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Gender differences in the prediction of 5-year outcome in first episode psychosis

✍ Scribed by Maria Mattsson; Lena Flyckt; Gunnar Edman; Håkan Nyman; Johan Cullberg; Yvonne Forsell

Publisher
John Wiley and Sons
Year
2007
Tongue
English
Weight
301 KB
Volume
16
Category
Article
ISSN
1049-8931

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Objective: To examine gender differences in prediction of long‐term outcome in first episode psychosis (FEP).

Method: Eighty‐one male and 72 female FEP patients were compared regarding the sensitivity and specificity of the Predictive Rating Scale (PRS). The contributions of pre‐admission clinical and socio‐demographic characteristics to a poor 5‐year outcome were analysed for males and females separately. Gender differences in the relations between predictors and outcome were examined using the equality of correlation comparing correlation coefficients.

Results: The sensitivity of the PRS was significantly better for males than for females. The following items: ‘the highest Global Assessment of Functioning (GAF) the year before first admission __≤__70’ and ‘GAF at first admission __≤__30’ explained most of the variance of a poor 5‐year outcome for males, whereas for females the corresponding items were ‘the highest educational level is compulsory school’, ‘living with parents’ and ‘contact with friends __≤__2–3 times/month’. When the PRS was adapted assigning a weight of two to the item ‘the highest educational level is compulsory school’ for females, the sensitivity increased.

Conclusion: This study revealed that the predictors for poor outcome differ between male and female patients with FEP. Copyright © 2008 John Wiley & Sons, Ltd.

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