Gender Differences in Clinical and Psychosocial Features Among Persons With Schizophrenia: A Mini Review.

course functional outcome gender remission schizophrenia

Journal

Frontiers in psychiatry
ISSN: 1664-0640
Titre abrégé: Front Psychiatry
Pays: Switzerland
ID NLM: 101545006

Informations de publication

Date de publication:
2021
Historique:
received: 04 10 2021
accepted: 03 12 2021
entrez: 10 1 2022
pubmed: 11 1 2022
medline: 11 1 2022
Statut: epublish

Résumé

An extensive literature regarding gender differences relevant to several aspects of schizophrenia is nowadays available. It includes some robust findings as well as some inconsistencies. In the present review, we summarize the literature on gender differences in schizophrenia relevant to clinical and social outcome as well as their determinants, focusing on clinical variables, while gender differences on biological factors which may have an impact on the outcome of the disorder were not included herewith. Consistent findings include, in male with respect to female patients, an earlier age of illness onset limited to early- and middle-onset schizophrenia, a worse premorbid functioning, a greater severity of negative symptoms, a lower severity of affective symptoms and a higher rate of comorbid alcohol/substance abuse. Discrepant findings have been reported on gender differences in positive symptoms and in social and non-social cognition, as well as in functional outcome and rates of recovery. In fact, despite the overall finding of a more severe clinical picture in males, this does not seem to translate into a worse outcome. From the recent literature emerges that, although some findings on gender differences in schizophrenia are consistent, there are still aspects of clinical and functional outcome which need clarification by means of further studies taking into account several methodological issues.

Identifiants

pubmed: 35002807
doi: 10.3389/fpsyt.2021.789179
pmc: PMC8727372
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

789179

Informations de copyright

Copyright © 2021 Giordano, Bucci, Mucci, Pezzella and Galderisi.

Déclaration de conflit d'intérêts

SG has been consultant and/or advisor to and/or received honoraria or grants from Innova Pharma-Recordati Group, Janssen Pharmaceutica NV, Sunovion Pharmaceuticals, Gedeon Richter-Recordati, Lundbeck and Angelini. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Schizophr Bull. 2009 Mar;35(2):300-6
pubmed: 19126634
Schizophr Res. 1992 Sep;7(3):225-31
pubmed: 1390401
Schizophr Res. 2004 Dec 15;72(1):41-51
pubmed: 15531406
World Psychiatry. 2020 Oct;19(3):339-349
pubmed: 32931098
Schizophr Res. 2010 Jul;120(1-3):121-30
pubmed: 20303240
Nord J Psychiatry. 2017 Feb;71(2):131-138
pubmed: 27774832
Neurosci Biobehav Rev. 2016 Sep;68:979-1000
pubmed: 27344000
Compr Psychiatry. 2018 Nov;87:120-122
pubmed: 30340017
Arch Gen Psychiatry. 2007 Oct;64(10):1123-31
pubmed: 17909124
Schizophr Res. 2012 Mar;135(1-3):46-50
pubmed: 22138047
Curr Opin Psychiatry. 2020 May;33(3):192-199
pubmed: 32068570
Schizophr Res. 2015 Dec;169(1-3):427-432
pubmed: 26526750
Schizophr Res. 2013 May;146(1-3):132-7
pubmed: 23490759
World Psychiatry. 2019 Jun;18(2):165-167
pubmed: 31059625
World Psychiatry. 2011 Feb;10(1):52-77
pubmed: 21379357
Lancet. 2009 Sep 19;374(9694):1011-1022
pubmed: 19709732
Int Rev Psychiatry. 2010;22(5):417-28
pubmed: 21047156
World Psychiatry. 2020 Oct;19(3):334-336
pubmed: 32931090
Schizophr Bull. 1990;16(2):319-29
pubmed: 2374887
Neuropsychiatr Dis Treat. 2015 Aug 18;11:2125-42
pubmed: 26316759
Clin Psychol Rev. 2017 Dec;58:59-75
pubmed: 29042139
World Psychiatry. 2019 Jun;18(2):117-118
pubmed: 31059631
J Affect Disord. 2015 Feb 1;172:30-7
pubmed: 25451392
World Psychiatry. 2020 Jun;19(2):132-150
pubmed: 32394561
JAMA Psychiatry. 2018 Apr 1;75(4):396-404
pubmed: 29450447
World Psychiatry. 2018 Feb;17(1):12-23
pubmed: 29352540
Epidemiol Rev. 2008;30:67-76
pubmed: 18480098
Br J Psychiatry. 2011 Jul;199(1):29-37
pubmed: 21508437
Psychiatry Res. 2016 Sep 30;243:268-77
pubmed: 27423634
Sci Rep. 2017 Sep 19;7(1):11821
pubmed: 28928440
Lancet Psychiatry. 2017 Apr;4(4):295-301
pubmed: 28237639
World Psychiatry. 2020 Feb;19(1):61-68
pubmed: 31922669
Psychol Med. 2019 Jun;49(8):1378-1391
pubmed: 30282569
Schizophr Res Treatment. 2016;2016:3165243
pubmed: 26977319
Eur Child Adolesc Psychiatry. 2019 Jun;28(6):759-767
pubmed: 30382356
Schizophr Bull. 2013 Nov;39(6):1296-306
pubmed: 23172003
Compr Psychiatry. 2017 Jan;72:136-143
pubmed: 27816847
Schizophr Res. 2005 Jun 15;75(2-3):389-97
pubmed: 15885529
Schizophr Res. 2020 Sep;223:265-270
pubmed: 32883558
World Psychiatry. 2019 Jun;18(2):173-182
pubmed: 31059627
Psychol Med. 2009 Sep;39(9):1433-45
pubmed: 19091160
Can J Psychiatry. 2019 Oct;64(10):708-717
pubmed: 31189340
Schizophr Res Treatment. 2016;2016:1928747
pubmed: 27703813
World Psychiatry. 2012 Jun;11(2):73-9
pubmed: 22654932
BMC Psychiatry. 2021 Jan 28;21(1):61
pubmed: 33509142
Psychiatry Res. 2018 Aug;266:65-71
pubmed: 29843000
Early Interv Psychiatry. 2020 Aug;14(4):418-427
pubmed: 31414567
Compr Psychiatry. 2019 Nov;95:152132
pubmed: 31669790
Front Psychiatry. 2018 Apr 24;9:157
pubmed: 29740360
Eur Psychiatry. 2010 May;25(4):189-96
pubmed: 19556110
Eur Psychiatry. 2012 Aug;27(6):406-8
pubmed: 21616645
Am J Geriatr Psychiatry. 2018 Dec;26(12):1215-1219
pubmed: 30236901
World Psychiatry. 2019 Feb;18(1):29-30
pubmed: 30600621
World Psychiatry. 2017 Oct;16(3):227-235
pubmed: 28941101
World Psychiatry. 2019 Feb;18(1):67-76
pubmed: 30600629
Am J Psychiatry. 2008 Feb;165(2):203-13
pubmed: 18172019
Psychol Med. 2016 Oct;46(13):2717-29
pubmed: 27649341
PLoS One. 2020 May 13;15(5):e0232855
pubmed: 32401791
Schizophr Res. 2010 Jan;116(1):9-15
pubmed: 19896334
Soc Psychiatry Psychiatr Epidemiol. 2020 Dec;55(12):1581-1591
pubmed: 32239264
Schizophr Res. 2018 May;195:357-365
pubmed: 28974404
Early Interv Psychiatry. 2011 May;5(2):140-9
pubmed: 21352512
Arch Womens Ment Health. 2020 Oct;23(5):643-655
pubmed: 32385644
Schizophr Bull. 2001;27(1):39-46
pubmed: 11215548
World Psychiatry. 2019 Jun;18(2):171-172
pubmed: 31059612
Aust N Z J Psychiatry. 2008 Jan;42(1):74-82
pubmed: 18058447
Schizophr Res. 2018 Jul;197:370-377
pubmed: 29275855
World Psychiatry. 2019 Jun;18(2):168-170
pubmed: 31059610
World Psychiatry. 2020 Jun;19(2):254-255
pubmed: 32394552
World Psychiatry. 2020 Feb;19(1):117-119
pubmed: 31922675
Schizophr Bull. 2010 Sep;36(5):1009-19
pubmed: 19329561
World Psychiatry. 2020 Feb;19(1):81-91
pubmed: 31922687
Can J Psychiatry. 2018 Aug;63(8):538-546
pubmed: 29216439
Arch Womens Ment Health. 2018 Dec;21(6):627-648
pubmed: 29766281
Acta Psychiatr Scand. 2005 Jul;112(1):30-9
pubmed: 15952943
World Psychiatry. 2019 Feb;18(1):103-104
pubmed: 30600611
Acta Psychiatr Scand. 2018 Sep;138(3):253-266
pubmed: 29984409
Early Interv Psychiatry. 2019 Jun;13(3):582-588
pubmed: 29235240
Transl Psychiatry. 2020 Jan 21;10(1):18
pubmed: 32066717
Eur Psychiatry. 2014 Jan;29(1):44-51
pubmed: 23394824
Expert Rev Neurother. 2010 Jul;10(7):1153-64
pubmed: 20586695
Schizophr Bull. 2018 Oct 17;44(6):1195-1203
pubmed: 29762765
J Psychopharmacol. 2010 Nov;24(4 Suppl):81-90
pubmed: 20923923
J Korean Med Sci. 2017 May;32(5):835-842
pubmed: 28378559
Psychiatry Res. 2012 Jul 30;198(2):187-93
pubmed: 22401972
Schizophr Bull. 2017 Oct 21;43(6):1190-1196
pubmed: 28981842
Neuropsychiatr Dis Treat. 2016 Nov 14;12:2927-2939
pubmed: 27881918
World Psychiatry. 2019 Jun;18(2):146-161
pubmed: 31059632
Compr Psychiatry. 2018 Jul;84:62-67
pubmed: 29694934
Int J Psychiatry Clin Pract. 2021 Sep;25(3):252-257
pubmed: 32862741
Psychiatry Res. 2017 Oct;256:130-143
pubmed: 28633054
Schizophr Res. 2002 Jun 1;55(3):285-90
pubmed: 12048152
Early Interv Psychiatry. 2021 Oct;15(5):1197-1209
pubmed: 33040482
Asian J Psychiatr. 2018 Feb;32:84-88
pubmed: 29220783
Schizophr Res. 2014 Oct;159(1):27-30
pubmed: 25112161
World Psychiatry. 2019 Feb;18(1):53-66
pubmed: 30600626
Schizophr Res. 2021 Jun;232:87-94
pubmed: 34029946
Neurosci Biobehav Rev. 2016 Aug;67:57-78
pubmed: 26743859
Br J Psychiatry. 2004 May;184:416-21
pubmed: 15123505
World Psychiatry. 2014 Oct;13(3):275-87
pubmed: 25273301
J Transl Neurosci (Beijing). 2016 Sep;1(1):37-42
pubmed: 29152382
World Psychiatry. 2019 Jun;18(2):163-164
pubmed: 31059607
Neuropsychiatr Dis Treat. 2015 Mar 05;11:575-84
pubmed: 25784812
Schizophr Res. 2020 Feb;216:547-549
pubmed: 31806528
World Psychiatry. 2020 Oct;19(3):381-388
pubmed: 32931122
Schizophr Bull. 2001;27(1):103-13
pubmed: 11215540
World Psychiatry. 2019 Jun;18(2):170
pubmed: 31059619
World Psychiatry. 2020 Jun;19(2):151-172
pubmed: 32394571
Psychoneuroendocrinology. 2003 Apr;28 Suppl 2:17-54
pubmed: 12650680
Schizophr Res. 2009 Oct;114(1-3):17-24
pubmed: 19635660
Psychol Med. 2012 Apr;42(4):769-80
pubmed: 21995856
World Psychiatry. 2020 Jun;19(2):177-178
pubmed: 32394575
Schizophr Res. 2017 Aug;186:39-45
pubmed: 27453425
JAMA Psychiatry. 2021 May 1;78(5):550-559
pubmed: 33566071
Eur Psychiatry. 2017 Sep;45:97-103
pubmed: 28753464
J Psychiatr Res. 2020 Dec;131:194-202
pubmed: 32980647
Ann Gen Psychiatry. 2021 Apr 21;20(1):26
pubmed: 33882965
World Psychiatry. 2019 Jun;18(2):164-165
pubmed: 31059634
Acta Psychiatr Scand Suppl. 2000;401:3-38
pubmed: 10887978
Psychol Med. 2006 Oct;36(10):1385-93
pubmed: 16740175
Early Interv Psychiatry. 2017 Jun;11(3):215-223
pubmed: 25808132
Early Interv Psychiatry. 2015 Aug;9(4):300-7
pubmed: 24304682
Schizophr Res Treatment. 2012;2012:916198
pubmed: 22966451
Schizophr Res. 2009 Sep;113(2-3):226-32
pubmed: 19535228
Asia Pac Psychiatry. 2021 Jun;13(2):e12446
pubmed: 33327044
J Psychiatr Res. 2018 Jul;102:245-253
pubmed: 29723811
J Nerv Ment Dis. 2007 May;195(5):396-405
pubmed: 17502805
Schizophr Res. 2011 Sep;131(1-3):133-8
pubmed: 21669512
NPJ Schizophr. 2020 May 1;6(1):12
pubmed: 32358572
World Psychiatry. 2019 Jun;18(2):167-168
pubmed: 31059617
Psychiatr Q. 2019 Mar;90(1):173-184
pubmed: 30484001

Auteurs

Giulia Maria Giordano (GM)

Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy.

Paola Bucci (P)

Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy.

Armida Mucci (A)

Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy.

Pasquale Pezzella (P)

Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy.

Silvana Galderisi (S)

Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy.

Classifications MeSH