Factors associated with postpartum psychiatric admission in a population-based cohort of women with schizophrenia
Objective We aimed to identify factors associated with postpartum psychiatric admission in schizophrenia. Method In a population‐based cohort study of 1433 mothers with schizophrenia in Ontario, Canada (2003–2011), we compared women with and without psychiatric admission in the 1st year postpartum o...
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| Veröffentlicht in: | Acta psychiatrica Scandinavica 2016-10, Vol.134 (4), p.305-313 |
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| container_title | Acta psychiatrica Scandinavica |
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| creator | Vigod, S. N. Rochon-Terry, G. Fung, K. Gruneir, A. Dennis, C.-L. Grigoriadis, S. Kurdyak, P. A. Ray, J. G. Rochon, P. Seeman, M. V. |
| description | Objective
We aimed to identify factors associated with postpartum psychiatric admission in schizophrenia.
Method
In a population‐based cohort study of 1433 mothers with schizophrenia in Ontario, Canada (2003–2011), we compared women with and without psychiatric admission in the 1st year postpartum on demographic, maternal medical/obstetrical, infant and psychiatric factors and identified factors independently associated with admission.
Results
Admitted women (n = 275, 19%) were less likely to be adolescents, more likely to be low income and less likely to have received prenatal ultrasound before 20 weeks gestation compared to non‐admitted women. They also had higher rates of predelivery psychiatric comorbidity and mental health service use. Factors independently associated with postpartum admission were age ( |
| doi_str_mv | 10.1111/acps.12622 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1827895959</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1827895959</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4282-8f32b51c14eb02140fc4f69b078c9f9e9eefe67ec710e564f5e77c2742d49bd73</originalsourceid><addsrcrecordid>eNqNkUFv1DAQhS0EotvChR-ALHFBlVJsx7GTY7WiBWkFlQAtN8txxlqXJE5tR8vy6_GStgcOCM_BGs33nmb0EHpFyQXN7502U7ygTDD2BK2oIKQgnMunaEUIoYVoyPcTdBrjbW4rSurn6IRJXspaVit0d6VN8iFiHaM3Tifo8N6lHZ58TJMOaR7wFA9ml0fBGay7wcXo_IjdiHWmprnXKfdFq2PWGr_zIWFv8d4PMC5eMct_-WkXYHT6BXpmdR_h5f1_hr5dvf-6_lBsPl9_XF9uCsNZzYralqytqKEcWsIoJ9ZwK5qWyNo0toEGwIKQYCQlUAluK5DS5MNYx5u2k-UZerv4TsHfzRCTypsb6Hs9gp-jojWTdVPl-g-UyrpkjeAZffMXeuvnMOZDjpRoqrwfzdT5QpngYwxg1RTcoMNBUaKOmaljZupPZhl-fW85twN0j-hDSBmgC7B3PRz-YaUu1zdfHkyLReNigp-PGh1-KCFLWantp2tFtrIUNxuhtuVvfbWx3A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1816950781</pqid></control><display><type>article</type><title>Factors associated with postpartum psychiatric admission in a population-based cohort of women with schizophrenia</title><source>MEDLINE</source><source>Wiley Journals</source><creator>Vigod, S. N. ; Rochon-Terry, G. ; Fung, K. ; Gruneir, A. ; Dennis, C.-L. ; Grigoriadis, S. ; Kurdyak, P. A. ; Ray, J. G. ; Rochon, P. ; Seeman, M. V.</creator><creatorcontrib>Vigod, S. N. ; Rochon-Terry, G. ; Fung, K. ; Gruneir, A. ; Dennis, C.-L. ; Grigoriadis, S. ; Kurdyak, P. A. ; Ray, J. G. ; Rochon, P. ; Seeman, M. V.</creatorcontrib><description>Objective
We aimed to identify factors associated with postpartum psychiatric admission in schizophrenia.
Method
In a population‐based cohort study of 1433 mothers with schizophrenia in Ontario, Canada (2003–2011), we compared women with and without psychiatric admission in the 1st year postpartum on demographic, maternal medical/obstetrical, infant and psychiatric factors and identified factors independently associated with admission.
Results
Admitted women (n = 275, 19%) were less likely to be adolescents, more likely to be low income and less likely to have received prenatal ultrasound before 20 weeks gestation compared to non‐admitted women. They also had higher rates of predelivery psychiatric comorbidity and mental health service use. Factors independently associated with postpartum admission were age (<20 vs. ≥35 years: adjusted risk ratio, aRR, 0.48, 95% CI 0.24–0.96), income (lowest vs. highest income: aRR 1.67, 1.13–2.47) and the following mental health service use factors in pregnancy: admission (≥35 days/year vs. no days, aRR 4.54, 3.65–5.65), outpatient mental health care (no visits vs. ≥2 visits aRR 0.35, 0.27–0.47) and presence of a consistent mental health care provider during pregnancy (aRR 0.69, 0.54–0.89).
Conclusion
Certain subgroups of women with schizophrenia may benefit from targeted intervention to mitigate risk for postpartum admission.</description><identifier>ISSN: 0001-690X</identifier><identifier>EISSN: 1600-0447</identifier><identifier>DOI: 10.1111/acps.12622</identifier><identifier>PMID: 27437875</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Cohort Studies ; Female ; hospitalization ; Hospitalization - statistics & numerical data ; Humans ; Infant ; Maternal Age ; Mental health ; Mental Health Services ; Ontario ; Postpartum Period - psychology ; pregnancy ; Risk Factors ; Schizophrenia ; Schizophrenia - etiology ; Womens health ; Young Adult</subject><ispartof>Acta psychiatrica Scandinavica, 2016-10, Vol.134 (4), p.305-313</ispartof><rights>2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>2016 John Wiley & Sons A/S, Published by John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4282-8f32b51c14eb02140fc4f69b078c9f9e9eefe67ec710e564f5e77c2742d49bd73</citedby><cites>FETCH-LOGICAL-c4282-8f32b51c14eb02140fc4f69b078c9f9e9eefe67ec710e564f5e77c2742d49bd73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Facps.12622$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Facps.12622$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27437875$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vigod, S. N.</creatorcontrib><creatorcontrib>Rochon-Terry, G.</creatorcontrib><creatorcontrib>Fung, K.</creatorcontrib><creatorcontrib>Gruneir, A.</creatorcontrib><creatorcontrib>Dennis, C.-L.</creatorcontrib><creatorcontrib>Grigoriadis, S.</creatorcontrib><creatorcontrib>Kurdyak, P. A.</creatorcontrib><creatorcontrib>Ray, J. G.</creatorcontrib><creatorcontrib>Rochon, P.</creatorcontrib><creatorcontrib>Seeman, M. V.</creatorcontrib><title>Factors associated with postpartum psychiatric admission in a population-based cohort of women with schizophrenia</title><title>Acta psychiatrica Scandinavica</title><addtitle>Acta Psychiatr Scand</addtitle><description>Objective
We aimed to identify factors associated with postpartum psychiatric admission in schizophrenia.
Method
In a population‐based cohort study of 1433 mothers with schizophrenia in Ontario, Canada (2003–2011), we compared women with and without psychiatric admission in the 1st year postpartum on demographic, maternal medical/obstetrical, infant and psychiatric factors and identified factors independently associated with admission.
Results
Admitted women (n = 275, 19%) were less likely to be adolescents, more likely to be low income and less likely to have received prenatal ultrasound before 20 weeks gestation compared to non‐admitted women. They also had higher rates of predelivery psychiatric comorbidity and mental health service use. Factors independently associated with postpartum admission were age (<20 vs. ≥35 years: adjusted risk ratio, aRR, 0.48, 95% CI 0.24–0.96), income (lowest vs. highest income: aRR 1.67, 1.13–2.47) and the following mental health service use factors in pregnancy: admission (≥35 days/year vs. no days, aRR 4.54, 3.65–5.65), outpatient mental health care (no visits vs. ≥2 visits aRR 0.35, 0.27–0.47) and presence of a consistent mental health care provider during pregnancy (aRR 0.69, 0.54–0.89).
Conclusion
Certain subgroups of women with schizophrenia may benefit from targeted intervention to mitigate risk for postpartum admission.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>hospitalization</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Infant</subject><subject>Maternal Age</subject><subject>Mental health</subject><subject>Mental Health Services</subject><subject>Ontario</subject><subject>Postpartum Period - psychology</subject><subject>pregnancy</subject><subject>Risk Factors</subject><subject>Schizophrenia</subject><subject>Schizophrenia - etiology</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>0001-690X</issn><issn>1600-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUFv1DAQhS0EotvChR-ALHFBlVJsx7GTY7WiBWkFlQAtN8txxlqXJE5tR8vy6_GStgcOCM_BGs33nmb0EHpFyQXN7502U7ygTDD2BK2oIKQgnMunaEUIoYVoyPcTdBrjbW4rSurn6IRJXspaVit0d6VN8iFiHaM3Tifo8N6lHZ58TJMOaR7wFA9ml0fBGay7wcXo_IjdiHWmprnXKfdFq2PWGr_zIWFv8d4PMC5eMct_-WkXYHT6BXpmdR_h5f1_hr5dvf-6_lBsPl9_XF9uCsNZzYralqytqKEcWsIoJ9ZwK5qWyNo0toEGwIKQYCQlUAluK5DS5MNYx5u2k-UZerv4TsHfzRCTypsb6Hs9gp-jojWTdVPl-g-UyrpkjeAZffMXeuvnMOZDjpRoqrwfzdT5QpngYwxg1RTcoMNBUaKOmaljZupPZhl-fW85twN0j-hDSBmgC7B3PRz-YaUu1zdfHkyLReNigp-PGh1-KCFLWantp2tFtrIUNxuhtuVvfbWx3A</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Vigod, S. N.</creator><creator>Rochon-Terry, G.</creator><creator>Fung, K.</creator><creator>Gruneir, A.</creator><creator>Dennis, C.-L.</creator><creator>Grigoriadis, S.</creator><creator>Kurdyak, P. A.</creator><creator>Ray, J. G.</creator><creator>Rochon, P.</creator><creator>Seeman, M. V.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201610</creationdate><title>Factors associated with postpartum psychiatric admission in a population-based cohort of women with schizophrenia</title><author>Vigod, S. N. ; Rochon-Terry, G. ; Fung, K. ; Gruneir, A. ; Dennis, C.-L. ; Grigoriadis, S. ; Kurdyak, P. A. ; Ray, J. G. ; Rochon, P. ; Seeman, M. V.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4282-8f32b51c14eb02140fc4f69b078c9f9e9eefe67ec710e564f5e77c2742d49bd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>hospitalization</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Infant</topic><topic>Maternal Age</topic><topic>Mental health</topic><topic>Mental Health Services</topic><topic>Ontario</topic><topic>Postpartum Period - psychology</topic><topic>pregnancy</topic><topic>Risk Factors</topic><topic>Schizophrenia</topic><topic>Schizophrenia - etiology</topic><topic>Womens health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vigod, S. N.</creatorcontrib><creatorcontrib>Rochon-Terry, G.</creatorcontrib><creatorcontrib>Fung, K.</creatorcontrib><creatorcontrib>Gruneir, A.</creatorcontrib><creatorcontrib>Dennis, C.-L.</creatorcontrib><creatorcontrib>Grigoriadis, S.</creatorcontrib><creatorcontrib>Kurdyak, P. A.</creatorcontrib><creatorcontrib>Ray, J. G.</creatorcontrib><creatorcontrib>Rochon, P.</creatorcontrib><creatorcontrib>Seeman, M. V.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta psychiatrica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vigod, S. N.</au><au>Rochon-Terry, G.</au><au>Fung, K.</au><au>Gruneir, A.</au><au>Dennis, C.-L.</au><au>Grigoriadis, S.</au><au>Kurdyak, P. A.</au><au>Ray, J. G.</au><au>Rochon, P.</au><au>Seeman, M. V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with postpartum psychiatric admission in a population-based cohort of women with schizophrenia</atitle><jtitle>Acta psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2016-10</date><risdate>2016</risdate><volume>134</volume><issue>4</issue><spage>305</spage><epage>313</epage><pages>305-313</pages><issn>0001-690X</issn><eissn>1600-0447</eissn><abstract>Objective
We aimed to identify factors associated with postpartum psychiatric admission in schizophrenia.
Method
In a population‐based cohort study of 1433 mothers with schizophrenia in Ontario, Canada (2003–2011), we compared women with and without psychiatric admission in the 1st year postpartum on demographic, maternal medical/obstetrical, infant and psychiatric factors and identified factors independently associated with admission.
Results
Admitted women (n = 275, 19%) were less likely to be adolescents, more likely to be low income and less likely to have received prenatal ultrasound before 20 weeks gestation compared to non‐admitted women. They also had higher rates of predelivery psychiatric comorbidity and mental health service use. Factors independently associated with postpartum admission were age (<20 vs. ≥35 years: adjusted risk ratio, aRR, 0.48, 95% CI 0.24–0.96), income (lowest vs. highest income: aRR 1.67, 1.13–2.47) and the following mental health service use factors in pregnancy: admission (≥35 days/year vs. no days, aRR 4.54, 3.65–5.65), outpatient mental health care (no visits vs. ≥2 visits aRR 0.35, 0.27–0.47) and presence of a consistent mental health care provider during pregnancy (aRR 0.69, 0.54–0.89).
Conclusion
Certain subgroups of women with schizophrenia may benefit from targeted intervention to mitigate risk for postpartum admission.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>27437875</pmid><doi>10.1111/acps.12622</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Wiley Journals |
| subjects | Adolescent Adult Cohort Studies Female hospitalization Hospitalization - statistics & numerical data Humans Infant Maternal Age Mental health Mental Health Services Ontario Postpartum Period - psychology pregnancy Risk Factors Schizophrenia Schizophrenia - etiology Womens health Young Adult |
| title | Factors associated with postpartum psychiatric admission in a population-based cohort of women with schizophrenia |
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