Veena A. Satyanarayana, Mona Duggal, Sangchoon Jeon, Pushpendra Singh, Anita Desai, Prabha S. Chandra, Nancy R. Reynolds
{"title":"Exploring the feasibility, acceptability and preliminary effects of a nurse delivered mhealth intervention for women living with HIV in South India: a pilot randomized controlled trial","authors":"Veena A. Satyanarayana, Mona Duggal, Sangchoon Jeon, Pushpendra Singh, Anita Desai, Prabha S. Chandra, Nancy R. Reynolds","doi":"10.1007/s00737-024-01462-0","DOIUrl":"10.1007/s00737-024-01462-0","url":null,"abstract":"<div><h3>Purpose</h3><p>We evaluated the feasibility, acceptability and preliminary efficacy of a standardized nurse delivered mobile phone intervention to improve adherence to antiretroviral treatment and clinical outcomes.</p><h3>Methods</h3><p>Feasibility and acceptability of the phone intervention was assessed with rates of eligibility, completed visits, and attritions. Intervention fidelity was assessed by checking recorded calls and feedback. Efficacy was assessed using a randomized controlled trial in which 120 women living with HIV and psychosocial vulnerabilities, were randomized to Treatment as Usual (TAU = 60) or TAU plus the mobile phone intervention (<i>N</i> = 60). Trained basic nurses delivered the theory-guided, standardized mobile phone intervention for mental health issues and psychosocial risk factors to improve antiretroviral treatment (ART) adherence and retention in care and improve clinical outcomes. Blind raters performed the assessments at 6, 12 and 24 weeks post-randomization.</p><h3>Results</h3><p>Adherence diminished over time in the TAU only group, while it was sustained in the TAU Plus group, only dropping at 24 weeks after the intervention had been discontinued. Among participants with depressive symptoms (CESD ≥ 16), the intervention had significant improvement in adherence rates (<i>p</i> < 0.01), psychological quality of life (<i>p</i> < 0.05) and illness perception (<i>p</i> < 0.05) compared to those in the TAU only group. Greater improvements of quality of life subscales were observed in the TAU Plus group among participants with less psychological vulnerability (PSV < 2). HIV RNA was not significantly different between the groups at week 24.</p><h3>Conclusions</h3><p>The mobile-delivered counseling intervention was feasible and acceptable and shows promise among women living with HIV and psychosocial vulnerabilities in rural South India.</p><h3>Trial Registration</h3><p>ClinicalTrials.gov Identifier: NCT02319330 [Registered on: December 18, 2014].</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"751 - 763"},"PeriodicalIF":3.2,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140693487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identifying distinct subtypes of mother-to-infant bonding using latent profile analysis in a nationwide Japanese study","authors":"Kosuke Hagiwara, Chong Chen, Ryo Okubo, Sumiyo Okawa, Shin Nakagawa, Takahiro Tabuchi","doi":"10.1007/s00737-024-01467-9","DOIUrl":"10.1007/s00737-024-01467-9","url":null,"abstract":"<div><h3>Background</h3><p>Mother-to-infant bonding (MIB) is foundational for nurturing behaviors and an infant’s development. Identifying risk factors for difficulties or problems in MIB is vital. However, traditional research often dichotomizes MIB using cutoff thresholds, overlooking its underlying complexities. This research utilizes latent profile analysis (LPA) to discern MIB subtypes in a nationwide Japanese dataset.</p><h3>Methods</h3><p>We conducted LPA on data from the Mother-to-Infant Bonding Scale (MIBS), collected from 3,877 postpartum women within one year of childbirth. To empirically validate the derived profiles, we examined their associated risk factors, focusing on sociodemographic, health, and perinatal variables.</p><h3>Results</h3><p>Four distinct MIB profiles emerged. Profile 1 indicated minimal difficulties, while Profile 4 exhibited severe multifaceted difficulties. Profiles 2 and 3 showed moderate difficulties distinguished by lack of positive affection and presence of negative affection (especially indifference), respectively. Compared to Profile 1, women in Profiles 2–4 had a higher likelihood of postpartum depression and low family support. Each profile also presented unique risk factors: medium family support in Profile 2, maternal working status in Profile 3, and pre-pregnancy underweight status in Profile 4. Notably, both Profiles 3 and 4 were also linked to increased feelings of loneliness since the onset of the COVID-19 pandemic.</p><h3>Conclusion</h3><p>This study represents the first application of LPA to MIB, revealing distinct subtypes and their respective risk profiles. These insights promise to enhance and personalize early interventions for difficulties in MIB, affirming the necessity of acknowledging MIB’s heterogeneity.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"765 - 774"},"PeriodicalIF":3.2,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140714584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“Association between perinatal mood disorders of parents and child health outcomes”","authors":"Erika Obikane, Hayato Yamana, Sachiko Ono, Hideo Yasunaga, Norito Kawakami","doi":"10.1007/s00737-024-01463-z","DOIUrl":"10.1007/s00737-024-01463-z","url":null,"abstract":"<div><h3>Purpose</h3><p>Perinatal mood disorders affect both parents, impacting their children negatively. Little is known on the association between parental perinatal mood disorders and pediatric outcomes in Japan considering relevant covariates. Our objective was to investigate the association between paternal and maternal perinatal mood disorders and adverse physical and psychological child outcomes by the age of 36 months, adjusting for covariates such as the child’s sex, age of parent at child’s birth, perinatal mood disorders of the other parent, and perinatal antidepressant use.</p><h3>Methods</h3><p>We identified parents in the JMDC Claims Database in Japan from 2012 to 2020. Perinatal mood disorders were defined using International Classification of Diseases, 10th codes for mood disorders during the perinatal period combined with psychiatric treatment codes. We evaluated the association between parental perinatal mood disorders and pediatric adverse outcomes by the age of 36 months using Cox proportional hazard models adjusted for the covariates.</p><h3>Results</h3><p>Of the 116,423 father-mother-child triads, 2.8% of fathers and 2.3% of mothers had perinatal mood disorders. Paternal perinatal mood disorders were not significantly associated with adverse child outcomes. After adjusting for paternal perinatal mood disorders and antidepressant use, maternal perinatal mood disorders were associated with delayed motor development, language development disorders, autism spectrum disorders, and behavioral and emotional disorders (adjusted hazard ratio [95% confidence interval]: 1.65 [1.01–2.69], 2.26 [1.36–3.75], 4.16 [2.64–6.55], and 6.12 [1.35–27.81], respectively).</p><h3>Conclusions</h3><p>Paternal perinatal mood disorders were not associated with adverse child outcomes in this population. Maternal perinatal mood disorders were associated with multiple child outcomes.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"827 - 836"},"PeriodicalIF":3.2,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140720657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The impact of menopause on antidepressant response: an explorative analysis from a real-world study","authors":"Matteo Carminati, Valentina Fazio, Melania Maccario, Raffaella Zanardi","doi":"10.1007/s00737-024-01465-x","DOIUrl":"10.1007/s00737-024-01465-x","url":null,"abstract":"<div><p>This study endeavors to deepen our understanding of the subject matter by exploring, within a real-world sample, the impact of menopausal status on the antidepressant treatments response. The whole sample included a total of 447 patients, 156 male and 291 female, 110 pre-menopause and 181 post-menopause. In our sample post-menopause women showed a worse response to antidepressants than pre-menopause women (<i>p</i> = 0.006), and this difference seems to be unrelated to age or brain aging.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"851 - 854"},"PeriodicalIF":3.2,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140728916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isabella Giulia Franzoi, Maria Domenica Sauta, Alessandra De Luca, Antonella Granieri
{"title":"Returning to work after maternity leave: a systematic literature review","authors":"Isabella Giulia Franzoi, Maria Domenica Sauta, Alessandra De Luca, Antonella Granieri","doi":"10.1007/s00737-024-01464-y","DOIUrl":"10.1007/s00737-024-01464-y","url":null,"abstract":"<div><h3>Purpose</h3><p>Working women often experience difficulties associated with balancing family and career, particularly if they choose to have children. This systematic literature review aimed at investigating women’s experience in returning to work after maternity leave.</p><h3>Methods</h3><p>The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The literature search led to the identification of 52 articles, which underwent data extraction and qualitative analysis.</p><h3>Results</h3><p>Results were organized in 5 categories: (1) Work-life balance; (2) Women’s mental and physical health; (3) Job-related wellbeing and working experience; (4) Breastfeeding. Women’s both mental and physical health seem connected to a longer maternity leave and a greater coworkers’ and supervisors’ support. Returning to work seems to constitute one of the most important barriers for exclusive breastfeeding or breastfeeding continuation. A shorter duration of maternity leave, a higher workload and the lack of occupational policies supporting breastfeeding seem to be hindering factors. Partner and family support, and the opportunity for fathers to work under a flextime system after childbirth seem to increase both breastfeeding initiation and duration. Women who continue breastfeeding after returning to work seem to experience more family-to-work conflict and overload.</p><h3>Conclusions</h3><p>This paper show that there are still many understudied aspects in exploring women’s experience of returning to work after maternity leave. This represents an important gap in the literature, since returning to work represents a particularly critical time in women’s personal and occupational life, in which challenges and barriers may arise, potentially affecting their experience in the immediate future and years to come.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"737 - 749"},"PeriodicalIF":3.2,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s00737-024-01464-y.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An epidemiological examination of neonatal opioid withdrawal syndrome and maternal and infant characteristics","authors":"Ashlyn N. Schwartz, Laurie L. Meschke","doi":"10.1007/s00737-024-01460-2","DOIUrl":"10.1007/s00737-024-01460-2","url":null,"abstract":"<div><h3>Purpose</h3><p>Analyze maternal and infant characteristics by Neonatal Opioid Withdrawal Syndrome (NOWS) status and examine the association between mothers with Hepatitis C Virus (HCV) and infants diagnosed with NOWS.</p><h3>Methods</h3><p>Hospital discharge diagnoses of low-income women in Tennessee were used to identify NOWS cases (<i>n</i> = 1,369) in 2013 and 2014 and randomly selected controls (<i>n</i> = 1,369) were matched on county of residence and birth year. Maternal and infant characteristics were obtained by linking these data to birth certificate data.</p><h3>Results</h3><p>Of Tennessee’s 683 cases of NOWS in 2013 and 686 in 2014, most (69%) occurred in Eastern Tennessee. Mothers of infants with NOWS were more likely to be older, unmarried, and white than mothers of infants without NOWS. Mothers of infants with NOWS also faced greater health risk: more smoking, HCV, herpes simplex diagnosis, and no or less frequent prenatal care (<i>p</i> < .0001). Infants with NOWS were more likely to present with infection, be admitted into the NICU, have lower birth weight, be enrolled in TennCare, but less likely to be breastfed than infants without NOWS (<i>p</i> < .0001). After adjusting for demographic factors and smoking, compared to mothers of infants without NOWS, mothers of infants with NOWS had an alarmingly increased odds of HCV [OR = 12.97 (95% CI 7.42, 22.66)].</p><h3>Conclusions</h3><p>This study emphasizes the complexity of challenges facing families impacted by NOWS, the importance of multifaceted prevention, and the need to conduct HCV testing in NOWS infants.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"863 - 867"},"PeriodicalIF":3.2,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140743315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kortney Floyd James, Keren Chen, Sasha S. Hindra, Sydney Gray, Milllicent N. Robinson, Courtney S. Thomas Tobin, Kristen Choi, Denise Saint Arnault
{"title":"Racism-related stress and mental health among black women living in Los Angeles County, California: A comparison of postpartum mood and anxiety disorder screening scales","authors":"Kortney Floyd James, Keren Chen, Sasha S. Hindra, Sydney Gray, Milllicent N. Robinson, Courtney S. Thomas Tobin, Kristen Choi, Denise Saint Arnault","doi":"10.1007/s00737-024-01458-w","DOIUrl":"10.1007/s00737-024-01458-w","url":null,"abstract":"<div><h3>Purpose</h3><p>To assess Black women’s exposure to and appraisal of racism-related stress during the postpartum period and to distinguish its impact on three indicators of postpartum mood and anxiety disorders (PMADs) symptoms.</p><h3>Methods</h3><p>Data from the Black Mothers’ Mental Wellness Study (N = 231) and linear regression models estimated the associations between racism-related stress and the PMAD indicators: 3-item Edinburgh Postnatal Depression Scale (EPDS-3), 8-item Patient Health Questionnaire (PHQ-8), and PHQ-15.</p><h3>Results</h3><p>The majority of participants (80.5%, N = 186) experienced racism a few times a year or more, of which 37.1% (N = 69) were bothered somewhat and 19.3% (N = 36) a lot. Racism-related stress, income, level of education, and history of mental health diagnosis explained greater variance in PMAD symptoms as measured by the PHQ-8 score (R<sup>2</sup> = 0.58, <i>p</i> = < 0.001) compared to the EPDS-3 (R<sup>2</sup> = 0.46, <i>p</i> = < 0.001) or the PHQ-15 (R<sup>2</sup> = 0.14, <i>p</i> = 0.035).</p><h3>Conclusions</h3><p>Racism is a stressor for Black women living in Los Angeles County, California. Racism-related stress and emotional expression of PMAD symptoms were salient to the postpartum mental health of the Black women in this study. Findings from this study suggest that the PHQ-8 should be used to assess how racism impacts Black women’s postpartum mental health.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"817 - 826"},"PeriodicalIF":3.2,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11405420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mariana Moysés-Oliveira, Monica L. Andersen, Sergio Tufik
{"title":"The interplay between X-chromosome functional dosage and circadian regulation in females","authors":"Mariana Moysés-Oliveira, Monica L. Andersen, Sergio Tufik","doi":"10.1007/s00737-024-01452-2","DOIUrl":"10.1007/s00737-024-01452-2","url":null,"abstract":"<div><h3>Purpose</h3><p>Biological factors and mechanisms that drive higher prevalence of insomnia in females are poorly understood. This study focused on the neurological consequences of X-chromosome functional imbalances between sexes.</p><h3>Methods</h3><p>Benefited from publicly available large-scale genetic, transcriptional and epigenomic data, we curated and contrasted different gene lists: (1) X-liked genes, including assignments for X-chromosome inactivation patterns and disease associations; (2) sleep-associated genes; (3) gene expression markers for the suprachiasmatic nucleus.</p><h3>Results</h3><p>We show that X-linked markers for the suprachiasmatic nucleus are significantly enriched for clinically relevant genes in the context of rare genetic syndromes and brain waves modulation.</p><h3>Conclusion</h3><p>Considering female-specific patterns on brain transcriptional programs becomes essential when designing health care strategies for mental and sleep illnesses with sex bias in prevalence.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"845 - 849"},"PeriodicalIF":3.2,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jocelyn R. Clarke, Melanie Gibson, Melissa Savaglio, Rhea Navani, Mariam Mousa, Jacqueline A. Boyle
{"title":"Digital screening for mental health in pregnancy and postpartum: A systematic review","authors":"Jocelyn R. Clarke, Melanie Gibson, Melissa Savaglio, Rhea Navani, Mariam Mousa, Jacqueline A. Boyle","doi":"10.1007/s00737-024-01427-3","DOIUrl":"10.1007/s00737-024-01427-3","url":null,"abstract":"<div><h3>Purpose</h3><p>This systematic review aimed to determine if digital screening for mental health in pregnancy and postpartum is acceptable, feasible and more effective than standard care (paper-and pen-based screening or no screening). The second aim was to identify barriers and enablers to implementing digital screening in pregnancy and postpartum.</p><h3>Method</h3><p>OVID MEDLINE, PsycINFO, SCOPUS, CINAHL, Embase, Web of Science, Joanna Briggs Database and All EMB reviews incorporating Cochrane Database of Systematic Reviews (OVID) were systematically searched for articles that evaluated digital screening for mental health in pregnancy and postpartum between 2000 and 2021. Qualitative articles were deductively mapped to the Theoretical Domains Framework (TDF).</p><h3>Results</h3><p>A total of 34 articles were included in the analysis, including qualitative, quantitative and mixed-methods studies. Digital screening was deemed acceptable, feasible and effective. TDF domains for common barriers included environmental context and resources, skills, social/professional role and identity and beliefs about consequences. TDF domains for common enablers included knowledge, social influences, emotion and behavioural regulation.</p><h3>Conclusion</h3><p>When planning to implement digital screening, consideration should be made to have adequate training, education and manageable workload for healthcare professionals (HCP’s). Organisational resources and support are important, as well as the choice of the appropriate digital screening assessment and application setting for women. Theory-informed recommendations are provided for both healthcare professionals and women to inform future clinical practice.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 4","pages":"489 - 526"},"PeriodicalIF":3.2,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11230976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140334457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alexandre Díaz-Pons, Marina Soler-Andrés, Víctor Ortiz-García de la Foz, Nancy Murillo-García, Angel Yorca-Ruiz, Rebeca Magdaleno Herrero, Sergio Castaño-Castaño, Alexandre González-Rodríguez, Esther Setién-Suero, Rosa Ayesa-Arriola
{"title":"Exploring parenthood in first episode of psychosis: the potential role of the offspring in the outcome of women","authors":"Alexandre Díaz-Pons, Marina Soler-Andrés, Víctor Ortiz-García de la Foz, Nancy Murillo-García, Angel Yorca-Ruiz, Rebeca Magdaleno Herrero, Sergio Castaño-Castaño, Alexandre González-Rodríguez, Esther Setién-Suero, Rosa Ayesa-Arriola","doi":"10.1007/s00737-024-01457-x","DOIUrl":"10.1007/s00737-024-01457-x","url":null,"abstract":"<div><h3>Purpose</h3><p>The study aimed to explore the role of parenthood at first episode of psychosis (FEP) on recovery, with a focus on potential sex differences.</p><h3>Methods</h3><p>Sociodemographic, clinical, and neurocognitive information was considered on 610 FEP patients form the PAFIP cohort (Spain). Baseline and three-year follow-up comparisons were carried out. Chi-square tests and ANCOVA analysis were performed controlling for the effect of age and years of education.</p><h3>Results</h3><p>Men comprised 57.54% of the sample, with only 5.41% having offspring when compared to 36.29% of women. Parenthood was related to shorter duration of untreated illness (DUI) in women with children (12.08 months mothers vs. 27.61 months no mothers), showing mothers better premorbid adjustment as well. Childless men presented the worst premorbid adjustment and the highest cannabis and tobacco consumption rates. Mothers presented better global cognitive function, particularly in attention, motor dexterity and executive function at three-year follow-up.</p><h3>Conclusions</h3><p>Diminished parental rates among FEP men could be suggested as a consequence of a younger age of illness onset. Sex roles in caregiving may explain the potential role of parenthood on premorbid phase, with a better and heathier profile, and a more favorable long-term outcome in women. These characteristics may be relevant when adjusting treatment specific needs in men and women with and without offspring.</p></div>","PeriodicalId":8369,"journal":{"name":"Archives of Women's Mental Health","volume":"27 5","pages":"693 - 703"},"PeriodicalIF":3.2,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140183624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}