Evidence map›Paper›PMID 35101158›Full record

ArticleBJPsych open2022

Gender differences in quality of life and the course of schizophrenia: national study.

Anat Rotstein, Efrat Shadmi, David Roe, Marc Gelkopf, Stephen Z Levine

Abstract read
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Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Anat RotsteinDepartment of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Israel.ORCID https://orcid.org/0000-0001-8634-9577
Efrat ShadmiCheryl Spencer Department of Nursing, Faculty of Social Welfare and Health Sciences, University of Haifa, Israel.
David RoeDepartment of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Israel.
Marc GelkopfDepartment of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Israel.
Stephen Z LevineDepartment of Community Mental Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Israel.ORCID https://orcid.org/0000-0002-5544-0420

Funding

Israel Ministry of Health the Laszlo N. Tauber Family Foundation
6 · The paper itself

Abstract

backgroundEvidence from various sources suggests that females with schizophrenia tend to report lower quality of life than males with schizophrenia despite having a less severe course of the disorder. However, studies have not examined this directly.

aimsTo examine gender differences in the association between quality of life and the risk of subsequent psychiatric hospital admissions in a national sample with schizophrenia.

methodThe sample consisted of 989 (60.90%) males and 635 (39.10%) females with an ICD-10 diagnosis of schizophrenia. Quality of life was assessed and scored using the Manchester Short Assessment of Quality of Life. The course of schizophrenia was assessed from the number of psychiatric hospital admissions. Participants completed the quality of life assessment and were then followed up for 18-months for subsequent psychiatric admissions. Hazard ratios (HR) from Cox proportional hazards regression models were estimated unadjusted and adjusted for covariates (age at schizophrenia onset and birth year). Analyses were computed for males and females separately, as well as for the entire cohort.

resultsA subsample of 93 males and 55 females was admitted to a psychiatric hospital during follow-up. Higher quality of life scores were significantly (P < 0.05) associated with a reduced risk of subsequent admissions among males (unadjusted: HR = 0.96, 95% CI 0.93-0.99; adjusted HR = 0.96, 95% CI 0.93-0.99) but not among females (unadjusted: HR = 0.97, 95% CI 0.93-1.02; adjusted HR = 0.97, 95% CI 0.93-1.02).

conclusionsQuality of life in schizophrenia is a gender-specific construct and should be considered as such in clinical practice and future research.

Indexed as

EpidemiologyfemalesmalesManchester Short Assessment of Quality of Lifenational registry data

Identifiers

PMID35101158
PMCPMC8867859

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