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...

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Autores: 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
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
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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
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