Is sex a moderator of social functioning in patients with paranoid schizophrenia?
https://doi.org/10.31363/2313-7053-2019-4-2-87-93
Abstract
The purpose of this work is to analyze the similarities and differences in the clinical and psychosocial indicators of men and women with paranoid schizophrenia. In the course of the study, socio-demographic, psychosocial and clinical indicators were studied. In terms of outcome, women showed worse social and cognitive functioning than men. In men, significant correlations were established between social functioning and passport age, duration of illness, number of hospitalizations, length of hospitalizations, negative symptoms and quality of life; in women — with passport age, negative symptoms, quality of life, and cognitive indicator. Logit-regression analysis showed that gender is more associated with social functioning, but not with cognitive indicator and quality of life.
About the Authors
A. G. SofronovRussian Federation
Saint Petersburg.
V. E. Pashkovskiy
Russian Federation
Saint Petersburg.
A. E. Dobrovolskaya
Russian Federation
Saint Petersburg.
Ja. A. Getmanenko
Russian Federation
Saint Petersburg.
A. N. Gvozdetsckii
Russian Federation
Saint Petersburg.
S. A. Kolchev
Russian Federation
Saint Petersburg.
References
1. Dukhnovskii S.V. Sub»ektivnaya otsenka mezhlichnostnykh otnoshenii. Opisanie metodiki. Vestnik Kurganskogo Gosudarstvennogo Universiteta. 2006; 2:84-90 (in Russ.).
2. Lyusin D.V. Novaya metodika dlya izmereniya emotsionalnogo intellekta: oprosnik EmIn. Psikhologicheskaya diagnostika. 2006; 4:3 — 22. (in Russ.).
3. Maltseva E. A., Zlokazova M. V., Solovyov A. G. Self-esteem and expectations of young schizophrenic patients. Sotsialnaya i klinicheskaya psikhiatriya. 2013; 23(3):55-59 (in Russ.).
4. Otsenka kachestva zhizni bolnykh shizofreniei pri provedenii podderzhivayushchei terapii. Metodicheskie rekomendatsii. Sankt-Peterburg: SPb NIPNI im. V.M. Bekhtereva. 2011; 22 (inRuss.).
5. Prikhozhan A. M. Primenenie metodov pryamogo otsenivaniya v rabote shkolnogo psikhologa. Nauchno-metodicheskie osnovy ispol’zovaniya v shkolnoi psikhologicheskoi sluzhbe konkretnykh psikhodiagnosticheskikh metodik: Sb. nauchn. tr. pod red. I. V. Dubrovina. M.: izd. APN SSSR. 1988; 110—128 (in Russ.).
6. Sarkisyan G. R., Gurovich I. Ya., Keefe R. S. Normative data for the russian population and standartion of the brief assesment of cognition in schizophrenia (BACS) scale. Sotsialnaya i klinicheskaya psikhiatriya. 2010; 20(3):13-19 (in Russ.).
7. Abel KM, Drake R, Goldstein JM Sex differences in schizophrenia. Int Rev Psychiatry. 2010; 22(5):417- 428. doi: 10.3109/09540261.2010.515205.
8. Angermeyer MC, Goldstein JM, Kuehn L. Gender differences in schizophrenia: rehospitalization and community survival. Psychol Med. 1989; 19(2):365-382.
9. Carpiniello B, Pinna F, Tusconi M, Zaccheddu E, Fatteri F. Gender differences in remission and recovery of schizophrenic and schizoaffective patients: preliminary results of a prospective cohort study. Schizophr Res Treatment. 2012;2012:576369. doi: 10.1155/2012/576369.
10. Frajo-Apor B., Hofer A. Ability-based emotional intelligence in schizophrenia. Curr. Opin. Psychiatry. 2017; 30(3):197-200. doi: 10.1097/YC0.0000000000000323.
11. Galderisi S, Bucci P, Ugok A, Peuskens J. No gen-der differences in social outcome in patients suffering from schizophrenia. Eur Psychiatry. 2012 Aug;27(6):406-8. doi: 10.1016/j.eurpsy.2011.01.011.
12. Hafner H.Gender differences in schizophrenia. Psychoneuroendocrinology. 2003 Apr;28 Suppl 2:17-54.
13. Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13(2):261-76.
14. Keefe R.S., Harvey P.D., Goldberg T.E., Gold J.M., Walker T.M., Kennel C., Hawkins K. Norms and standardization of the Brief Assessment of Cognition in Schizophrenia (BACS). Schizophr Res. 2008;102(1-3):108-15. doi: 10.1016/j.schres.2008.03.024.
15. Leung A, Chue P. Sex differences in schizophrenia, a review of the literature. Acta Psychiatr Scand Suppl. 2000;401:3-38.
16. Mendrek A, Mancini-Marie A. Sex/gender differences in the brain and cognition in schizophrenia. Neurosci Biobehav Rev. 2016 Aug;67:57-78. doi: 10.1016/j.neubiorev.2015.10.013.
17. Morosini PL, Magliano L, Brambilla L, Ugolini S, Pioli R. Development, reliability and acceptability of a new version of the DSM-IV Social and Occupational Functioning Assessment Scale (SOFAS) to assess routine social functioning. Acta Psychiatr Scand. 2000 ;101(4):323-9.
18. Muralidharan A, Harvey PD, Bowie CR Associations of Age and Gender with Negative Symptom Factors and Functioning Among Middle-Aged and Older Adults with Schizophrenia. Am J Geriatr Psychiatry. 2018 Dec;26(12):1215-1219. doi: 10.1016/j.jagp.2018.07.006.
19. Prat G, Escandell MJ, Garcia-Franco M, Martin- Martinez JR, Tortades I, Vilamala S, Calderon M, Torras R, Ochoa S, Casas-Anguera E. Gender differences in social functioning in people with schizophrenia in psychosocial rehabilitation services using one-dimensional and multidimensional instruments. Compr Psychiatry. 2018 Nov;87:120- 122. doi: 10.1016/j.comppsych.2018.10.004.
20. Riecher-Rossler A, Hafner H.Gender aspects in schizophrenia: bridging the border between social and biological psychiatry. Acta Psychiatr Scand Suppl. 2000;(407):58-62.
21. Seeman MV.Women and schizophrenia. Medscape Womens Health. 2000 Mar;5(2):2.
22. Strkalj Ivezic S, John N. Gender and schizophrenia. Psychiatr Danub. 2009 Sep;21 Suppl 1:106-10.
23. Usall J, Haro JM, Ochoa S, Marquez M, Araya S; Needs of Patients with Schizophrenia group. Influence of gender on social outcome in schizophrenia. Acta Psychiatr Scand. 2002;106(5):337-42.
24. Vila-Rodriguez F, Ochoa S, Autonell J, Usall J, Haro JM. Complex interaction between symptoms, social factors, and gender in social functioning in a community-dwelling sample of schizophrenia. Psychiatr Q. 2011 Dec;82(4):261-74. doi: 10.1007/s11126-011-9168-0.
Review
For citations:
Sofronov A.G., Pashkovskiy V.E., Dobrovolskaya A.E., Getmanenko J.A., Gvozdetsckii A.N., Kolchev S.A. Is sex a moderator of social functioning in patients with paranoid schizophrenia? V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2019;(4-2):87-93. (In Russ.) https://doi.org/10.31363/2313-7053-2019-4-2-87-93