Skip to main content
Top

21-03-2024 | Original Article

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

Authors: 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

Published in: Archives of Women's Mental Health

Login to get access

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.
Appendix
Available only for authorised users
Literature
go back to reference Cegalis J (1991) Vigil: Software for the assessment of attenttion. Nashua, NH: Forthought Cegalis J (1991) Vigil: Software for the assessment of attenttion. Nashua, NH: Forthought
go back to reference Crespo-Facorro B, Gonzalez-Blanch C, Pelayo-Teran JM (2005) Programa asistencial para las fases iniciales de psicosis de Cantabria (PAFIP). Masson Crespo-Facorro B, Gonzalez-Blanch C, Pelayo-Teran JM (2005) Programa asistencial para las fases iniciales de psicosis de Cantabria (PAFIP). Masson
go back to reference First MB, Gibbon M, Spitzer RL, Williams JBW, Benjamin LS (1997) Structured clinical interview for DSM-IV axis II personality disorders, (SCID-II). American Psychiatric Association, Washington, DC First MB, Gibbon M, Spitzer RL, Williams JBW, Benjamin LS (1997) Structured clinical interview for DSM-IV axis II personality disorders, (SCID-II). American Psychiatric Association, Washington, DC
go back to reference Janca A, Kastrup M, Katschnig H, López-Ibor JJ Jr, Mezzich JE, Sartorius N (1996) The World Health Organization Short Disability Assessment Schedule (WHO DAS-S): a tool for the assessment of difficulties in selected areas of functioning of patients with mental disorders. Social Psychiat Psychiatric Epidemiol 31(6):349–354. https://doi.org/10.1007/BF00783424 Janca A, Kastrup M, Katschnig H, López-Ibor JJ Jr, Mezzich JE, Sartorius N (1996) The World Health Organization Short Disability Assessment Schedule (WHO DAS-S): a tool for the assessment of difficulties in selected areas of functioning of patients with mental disorders. Social Psychiat Psychiatric Epidemiol 31(6):349–354. https://​doi.​org/​10.​1007/​BF00783424
go back to reference Jungbauer J, Stelling K, Kuhn J, Lenz A (2010) Wie erleben schizophren erkrankte Mütter und Väter ihre Elternschaft? Ergebnisse einer qualitativen Interviewstudie [How do mothers and fathers suffering from schizophrenia experience their parenthood? Results from an in-depth interview study]. Psychiatr Prax 37(5):233–239. https://doi.org/10.1055/s-0029-1223535CrossRefPubMed Jungbauer J, Stelling K, Kuhn J, Lenz A (2010) Wie erleben schizophren erkrankte Mütter und Väter ihre Elternschaft? Ergebnisse einer qualitativen Interviewstudie [How do mothers and fathers suffering from schizophrenia experience their parenthood? Results from an in-depth interview study]. Psychiatr Prax 37(5):233–239. https://​doi.​org/​10.​1055/​s-0029-1223535CrossRefPubMed
go back to reference Lezak M (1995) Neuropsychological Assessment. Oxford University Press Lezak M (1995) Neuropsychological Assessment. Oxford University Press
go back to reference Mendoza-García S, García-Mieres H, Lopez-Carrilero R, Sevilla-Lewellyn-Jones J, Birulés I, Barajas A, Lorente-Rovira E, Gutiérrez-Zotes A, Grasa E, Pousa E, Pelaéz T, Barrigón ML, González-Higueras F, Ruiz-Delgado I, Cid J, Montserrat R, Martin-Iñigo L, Moreno-Kustner B, Vila-Bbadía R, Díaz-Cutraro L, … Ochoa S (2022) Influence of Maternal and Paternal History of Mental Health in Clinical, Social Cognition and Metacognitive Variables in People with First-Episode Psychosis. J Personalized Med 12(10):1732. https://doi.org/10.3390/jpm12101732 Mendoza-García S, García-Mieres H, Lopez-Carrilero R, Sevilla-Lewellyn-Jones J, Birulés I, Barajas A, Lorente-Rovira E, Gutiérrez-Zotes A, Grasa E, Pousa E, Pelaéz T, Barrigón ML, González-Higueras F, Ruiz-Delgado I, Cid J, Montserrat R, Martin-Iñigo L, Moreno-Kustner B, Vila-Bbadía R, Díaz-Cutraro L, … Ochoa S (2022) Influence of Maternal and Paternal History of Mental Health in Clinical, Social Cognition and Metacognitive Variables in People with First-Episode Psychosis. J Personalized Med 12(10):1732. https://​doi.​org/​10.​3390/​jpm12101732
go back to reference Menghini-Müller S, Studerus E, Ittig S, Valmaggia LR, Kempton MJ, van der Gaag M, de Haan L, Nelson, B, Bressan RA, Barrantes-Vidal N, Jantac C, Nordentoft M, Ruhrmann S, Sachs G, Rutten BP, van Os J, Riecher-Rössler A, EU-GEI High Risk Study Group (2020). Sex differences in cognitive functioning of patients at-risk for psychosis and healthy controls: Results from the European Gene-Environment Interactions study. Eur Psychiat: J Assoc Eur Psychiat 63(1):e25. https://doi.org/10.1192/j.eurpsy.2019.10 Menghini-Müller S, Studerus E, Ittig S, Valmaggia LR, Kempton MJ, van der Gaag M, de Haan L, Nelson, B, Bressan RA, Barrantes-Vidal N, Jantac C, Nordentoft M, Ruhrmann S, Sachs G, Rutten BP, van Os J, Riecher-Rössler A, EU-GEI High Risk Study Group (2020). Sex differences in cognitive functioning of patients at-risk for psychosis and healthy controls: Results from the European Gene-Environment Interactions study. Eur Psychiat: J Assoc Eur Psychiat 63(1):e25. https://​doi.​org/​10.​1192/​j.​eurpsy.​2019.​10
go back to reference Nkire N, Scully PJ, Browne DJ, Baldwin PA, Kingston T, Owoeye O, Kinsella A, O’Callaghan E, Russell V, Waddington JL (2021) Systematic comparison of duration of untreated illness versus duration of untreated psychosis in relation to psychopathology and dysfunction in the Cavan-Monaghan first episode psychosis study (CAMFEPS). Eur Neuropsychopharmacol: J Eur Coll Neuropsychopharmacol 47:20–30. https://doi.org/10.1016/j.euroneuro.2021.03.003CrossRef Nkire N, Scully PJ, Browne DJ, Baldwin PA, Kingston T, Owoeye O, Kinsella A, O’Callaghan E, Russell V, Waddington JL (2021) Systematic comparison of duration of untreated illness versus duration of untreated psychosis in relation to psychopathology and dysfunction in the Cavan-Monaghan first episode psychosis study (CAMFEPS). Eur Neuropsychopharmacol: J Eur Coll Neuropsychopharmacol 47:20–30. https://​doi.​org/​10.​1016/​j.​euroneuro.​2021.​03.​003CrossRef
go back to reference Pelayo-Terán JM, Pérez-Iglesias R, Ramírez-Bonilla M, González-Blanch C, Martínez-García O, Pardo-García G, Rodríguez-Sánchez JM, Roiz-Santiáñez R, Tordesillas-Gutiérrez D, Mata I, Vázquez-Barquero JL, Crespo-Facorro B (2008) Epidemiological factors associated with treated incidence of first-episode non-affective psychosis in Cantabria: insights from the Clinical Programme on Early Phases of Psychosis. Early Interv Psychiatry 2(3):178–187. https://doi.org/10.1111/j.1751-7893.2008.00074.xCrossRefPubMed Pelayo-Terán JM, Pérez-Iglesias R, Ramírez-Bonilla M, González-Blanch C, Martínez-García O, Pardo-García G, Rodríguez-Sánchez JM, Roiz-Santiáñez R, Tordesillas-Gutiérrez D, Mata I, Vázquez-Barquero JL, Crespo-Facorro B (2008) Epidemiological factors associated with treated incidence of first-episode non-affective psychosis in Cantabria: insights from the Clinical Programme on Early Phases of Psychosis. Early Interv Psychiatry 2(3):178–187. https://​doi.​org/​10.​1111/​j.​1751-7893.​2008.​00074.​xCrossRefPubMed
go back to reference Reitan RM, Wolfson D (1985) The Halstead-Reitan Neuropsychological Test Battery: Theory and Interpretattion. Neuropsychology Press, Tucson Reitan RM, Wolfson D (1985) The Halstead-Reitan Neuropsychological Test Battery: Theory and Interpretattion. Neuropsychology Press, Tucson
go back to reference Rey A (1964). L’examen clinique en psychologie. 2e ed. Presses universitaires de France. Rey A (1964). L’examen clinique en psychologie. 2e ed. Presses universitaires de France.
go back to reference Serra-Navarro M, Amoretti S, Verdolini N, Forte MF, Sánchez-Torres AM, Vieta E, Clougher D, Lobo A, González-Pinto A, Panadero R, Roldán A, Carvalho AF, de la Serna E, Toll A, Ramos-Quiroga JA, Torrent C, Cuesta MJ, Bernardo M, PEPs Group (2022) Influence of clinical and neurocognitive factors in psychosocial functioning after a first episode non-affective psychosis: Differences between males and females. Front Psychiatry 13:982583. https://doi.org/10.3389/fpsyt.2022.982583 Serra-Navarro M, Amoretti S, Verdolini N, Forte MF, Sánchez-Torres AM, Vieta E, Clougher D, Lobo A, González-Pinto A, Panadero R, Roldán A, Carvalho AF, de la Serna E, Toll A, Ramos-Quiroga JA, Torrent C, Cuesta MJ, Bernardo M, PEPs Group (2022) Influence of clinical and neurocognitive factors in psychosocial functioning after a first episode non-affective psychosis: Differences between males and females. Front Psychiatry 13:982583. https://​doi.​org/​10.​3389/​fpsyt.​2022.​982583
go back to reference Wechsler D (1997) The Wechsler Adults Intelligence Scale. Psychological Corporation Wechsler D (1997) The Wechsler Adults Intelligence Scale. Psychological Corporation
Metadata
Title
Exploring parenthood in first episode of psychosis: the potential role of the offspring in the outcome of women
Authors
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
Publication date
21-03-2024
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-024-01457-x