Sex differences in schizophrenia: A review
Abstract
During the past decade schizophrenia research has emphasized the importance of sex differences. Most studies have found that lifetime risk of schizophrenia has been equally common in both sexes. Men develop schizophrenia 3-4 years earlier than women, regardless of culture, but late-onset schizophrenia has been found to be commoner in women. Women more often have a favorable course of schizophrenia than men: they experience fewer and shorter hospitalizations, survive longer in the community, and also have better social functioning. Men more often have chronic and more severe forms of schizophrenia, they have negative symptoms more often, and their doses of neuroleptic medication are higher. Men with schizophrenia tend to have more central nervous system abnormalities than women. In the future it is important to study factors that have been observed in sex differences, heredity, and brain physiology as they relate to schizophrenia. Sex differences as they relate to treatment programs are important both from a scientific perspective and from a practical point of view.
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Common variant genetic liability to schizophrenia is essentially identical in males and females despite reported sex differences in age at onset, symptoms, course, and outcome.
“These and other analyses (Supplementary Note) show that common variant genetic liability to schizophrenia is essentially identical in males and females despite reported sex differences in age at onset, symptom profile, course, and outcome12.”
From Mapping genomic loci implicates genes and synaptic biology in schizophrenia (2022) · cites this paper as [12]
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- Authors
- Sami Räsänen, A. P.
- Affiliations
- Department of Psychiatry, University of Oulu, Peltolantie 5, FIN-90210 Oulu, Finland
- Venue
- Nordic Journal of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2000-01
- Volume
- 54
- Issue
- 1
- Pages
- 37-45
- ISSN
- 0029-1455 (ISSN-L)
- 0803-9488
- 1502-4725
- OpenAlex
- W2170172378
- Cited by
- 32
- References
- 126
- Citations by year
- 2026: 3 · 2023: 1 · 2022: 4 · 2021: 2 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 1 · 2013: 1 · 2012: 1
- FWCI
- 1.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nordic Journal of Psychiatry (publishedVersion)
- 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 › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- schizophrenia, sex differences, age of onset, late-onset schizophrenia, clinical course, hospitalization, social functioning, negative symptoms, antipsychotic drugs, brain abnormalities, heredity (biology), brain physiology, treatment programs
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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