- Title
- Men and women with psychosis and the impact of illness-duration on sex-differences: the second Australian national survey of psychosis
- Creator
- Hanlon, Mary-Claire; Campbell, Linda E.; Single, Natalie; Coleman, Clare; Morgan, Vera A.; Cotton, Susan M.; Stain, Helen J.; Castle, David J.
- Relation
- Psychiatry Research Vol. 256, Issue October 2017, p. 130-143
- Publisher Link
- http://dx.doi.org/10.1016/j.psychres.2017.06.024
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2017
- Description
- We aimed to examine and compare sex-differences in people receiving treatment for psychotic illnesses in community settings, based on long or short duration of illness; expecting association between longer illness-duration and worse outcomes in women and men. Clinical, demographic and service-use data from the Survey of High Impact Psychosis were analysed by sex and duration of illness (≤5 years; ≥6 years), using independent t-tests, chi-square tests, one-way ANOVA, and Cramer's V. Of the 1825 participants, 47% had schizophrenia, 17.5% bipolar and 16.1% schizo-affective disorders. More women than men had undertaken post-school education, maintained relationships, and been living in their own homes. Women with a shorter-illness-duration showed social functioning equivalent to non-ill women in the general population. Men tended to have an early illness onset, show premorbid dysfunction, be single, show severe disability, and to use illicit substances. Men with a longer-illness-duration were very socially disadvantaged and isolated, often experiencing homelessness and substance use. Men with a short-illness-duration were most likely to be in paid employment, but two-thirds earned less than $AUD500 per fortnight. Men with longer-illness-duration showed most disability, socially and globally. Interventions should be guided by diagnosis, but also by a person's sex and duration of illness.
- Subject
- gender differences; human; schizophrenia; bipolar disorder; duration of illness
- Identifier
- http://hdl.handle.net/1959.13/1338461
- Identifier
- uon:28028
- Identifier
- ISSN:0165-1781
- Rights
- © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/.
- Language
- eng
- Full Text
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