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Cited by 18Schizophrenia research and treatmentMental Health and PsychiatryPsychiatric care and mental health services

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Gender and 5-years course of psychosis patients: focus on clinical and social variables

the PICOS Veneto Group, Comacchio, Carla, Lasalvia, Antonio, Bonetto, Chiara, Cristofalo, Doriana, Miglietta, Elisabetta, Petterlini, Sara, De Santi, K., Tosato, S., Riolo, R., Cremonese, C., Ceccato, E., Zanatta, G., Ruggeri, Mirella·2020·Archives of Women's Mental Health
DOI 10.1007/s00737-019-0945-3
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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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  • Sex/gender differences are found in psychiatric comorbidities, with aggressive behavior and substance use disorder in men contrasting with eating disorders and depression in women.

    “In some cases, sex/gender differences are found in the psychiatric comorbidities associated with a predominant mental disorder -e.g., aggressive behavior and substance use disorder in men, contrasting with eating disorders and depression in women (26–30).”

    From Where Sex Meets Gender: How Sex and Gender Come Together to Cause Sex Differences in Mental Illness (2022) · cites this paper as [28]

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Metadata

Authors
the PICOS Veneto Group, 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.
Affiliations
University of Verona (IT)
Corresponding author
Comacchio, Carla
ORCID
Venue
Archives of Women's Mental Health
Publisher
Springer Science and Business Media LLC
Published
2019-02-04
Volume
23
Issue
1
Pages
63-70
ISSN
  • 1434-1816 (ISSN-L)
  • 1435-1102
DOI
10.1007/s00737-019-0945-3
OpenAlex
W2911915827
Cited by
18
References
1
Citations by year
2026: 2 · 2025: 1 · 2024: 5 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 1
FWCI
1.40
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Archives of Women s Mental Health (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Research Information System (Università degli Studi di Trento) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
gender differences, first-episode psychosis, negative symptoms, depressive symptoms, insight into illness, long-term follow-up
MeSH terms
Adolescent, Adult, Demography, Female, Follow-Up Studies, Health Services Needs and Demand, Humans, Italy, Male, Mental Health Services, Middle Aged, Psychiatric Status Rating Scales, Psychotic Disorders, Sex Factors, Social Adjustment, Time Factors, Cohort Studies, Young Adult

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