Gender Differences in Characteristics and Service Use of Public Mental Health Patients With Schizophrenia

Lindamer, Laurie A.; Bailey, Anne; Hawthorne, William; Folsom, David P.; Gilmer, Todd; Garcia, Piedad; Hough, Richard L.; Jeste, Dilip V.

doi:10.1176/appi.ps.54.10.1407

Cited by 51 publications

(38 citation statements)

References 4 publications

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“…Although the observed differences in symptoms and functioning did not remain significant after Bonferroni correction for multiple comparisons, they were exactly as predicted a priori, and they support the large literature in the field indicating that there are differences in the clinical presentation of male and female participants with psychotic disorders (Angermeyer, Kühn, & Goldstein, 1990;Bardenstein & McGlashan, 1990;DeLisi et al, 1989;Goldstein & Link, 1988;Grossman et al, 2006;Hambrecht et al, 1992;Lindamer et al, 2003;Shtasel et al, 1992;Usall et al, 2003). These findings suggest that underlying differences may predate the onset of psychosis.…”

Section: Discussionsupporting

confidence: 72%

“…Studies have consistently shown there are gender differences in age of onset, severity of negative symptoms, long-term functioning and social support for patients with schizophrenia (Angermeyer, Kühn, & Goldstein, 1990;Bardenstein & McGlashan, 1990;DeLisi et al, 1989;Goldstein & Link, 1988;Grossman et al, 2006;Hambrecht et al,1992;Lindamer et al, 2003;Shtasel et al, 1992;Usall et al, 2003). Some of these differences have also been observed in individuals with schizotypal personality disorder and other schizophrenia spectrum disorders Gurrera et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Gender differences in symptoms, functioning and social support in patients at ultra-high risk for developing a psychotic disorder

Willhite

Niendam

Bearden

et al. 2008

Schizophrenia Research

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Gender differences have been widely observed in the clinical presentation, psychosocial functioning and course of illness in first episode and chronic patients suffering from schizophrenia. However, little is known about gender differences in the psychosis prodrome. This study investigated gender differences in symptoms, functioning and social support in individuals at ultra-high-risk for developing a psychotic disorder. Sixty-eight ultra-high-risk patients were assessed at baseline, and twenty-seven returned for follow-up assessments approximately six and twelve months later. Clinical symptoms and functioning were assessed by clinical interview; social support was measured using a self-report questionnaire. There were no gender differences in demographic variables, symptoms or functioning at baseline. Males were found to have significantly higher levels of negative symptoms and marginally lower levels of functioning when baseline and follow-up time points were considered collectively. Additionally, females reported higher levels of social support at baseline. Differences in negative symptoms were found to mediate differences in functioning between male and female patients. This study suggests that gender based differences in symptom presentation and functional outcome may predate conversion to psychosis. Follow-up studies should examine the relationship between symptoms, functioning and social support in this population.

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Section: Discussionsupporting

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Gender differences in symptoms, functioning and social support in patients at ultra-high risk for developing a psychotic disorder

Willhite

Niendam

Bearden

et al. 2008

Schizophrenia Research

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“…Some studies assess psychotic disorders without distinguishing schizophrenia from other psychotic disorders and conclude that a higher number of women use mental health services than men 16,17 . When making such a distinction, we have found that prevalence of schizophrenia in men is higher than the prevalence in women, whereas other psychotic disorders show an inverted prevalence with respect to gender.…”

Section: Discussionmentioning

confidence: 99%

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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“…Males more often have an earlier onset, show a lower premorbid level of functioning, have more negative and less affective symptoms and more often face a poor outcome compared to females (Foerster et al, 1991;Hafner, 2003;Lindamer et al, 2003;Preston et al, 2002;Salokangas et al, 2003;Usall et al, 2003). Although differences in prognosis between males and females with psychoses are well known, few studies compare outcome between males and females with psychosis in the long term.…”

Section: Introductionmentioning

confidence: 99%

Gender differences in the prediction of 5‐year outcome in first episode psychosis

Mattsson

Flyckt

Edman

et al. 2007

Int J Methods Psych Res

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Gender Differences in Characteristics and Service Use of Public Mental Health Patients With Schizophrenia

Cited by 51 publications

References 4 publications

Gender differences in symptoms, functioning and social support in patients at ultra-high risk for developing a psychotic disorder

Gender differences in symptoms, functioning and social support in patients at ultra-high risk for developing a psychotic disorder

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

Gender differences in the prediction of 5‐year outcome in first episode psychosis

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