Gender Differences of Young Adults With Schizophrenic Disorders in Community Care

Test, Mary Ann; Burke, Suzanne Senn; Wallisch, Lynn S.

doi:10.1093/schbul/16.2.331

Cited by 101 publications

(86 citation statements)

References 30 publications

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“…We found that in the total sample of patients with schizophrenia, men have a higher probability of being admitted while there are no differences in the number of admitted patients and in the length of hospitalisations. Similar results have been described previously 18,19 .…”

Section: Discussionsupporting

confidence: 93%

Gender differences in the use of mental health services in a Barcelona area

et al. 2012

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-Background and Objectives:The exploration of the use of specialised mental health services and the prevalence of mental disorders recorded by these services is important when planning and adapting the various mental health services to real users' needs. The fact of being a woman has repeatedly proved to be a predicting factor for higher service use and this could imply than such needs may vary according to gender. The objectives of our study are: to analyse the attended prevalence in both out-patient and hospital services data as per diagnoses according to gender, and to analyse the use of hospital care services with respect to diagnoses according to gender.Methods: The sample for this observational and retrospective study (n = 65,465) is comprised of everyone who visited any of the Sant Joan de Déu-SSM mental health services between 2002 and 2007. Main measures: total number of consultations, and number and length of hospitalisations.Results: Women presented higher attended prevalence. Men show a higher risk of a first hospitalisation and longer length of admissions. Among the group of admitted patients, the number of women is higher. With regard to diagnosis, gender influences the attended prevalence. Regarding hospitalisation, we find differences in patients with schizophrenia and other mood disorders.Conclusions: The main result is that women have a higher attended prevalence of mental disorders than men. In the total sample, women have a higher number of hospitalisa-GENDER DIFFERENCES IN THE USE OF MENTAL HEALTH SERVICES... 31

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Section: Discussionsupporting

confidence: 93%

Gender differences in the use of mental health services in a Barcelona area

et al. 2012

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“…The most important difference was found in the independence life area, which is the one that refers to aspects of occupational functioning. Most of the studies that have assessed differences in social functioning in patients with schizophrenia regarding gender have also found a better functioning in women, including those assessing functioning with sociodemographic data 18,19 and those using specific scales as the Disability Assessment Scale (DAS-sv) 20 . In the same line of evidence, Usall 21 found significant differences between men and women in occupational functioning.…”

Section: Discussionmentioning

confidence: 99%

Influence of age at onset on social functioning in outpatients with schizophrenia

et al. 2006

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SPAINABSTRACT -Background and Objectives: There are different factors that have been found to predict disability in schizophrenia. The aim of our study is to evaluate the influence of age at onset on social functioning in schizophrenia in a large sample of schizophrenic outpatients controlling for gender.Methods: Two hundred and thirty-one subjects with schizophrenia (DSM-IV criteria) were randomly selected from a register that included all patients under treatment in five mental health care centers (MHCC) in Spain. Patients were evaluated with a sociodemographic and clinical questionnaire, and the Spanish version of the Living Skills Profile (LSP). Pearson's analyses were performed between age at onset and LSP, and an ANOVA analysis to compare three groups of age at onset (early, middle and late). Gender was introduced as a covariable.Results: Mean age at onset of the total sample was 23 (sd 7.35), with women having a later age at onset than men (women 24.6 (sd 9.1) ; men 22.2 (sd 5.9) (p<0.05)). The relation between age at onset and social functioning was only significant in the not interpersonal social behavior subscale (p<0.01). Early age at onset was positively related to social contact-communication (p<0.05), not interpersonal social behavior (p<0.05) and total LSP score (p<0.05). When including gender as a covariable, a significant relationship between age at onset and social functioning was found in most of the LSP subscales.Conclusions: Early onset of illness negatively influences psychosocial functioning, especially in the areas of communication, not interpersonal social behaviour and self-care. Female gender positively influences most aspects of social functioning.

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“…Ainsi, l'augmentation du répertoire d'habiletés qu'ont les patients pour composer avec les stresseurs est un des aspects essentiels de la réadaptation psychiatrique. Plusieurs études ont démontré que les répertoires d'habiletés varient en fonction du sexe, du diagnostic et du degré de chronicité des patients (Bellack et al, 1989;Childers et Harding, 1990;Test et al, 1990). …”

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“…Les autres items concernant la cuisson des aliments, l'épicerie et l'entreposage des aliments n'ont pu être évalués pour la majorité des participants, ceux-ci étant hospitalisés et n'ayant pas l'occasion d'exercer ces habiletés. Soulignons en outre que les différences significatives obtenues entre les différents groupes de personnes vont dans le sens des travaux de recherche antérieurs, qui ont démontré que les femmes possèdent un répertoire d'habiletés plus vaste que les hommes (Childers et Harding, 1990), que les personnes diagnostiquées comme schizophrènes ont moins d'habiletés que les autres groupes diagnostiqués (Bellack et al, 1989;Test et al, 1990 et que les personnes hospitalisées à long terme possèdent moins d'habiletés pour mener une vie autonome.…”

Section: Analyse Factorielle Exploratoireunclassified

Évaluation des habiletés de vie autonome chez les personnes psychotiques

Cyr¹,

Toupin²,

Lesage³

2007

smq

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Ce texte détaille les caractéristiques métrologiques de l'Échelle des habiletés de Vie Autonome (EHVA) mesurant les habiletés requises chez des personnes psychotiques, pour fonctionner de façon autonome au sein de la communauté. Ce questionnaire, qui comprend 65 items répartis en dix échelles d'habiletés, a été administré à 276 personnes psychotiques. Les résultats indiquent que, dans l'ensemble, la fidélité de cet instrument est bonne, mesurée par l'accord interjuges et les coefficients alpha. Trois des 10 échelles, soit les échelles Déplacement, Recherche d'emploi et Maintien de l'emploi, n'ont pu être conservées dans la version finale. Les quatre aspects de la validité examinés dans cette étude se révèlent très satisfaisants; il s'agit du degré de convergence entre l'évaluation faite par les participants eux-mêmes et par un membre du personnel soignant, des analyses discriminantes, des corrélations convergentes-divergentes avec d'autres instruments de mesure du fonctionnement psychosocial et de l'analyse factorielle exploratoire. Après ces analyses, la version finale de l'EHVA comprend 48 items répartis sous sept échelles. La discussion fait ressortir les qualités psychométriques d'un tel instrument en langue française et suggère des pistes de recherche pour poursuivre le développement de l'EHVA.This article studies in detail the metrological characteristics of the "Autonomous Life Skills Test" ("Echelle des Habiletés de Vie Autonome" or "EHVA") which measures the skills required of psychotic patients to function on their own in the community. The questionnaire, distributed to 276 psychotic patients, made use of 10 parameters of skills broken down into 65 items. Results show that, overall, this instrument is quite reliable, as measured by the inter-rater reliability and alpha coefficients. Three of the ten parameters, namely Mobility, Employment Search and Employment Holding, were not retained in the final version. The four validity aspects were found to be very satisfactory, namely the degree of convergence between the participant's self-evaluation and the evaluation provided by healthcare personnel, (discriminating analysis), convergent-divergent correlations with other instruments measuring psychosocial functioning and the exploratory factorial analysis. Following these analysis, the final version of the "EHVA" includes 48 items covering seven parameters. A discussion of results underscores the psychometric qualities of such a French-language instrument and suggests avenues to pursue the development of the "EHVA"

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Gender Differences of Young Adults With Schizophrenic Disorders in Community Care

Cited by 101 publications

References 30 publications

Gender differences in the use of mental health services in a Barcelona area

Gender differences in the use of mental health services in a Barcelona area

Influence of age at onset on social functioning in outpatients with schizophrenia

Évaluation des habiletés de vie autonome chez les personnes psychotiques

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