of Women's Mental Health
Archives of Women's Mental Health 医学-精神病学
CiteScore
8.00
自引率
4.40%
发文量
83
审稿时长
6-12 weeks
期刊介绍: Archives of Women’s Mental Health is the official journal of the International Association for Women''s Mental Health, Marcé Society and the North American Society for Psychosocial Obstetrics and Gynecology (NASPOG). The exchange of knowledge between psychiatrists and obstetrician-gynecologists is one of the major aims of the journal. Its international scope includes psychodynamics, social and biological aspects of all psychiatric and psychosomatic disorders in women. The editors especially welcome interdisciplinary studies, focussing on the interface between psychiatry, psychosomatics, obstetrics and gynecology. Archives of Women’s Mental Health publishes rigorously reviewed research papers, short communications, case reports, review articles, invited editorials, historical perspectives, book reviews, letters to the editor, as well as conference abstracts. Only contributions written in English will be accepted. The journal assists clinicians, teachers and researchers to incorporate knowledge of all aspects of women’s mental health into current and future clinical care and research.
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