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Gender differences in early onset of chronic physical multimorbidities in schizophrenia spectrum disorder: Do women suffer more?
Simunovic Filipcic, Ivona; Ivezic, Ena; Jaksic, Nenad; Mayer, Nina; Grah, Majda; Rojnic Kuzman, Martina; Bajic, Zarko; Svab, Vesna; Herceg, Miroslav; Filipcic, Igor.
Afiliação
  • Simunovic Filipcic I; Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia.
  • Ivezic E; Department for integrative psychiatry, Psychiatric Hospital "Sveti Ivan", Zagreb, Croatia.
  • Jaksic N; Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia.
  • Mayer N; Department for integrative psychiatry, Psychiatric Hospital "Sveti Ivan", Zagreb, Croatia.
  • Grah M; Department for integrative psychiatry, Psychiatric Hospital "Sveti Ivan", Zagreb, Croatia.
  • Rojnic Kuzman M; Department of Psychiatry and Psychological Medicine, University Hospital Center Zagreb, Zagreb, Croatia.
  • Bajic Z; School of Medicine, University of Zagreb, Zagreb, Croatia.
  • Svab V; Department for integrative psychiatry, Psychiatric Hospital "Sveti Ivan", Zagreb, Croatia.
  • Herceg M; University of Ljubljana, Faculty of Medicine, Ljubljana, Slovenia.
  • Filipcic I; School of Medicine, University of Zagreb, Zagreb, Croatia.
Early Interv Psychiatry ; 14(4): 418-427, 2020 08.
Article em En | MEDLINE | ID: mdl-31414567
AIM: The association between various physical illnesses and schizophrenia spectrum disorder (SSD) is well-established. However, the role of gender remains unclear. The present study explored the gender-based differences in the prevalence and early onset of chronic physical multimorbidities (CPM) in patients with SSD and the general population (GEP). METHODS: We recruited 329 SSD patients and 837 GEP controls in this nested cross-sectional study. The primary outcome was the prevalence of the chronic physical multimorbidities, especially in the youngest age group (<35 years). RESULTS: Women with SSD had more than double the odds for having CPM than men (OR = 2.47; 95% CI 1.35-4.50), while the gender-related burden of chronic diseases in controls was nearly the same (OR = 0.89; 95% CI 0.65-1.22). Furthermore, the prevalence of chronic disease in younger women patients was significantly higher than in controls (P = .002), while younger men did not seem to experience this increased comorbidity burden. CONCLUSIONS: This study suggests that women with SSD are at increased physical comorbidity risk compared to men, particularly early in the course of psychiatric illness. Tailored and individualized treatment plans must consider this, aiming to deliver holistic care and effective treatment outcomes.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esquizofrenia / Doença Crônica / Caracteres Sexuais Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esquizofrenia / Doença Crônica / Caracteres Sexuais Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Ano de publicação: 2020 Tipo de documento: Article