Department of Psychiatry, University of Oxford, Warneford Hospital, Warneford Lane, Oxford, OX3 7JX, UK.
Department of Social Policy and Intervention, University of Oxford, Barnett House, 32-37 Wellington Square, Oxford, OX1 2ER, UK.
Soc Psychiatry Psychiatr Epidemiol. 2022 Sep;57(9):1897-1906. doi: 10.1007/s00127-022-02279-x. Epub 2022 Apr 21.
Estimates of parenthood in individuals with psychosis range from 27 to 63%. This number has likely increased due to the introduction of newer anti-psychotics and shorter hospital stays. The problems of psychosis can affect patients' capacity to offer the consistent, responsive care required for healthy child development. The following research questions were assessed: (1) what proportion of these patients have their children correctly recorded in their clinical notes, (2) what proportion of patients in secondary care with a psychotic diagnosis have children, and (3) what sociodemographic characteristics are associated with parenthood in this population.
This study used CRIS (Clinical Record Interactive Search) to search for patients with a diagnosis of non-affective or affective psychosis (F20-29, F31.2 or F31.5) within a UK NHS Trust. A binomial regression model was fitted to identify the variables associated with parenthood.
Fewer than half of the parents in the sample had their children recorded in the correct field in their clinical notes. Of 5173 patients with psychosis, 2006 (38.8%) were parents. Characteristics associated with parenthood included being female, older age, higher socioeconomic status, renting or owning, having ever been married, being unemployed, not being White (British) and not having a diagnosis of schizophrenia.
Over one-third of patients with psychosis were parents, and the study indicates that not all NHS Trusts are recording dependants accurately. Many variables were strongly associated with parenthood and these findings may help target interventions for this population.
精神分裂症患者为人父母的比例估计在 27%至 63%之间。由于新型抗精神病药物的出现和住院时间缩短，这一数字可能有所增加。精神分裂症的问题可能会影响患者提供健康儿童发展所需的持续、响应性护理的能力。本研究评估了以下三个研究问题：（1）这些患者中有多大比例的子女在其临床记录中正确记录，（2）在二级保健中有精神分裂症诊断的患者中有多大比例有子女，以及（3）该人群中与父母身份相关的社会人口学特征是什么。
本研究使用 CRIS（临床记录交互搜索）在英国国民保健系统信托中搜索非情感或情感性精神分裂症（F20-29、F31.2 或 F31.5）的诊断患者。拟合二项回归模型以确定与父母身份相关的变量。
在样本中，不到一半的父母在其临床记录中的正确字段中记录了他们的孩子。在 5173 名患有精神分裂症的患者中，有 2006 名（38.8%）是父母。与父母身份相关的特征包括女性、年龄较大、社会经济地位较高、租房或拥有住房、曾经结婚、失业、不是白人（英国）和没有精神分裂症诊断。
超过三分之一的精神分裂症患者为人父母，研究表明并非所有国民保健系统信托都准确记录受抚养人。许多变量与父母身份密切相关，这些发现可能有助于针对该人群进行干预。
