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Comacchio C, Lasalvia A, Bonetto C, Cristofalo D, Miglietta E, Petterlini S, De Santi K, Tosato S, Riolo R, Cremonese C, Ceccato E, Zanatta G, Ruggeri M. Gender and 5-years course of psychosis patients: focus on clinical and social variables. Arch Womens Ment Health 2020; 23:63-70. [PMID: 30719573 DOI: 10.1007/s00737-019-0945-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2018] [Accepted: 01/24/2019] [Indexed: 11/29/2022]
Abstract
Most studies on gender and psychosis have focused on gender differences at illness onset or on the long-term outcome, whereas little is known about the impact of gender on the first years after psychosis onset. A total of 185 first episode psychosis (FEP) patients were followed for 5 years after psychosis onset, and gender differences were explored in psychopathology (PANSS), needs for care (CAN), and insight (SAI-E). Male patients showed more negative symptoms than females over time, whereas female patients showed higher levels of depressive symptoms than males throughout the study period. In addition, female patients presented more functioning unmet needs for care, but higher levels of insight into illness than males. Therapy and rehabilitative programs for FEP patients should be gender-targeted, as gender has proved to impact on psychopathology, needs for care, and insight in the very first years following psychosis onset.
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Affiliation(s)
- Carla Comacchio
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
| | - Antonio Lasalvia
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Chiara Bonetto
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Doriana Cristofalo
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Elisabetta Miglietta
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Sara Petterlini
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - K De Santi
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - S Tosato
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - R Riolo
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - C Cremonese
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - E Ceccato
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - G Zanatta
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Mirella Ruggeri
- Department Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
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