Prevalence and predictors of parenting outcomes in a cohort of mothers with schizophrenia admitted for joint mother and baby psychiatric care in England
Open accessAbstract
OBJECTIVES: Most women with schizophrenia have children. Schizophrenia has been identified as an independent predictor of poor parenting outcome following joint mother and baby psychiatric admission. We aimed to describe the characteristics of these women postnatally and to estimate the prevalence of, and identify independent predictors of, parenting outcomes. METHOD: Clinical and psychosocial data from consecutive joint psychiatric admissions of mothers and infants between September 1996 and September 2002 were collected. Diagnoses were based on ICD-10 criteria (N = 239 schizophrenia; N = 693 affective disorders). The prevalence of each parenting outcome at discharge, assessed according to social services intervention and staff-rated measures of parenting ability, was estimated. Factors associated with poor parenting outcomes and independent predictors were identified using "modified" Poisson regression, and prevalence of these parenting outcomes was estimated in subgroups of mothers stratified by combinations of protective/risk factors. RESULTS: Mothers with schizophrenia were characterized as having more complex clinical and psychosocial problems and were considerably more likely to experience all types of poor parenting outcomes, compared to mothers with affective disorders. Mothers with schizophrenia reporting supportive marital and other relationships, those whose partners were well, and those of higher social class showed the best parenting outcomes. CONCLUSIONS: Mothers with schizophrenia who experience better parenting outcomes may be protected by certain factors. Successful parenting is related, partly, to stability within the family and access to financial and social resources. The nature of the relationship between identified predictors and parenting outcomes in this group is unclear but may suggest that parenting outcome varies with clinical outcome in schizophrenia. Future research and service development should focus on potential protective factors that may encourage successful parenting outcomes in this vulnerable group.
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Maternal schizophrenia also interferes with care giving behavior in ways that merit separate study and treatment.
“Maternal schizophrenia also interferes with care giving behavior in ways that merit separate study and treatment (Abel et al., 2005; Wan et al., 2008a; Wan et al., 2008b; Wan et al., 2008c).”
From Approaching the biology of human parental attachment: Brain imaging, oxytocin and coordinated assessments of mothers and fathers (2014) · cites this paper as Abel et al., 2005
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Novikova-Grund, M. V., Русаковская, О. А., Shvedovskaya, A. A., & Андрианова, С. Б. (2021) · Clinical Psychology and Special Education · doi:10.17759/cpse.2021100406 · Cited by 2 · see citing works
A 5 years’ experience of a parent-baby day unit: impact on baby’s development
Moureau, A., Cordemans, L., Gregoire, C., Benoît, P., & Delvenne, V. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1121894 · Cited by 2 · see citing works
Women’s Mental Health: Core Concepts for Community Psychiatry
Nagle-Yang, S. M., Latorre, S., Quaratella, S., Shah, R. M., Weber, L., Kanefsky, R. Z., & Hasser, C. (2022) · Springer eBooks · doi:10.1007/978-3-031-10239-4_20 · Cited by 1 · see citing works
Hill, R., Coventry, L., & Prior, M. (2024) · Infant Mental Health Journal · doi:10.1002/imhj.22142 · Cited by 1 · see citing works
The young parents' group: supporting vulnerable parents
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Gender and Schizophrenia: Are Differences Biological or Social?
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Şizofreni Tanısı Olan Annelerin Bebekleri İle İlişkisi
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Hormonal and reproductive effects
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Self-citationSexual, reproductive and antenatal care of women with mental illness
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Postpartale Psychosen und Mutter-Kind-Behandlung
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When Programs Benefit Some People More than Others: Tests of Differential Service Effectiveness
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Review of Psychiatric Mother-Baby Unit in Postpartum Period
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Fracture risk in the offspring of individuals with schizophrenia: A cohort study of 71,698 children
Wang, S.-C., Hsu, J.-W., Tsai, S., Bai, Y., Su, T., Chen, T., Huang, W.-S., & Chen, M. (2025) · Schizophrenia Research · doi:10.1016/j.schres.2025.11.015
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- Authors
- Abel, K. M., Webb, R. T., Salmon, M. P., Wan, M. W., & Appleby, L.
- Affiliations
- University of Manchester (GB)
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2005-06-15
- Volume
- 66
- Issue
- 06
- Pages
- 781-789
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W2130486396
- Cited by
- 102
- References
- 20
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 5 · 2020: 7 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 3 · 2015: 11 · 2014: 6 · 2013: 9 · 2012: 5
- FWCI
- 5.57
- Type
- journal article
- Language
- en
- Open access
- Licence
- other-oa
- Locations
- The Journal of Clinical Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion, other-oa)
- Research Explorer (The University of Manchester) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- maternal schizophrenia, parenting outcomes, postpartum mental health, mood disorders, protective factors, marital relationships, social class, parenting skills, risk factors
- MeSH terms
- Adult, Affective Disorders, Psychotic, England, Family Health, Family Relations, Female, Hospitalization, Humans, Infant Care, Infant, Newborn, Regression Analysis, Risk Factors, Schizophrenia, Schizophrenic Psychology, Social Class, Social Support, Social Work, Prevalence, Child of Impaired Parents, Parenting, Outcome Assessment, Health Care
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