Obstetric complications and clinical presentation in first episode of psychosis
Psychotic disorders exhibit a complex aetiology that combines genetic and environmental factors. Among the latter, obstetric complications (OCs) have been widely studied as risk factors, but it is not yet well understood how OCs relate to the heterogeneous presentations of psychotic disorders. We as...
| Autores: | , , , , , , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2023 |
| País: | España |
| Institución: | Universitat Autònoma de Barcelona |
| Repositorio: | Dipòsit Digital de Documents de la UAB |
| Idioma: | inglés |
| OAI Identifier: | oai:ddd.uab.cat:302807 |
| Acceso en línea: | https://ddd.uab.cat/record/302807 https://dx.doi.org/urn:doi:10.1017/neu.2023.9 |
| Access Level: | acceso abierto |
| Palabra clave: | First-episode psychosis Delivery Epiphenomena Obstetric complications Psychopathology |
| id |
ES_9dfb2aa5dbebce160e5c5af774ecd4a5 |
|---|---|
| oai_identifier_str |
oai:ddd.uab.cat:302807 |
| network_acronym_str |
ES |
| network_name_str |
España |
| repository_id_str |
|
| spelling |
Obstetric complications and clinical presentation in first episode of psychosisValli, Isabel|||0000-0003-3052-7383Garcia Rizo, Clemente|||0000-0002-4855-1608Cuesta, M.Vieta, Eduard|||0000-0002-0548-0053Bioque, Miquel|||0000-0001-6887-7149Lobo, Antonio|||0000-0002-9098-655XGonzález-Pinto, Ana|||0000-0002-2568-5179Pina-Camacho, Laura|||0000-0003-1960-6443Corripio, Iluminada|||0000-0003-2562-711XGarriga, Marina|||0000-0001-7312-4969Baeza, Inmaculada|||0000-0003-2611-5781Martínez Sadurní, Laura|||0000-0001-8693-8902Bitanihirwe, B.Cannon, M.Bernardo, Miquel|||0000-0001-8748-6717First-episode psychosisDeliveryEpiphenomenaObstetric complicationsPsychopathologyPsychotic disorders exhibit a complex aetiology that combines genetic and environmental factors. Among the latter, obstetric complications (OCs) have been widely studied as risk factors, but it is not yet well understood how OCs relate to the heterogeneous presentations of psychotic disorders. We assessed the clinical phenotypes of individuals with a first episode of psychosis (FEP) in relation to the presence of OCs. Two-hundred seventy-seven patients with an FEP were assessed for OCs using the Lewis-Murray scale, with data stratified into three subscales depending on the timing and the characteristics of the obstetric event, namely: complications of pregnancy, abnormal foetal growth and development and difficulties in delivery. We also considered other two groups: any complications during the pregnancy period and all OCs taken altogether. Patients were clinically evaluated with the Positive and Negative Syndrome Scale for schizophrenia. Total OCs and difficulties in delivery were related to more severe psychopathology, and this remained significant after co-varying for age, sex, traumatic experiences, antipsychotic dosage and cannabis use. Our results highlight the relevance of OCs for the clinical presentation of psychosis. Describing the timing of the OCs is essential in understanding the heterogeneity of the clinical presentation.Universitat Autònoma de Barcelona 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/302807https://dx.doi.org/urn:doi:10.1017/neu.2023.9reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengMinisterio de Ciencia e Innovación https://doi.org/10.13039/501100004837 PI11/00325Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI14/00612Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI20/00661open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3028072026-06-06T12:50:31Z |
| dc.title.none.fl_str_mv |
Obstetric complications and clinical presentation in first episode of psychosis |
| title |
Obstetric complications and clinical presentation in first episode of psychosis |
| spellingShingle |
Obstetric complications and clinical presentation in first episode of psychosis Valli, Isabel|||0000-0003-3052-7383 First-episode psychosis Delivery Epiphenomena Obstetric complications Psychopathology |
| title_short |
Obstetric complications and clinical presentation in first episode of psychosis |
| title_full |
Obstetric complications and clinical presentation in first episode of psychosis |
| title_fullStr |
Obstetric complications and clinical presentation in first episode of psychosis |
| title_full_unstemmed |
Obstetric complications and clinical presentation in first episode of psychosis |
| title_sort |
Obstetric complications and clinical presentation in first episode of psychosis |
| dc.creator.none.fl_str_mv |
Valli, Isabel|||0000-0003-3052-7383 Garcia Rizo, Clemente|||0000-0002-4855-1608 Cuesta, M. Vieta, Eduard|||0000-0002-0548-0053 Bioque, Miquel|||0000-0001-6887-7149 Lobo, Antonio|||0000-0002-9098-655X González-Pinto, Ana|||0000-0002-2568-5179 Pina-Camacho, Laura|||0000-0003-1960-6443 Corripio, Iluminada|||0000-0003-2562-711X Garriga, Marina|||0000-0001-7312-4969 Baeza, Inmaculada|||0000-0003-2611-5781 Martínez Sadurní, Laura|||0000-0001-8693-8902 Bitanihirwe, B. Cannon, M. Bernardo, Miquel|||0000-0001-8748-6717 |
| author |
Valli, Isabel|||0000-0003-3052-7383 |
| author_facet |
Valli, Isabel|||0000-0003-3052-7383 Garcia Rizo, Clemente|||0000-0002-4855-1608 Cuesta, M. Vieta, Eduard|||0000-0002-0548-0053 Bioque, Miquel|||0000-0001-6887-7149 Lobo, Antonio|||0000-0002-9098-655X González-Pinto, Ana|||0000-0002-2568-5179 Pina-Camacho, Laura|||0000-0003-1960-6443 Corripio, Iluminada|||0000-0003-2562-711X Garriga, Marina|||0000-0001-7312-4969 Baeza, Inmaculada|||0000-0003-2611-5781 Martínez Sadurní, Laura|||0000-0001-8693-8902 Bitanihirwe, B. Cannon, M. Bernardo, Miquel|||0000-0001-8748-6717 |
| author_role |
author |
| author2 |
Garcia Rizo, Clemente|||0000-0002-4855-1608 Cuesta, M. Vieta, Eduard|||0000-0002-0548-0053 Bioque, Miquel|||0000-0001-6887-7149 Lobo, Antonio|||0000-0002-9098-655X González-Pinto, Ana|||0000-0002-2568-5179 Pina-Camacho, Laura|||0000-0003-1960-6443 Corripio, Iluminada|||0000-0003-2562-711X Garriga, Marina|||0000-0001-7312-4969 Baeza, Inmaculada|||0000-0003-2611-5781 Martínez Sadurní, Laura|||0000-0001-8693-8902 Bitanihirwe, B. Cannon, M. Bernardo, Miquel|||0000-0001-8748-6717 |
| author2_role |
author author author author author author author author author author author author author author |
| dc.contributor.none.fl_str_mv |
Universitat Autònoma de Barcelona |
| dc.subject.none.fl_str_mv |
First-episode psychosis Delivery Epiphenomena Obstetric complications Psychopathology |
| topic |
First-episode psychosis Delivery Epiphenomena Obstetric complications Psychopathology |
| description |
Psychotic disorders exhibit a complex aetiology that combines genetic and environmental factors. Among the latter, obstetric complications (OCs) have been widely studied as risk factors, but it is not yet well understood how OCs relate to the heterogeneous presentations of psychotic disorders. We assessed the clinical phenotypes of individuals with a first episode of psychosis (FEP) in relation to the presence of OCs. Two-hundred seventy-seven patients with an FEP were assessed for OCs using the Lewis-Murray scale, with data stratified into three subscales depending on the timing and the characteristics of the obstetric event, namely: complications of pregnancy, abnormal foetal growth and development and difficulties in delivery. We also considered other two groups: any complications during the pregnancy period and all OCs taken altogether. Patients were clinically evaluated with the Positive and Negative Syndrome Scale for schizophrenia. Total OCs and difficulties in delivery were related to more severe psychopathology, and this remained significant after co-varying for age, sex, traumatic experiences, antipsychotic dosage and cannabis use. Our results highlight the relevance of OCs for the clinical presentation of psychosis. Describing the timing of the OCs is essential in understanding the heterogeneity of the clinical presentation. |
| publishDate |
2023 |
| dc.date.none.fl_str_mv |
2 2023-01-01 2023 2023-01-01 |
| dc.type.none.fl_str_mv |
Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
| format |
article |
| dc.identifier.none.fl_str_mv |
https://ddd.uab.cat/record/302807 https://dx.doi.org/urn:doi:10.1017/neu.2023.9 |
| url |
https://ddd.uab.cat/record/302807 https://dx.doi.org/urn:doi:10.1017/neu.2023.9 |
| dc.language.none.fl_str_mv |
Inglés eng |
| language_invalid_str_mv |
Inglés |
| language |
eng |
| dc.relation.none.fl_str_mv |
Ministerio de Ciencia e Innovación https://doi.org/10.13039/501100004837 PI11/00325 Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI14/00612 Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI20/00661 |
| dc.rights.none.fl_str_mv |
open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
| dc.rights.openaire.fl_str_mv |
info:eu-repo/semantics/openAccess |
| rights_invalid_str_mv |
open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
application/pdf |
| dc.source.none.fl_str_mv |
reponame:Dipòsit Digital de Documents de la UAB instname:Universitat Autònoma de Barcelona |
| instname_str |
Universitat Autònoma de Barcelona |
| reponame_str |
Dipòsit Digital de Documents de la UAB |
| collection |
Dipòsit Digital de Documents de la UAB |
| repository.name.fl_str_mv |
|
| repository.mail.fl_str_mv |
|
| _version_ |
1869414788037083136 |
| score |
15,812429 |