Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis
Abstract First-episode psychosis (FEP) can be quite variable in clinical presentation, and both sex and gender may account for some of this variability. Prior literature on sex or gender differences in symptoms of psychosis have been inconclusive, and a comprehensive summary of evidence on the early...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Carter, Brooke [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2022 |
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| Übergeordnetes Werk: |
Enthalten in: Archives of Women's Mental Health - Springer-Verlag, 2002, 25(2022), 4 vom: 24. Juni, Seite 679-691 |
|---|---|
| Übergeordnetes Werk: |
volume:25 ; year:2022 ; number:4 ; day:24 ; month:06 ; pages:679-691 |
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| DOI / URN: |
10.1007/s00737-022-01247-3 |
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| 520 | |a Abstract First-episode psychosis (FEP) can be quite variable in clinical presentation, and both sex and gender may account for some of this variability. Prior literature on sex or gender differences in symptoms of psychosis have been inconclusive, and a comprehensive summary of evidence on the early course of illness is lacking. The objective of this study was to conduct a systematic review and meta-analysis of the literature to summarize prior evidence on the sex and gender differences in the symptoms of early psychosis. We conducted an electronic database search (MEDLINE, Scopus, PsycINFO, and CINAHL) from 1990 to present to identify quantitative studies focused on sex or gender differences in the symptoms of early psychosis. We used random effects models to compute pooled standardized mean differences (SMD) and risk ratios (RR), with 95% confidence intervals (CI), for a range of symptoms. Thirty-five studies met the inclusion criteria for the systematic review, and 30 studies were included in the meta-analysis. All studies examined sex differences. Men experienced more severe negative symptoms (SMD = − 0.15, 95%CI = − 0.21, − 0.09), whereas women experienced more severe depressive symptoms (SMD = 0.21, 95%CI = 0.14, 0.27) and had higher functioning (SMD = 0.16, 95%CI = 0.10, 0.23). Women also had a lower prevalence of substance use issues (RR = 0.65, 95%CI = 0.61, 0.69). Symptoms of early psychosis varied between men and women; however, we were limited in our ability to differentiate between biological sex and gender factors. These findings may help to inform early detection and intervention efforts to better account for sex and gender differences in early psychosis presentation. | ||
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10.1007/s00737-022-01247-3 doi (DE-627)SPR047581794 (SPR)s00737-022-01247-3-e DE-627 ger DE-627 rakwb eng Carter, Brooke verfasserin aut Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2022 Abstract First-episode psychosis (FEP) can be quite variable in clinical presentation, and both sex and gender may account for some of this variability. Prior literature on sex or gender differences in symptoms of psychosis have been inconclusive, and a comprehensive summary of evidence on the early course of illness is lacking. The objective of this study was to conduct a systematic review and meta-analysis of the literature to summarize prior evidence on the sex and gender differences in the symptoms of early psychosis. We conducted an electronic database search (MEDLINE, Scopus, PsycINFO, and CINAHL) from 1990 to present to identify quantitative studies focused on sex or gender differences in the symptoms of early psychosis. We used random effects models to compute pooled standardized mean differences (SMD) and risk ratios (RR), with 95% confidence intervals (CI), for a range of symptoms. Thirty-five studies met the inclusion criteria for the systematic review, and 30 studies were included in the meta-analysis. All studies examined sex differences. Men experienced more severe negative symptoms (SMD = − 0.15, 95%CI = − 0.21, − 0.09), whereas women experienced more severe depressive symptoms (SMD = 0.21, 95%CI = 0.14, 0.27) and had higher functioning (SMD = 0.16, 95%CI = 0.10, 0.23). Women also had a lower prevalence of substance use issues (RR = 0.65, 95%CI = 0.61, 0.69). Symptoms of early psychosis varied between men and women; however, we were limited in our ability to differentiate between biological sex and gender factors. These findings may help to inform early detection and intervention efforts to better account for sex and gender differences in early psychosis presentation. Sex differences (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Symptoms (dpeaa)DE-He213 First-episode psychosis (dpeaa)DE-He213 Wootten, Jared aut Archie, Suzanne aut Terry, Amanda L. aut Anderson, Kelly K. (orcid)0000-0001-9843-404X aut Enthalten in Archives of Women's Mental Health Springer-Verlag, 2002 25(2022), 4 vom: 24. Juni, Seite 679-691 (DE-627)SPR007667299 nnns volume:25 year:2022 number:4 day:24 month:06 pages:679-691 https://dx.doi.org/10.1007/s00737-022-01247-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 25 2022 4 24 06 679-691 |
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10.1007/s00737-022-01247-3 doi (DE-627)SPR047581794 (SPR)s00737-022-01247-3-e DE-627 ger DE-627 rakwb eng Carter, Brooke verfasserin aut Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2022 Abstract First-episode psychosis (FEP) can be quite variable in clinical presentation, and both sex and gender may account for some of this variability. Prior literature on sex or gender differences in symptoms of psychosis have been inconclusive, and a comprehensive summary of evidence on the early course of illness is lacking. The objective of this study was to conduct a systematic review and meta-analysis of the literature to summarize prior evidence on the sex and gender differences in the symptoms of early psychosis. We conducted an electronic database search (MEDLINE, Scopus, PsycINFO, and CINAHL) from 1990 to present to identify quantitative studies focused on sex or gender differences in the symptoms of early psychosis. We used random effects models to compute pooled standardized mean differences (SMD) and risk ratios (RR), with 95% confidence intervals (CI), for a range of symptoms. Thirty-five studies met the inclusion criteria for the systematic review, and 30 studies were included in the meta-analysis. All studies examined sex differences. Men experienced more severe negative symptoms (SMD = − 0.15, 95%CI = − 0.21, − 0.09), whereas women experienced more severe depressive symptoms (SMD = 0.21, 95%CI = 0.14, 0.27) and had higher functioning (SMD = 0.16, 95%CI = 0.10, 0.23). Women also had a lower prevalence of substance use issues (RR = 0.65, 95%CI = 0.61, 0.69). Symptoms of early psychosis varied between men and women; however, we were limited in our ability to differentiate between biological sex and gender factors. These findings may help to inform early detection and intervention efforts to better account for sex and gender differences in early psychosis presentation. Sex differences (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Symptoms (dpeaa)DE-He213 First-episode psychosis (dpeaa)DE-He213 Wootten, Jared aut Archie, Suzanne aut Terry, Amanda L. aut Anderson, Kelly K. (orcid)0000-0001-9843-404X aut Enthalten in Archives of Women's Mental Health Springer-Verlag, 2002 25(2022), 4 vom: 24. Juni, Seite 679-691 (DE-627)SPR007667299 nnns volume:25 year:2022 number:4 day:24 month:06 pages:679-691 https://dx.doi.org/10.1007/s00737-022-01247-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 25 2022 4 24 06 679-691 |
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10.1007/s00737-022-01247-3 doi (DE-627)SPR047581794 (SPR)s00737-022-01247-3-e DE-627 ger DE-627 rakwb eng Carter, Brooke verfasserin aut Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2022 Abstract First-episode psychosis (FEP) can be quite variable in clinical presentation, and both sex and gender may account for some of this variability. Prior literature on sex or gender differences in symptoms of psychosis have been inconclusive, and a comprehensive summary of evidence on the early course of illness is lacking. The objective of this study was to conduct a systematic review and meta-analysis of the literature to summarize prior evidence on the sex and gender differences in the symptoms of early psychosis. We conducted an electronic database search (MEDLINE, Scopus, PsycINFO, and CINAHL) from 1990 to present to identify quantitative studies focused on sex or gender differences in the symptoms of early psychosis. We used random effects models to compute pooled standardized mean differences (SMD) and risk ratios (RR), with 95% confidence intervals (CI), for a range of symptoms. Thirty-five studies met the inclusion criteria for the systematic review, and 30 studies were included in the meta-analysis. All studies examined sex differences. Men experienced more severe negative symptoms (SMD = − 0.15, 95%CI = − 0.21, − 0.09), whereas women experienced more severe depressive symptoms (SMD = 0.21, 95%CI = 0.14, 0.27) and had higher functioning (SMD = 0.16, 95%CI = 0.10, 0.23). Women also had a lower prevalence of substance use issues (RR = 0.65, 95%CI = 0.61, 0.69). Symptoms of early psychosis varied between men and women; however, we were limited in our ability to differentiate between biological sex and gender factors. These findings may help to inform early detection and intervention efforts to better account for sex and gender differences in early psychosis presentation. Sex differences (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Symptoms (dpeaa)DE-He213 First-episode psychosis (dpeaa)DE-He213 Wootten, Jared aut Archie, Suzanne aut Terry, Amanda L. aut Anderson, Kelly K. (orcid)0000-0001-9843-404X aut Enthalten in Archives of Women's Mental Health Springer-Verlag, 2002 25(2022), 4 vom: 24. Juni, Seite 679-691 (DE-627)SPR007667299 nnns volume:25 year:2022 number:4 day:24 month:06 pages:679-691 https://dx.doi.org/10.1007/s00737-022-01247-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 25 2022 4 24 06 679-691 |
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10.1007/s00737-022-01247-3 doi (DE-627)SPR047581794 (SPR)s00737-022-01247-3-e DE-627 ger DE-627 rakwb eng Carter, Brooke verfasserin aut Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2022 Abstract First-episode psychosis (FEP) can be quite variable in clinical presentation, and both sex and gender may account for some of this variability. Prior literature on sex or gender differences in symptoms of psychosis have been inconclusive, and a comprehensive summary of evidence on the early course of illness is lacking. The objective of this study was to conduct a systematic review and meta-analysis of the literature to summarize prior evidence on the sex and gender differences in the symptoms of early psychosis. We conducted an electronic database search (MEDLINE, Scopus, PsycINFO, and CINAHL) from 1990 to present to identify quantitative studies focused on sex or gender differences in the symptoms of early psychosis. We used random effects models to compute pooled standardized mean differences (SMD) and risk ratios (RR), with 95% confidence intervals (CI), for a range of symptoms. Thirty-five studies met the inclusion criteria for the systematic review, and 30 studies were included in the meta-analysis. All studies examined sex differences. Men experienced more severe negative symptoms (SMD = − 0.15, 95%CI = − 0.21, − 0.09), whereas women experienced more severe depressive symptoms (SMD = 0.21, 95%CI = 0.14, 0.27) and had higher functioning (SMD = 0.16, 95%CI = 0.10, 0.23). Women also had a lower prevalence of substance use issues (RR = 0.65, 95%CI = 0.61, 0.69). Symptoms of early psychosis varied between men and women; however, we were limited in our ability to differentiate between biological sex and gender factors. These findings may help to inform early detection and intervention efforts to better account for sex and gender differences in early psychosis presentation. Sex differences (dpeaa)DE-He213 Psychosis (dpeaa)DE-He213 Symptoms (dpeaa)DE-He213 First-episode psychosis (dpeaa)DE-He213 Wootten, Jared aut Archie, Suzanne aut Terry, Amanda L. aut Anderson, Kelly K. (orcid)0000-0001-9843-404X aut Enthalten in Archives of Women's Mental Health Springer-Verlag, 2002 25(2022), 4 vom: 24. Juni, Seite 679-691 (DE-627)SPR007667299 nnns volume:25 year:2022 number:4 day:24 month:06 pages:679-691 https://dx.doi.org/10.1007/s00737-022-01247-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 25 2022 4 24 06 679-691 |
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Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis |
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Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis |
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Carter, Brooke |
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Archives of Women's Mental Health |
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Carter, Brooke Wootten, Jared Archie, Suzanne Terry, Amanda L. Anderson, Kelly K. |
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Elektronische Aufsätze |
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Carter, Brooke |
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10.1007/s00737-022-01247-3 |
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sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis |
| title_auth |
Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis |
| abstract |
Abstract First-episode psychosis (FEP) can be quite variable in clinical presentation, and both sex and gender may account for some of this variability. Prior literature on sex or gender differences in symptoms of psychosis have been inconclusive, and a comprehensive summary of evidence on the early course of illness is lacking. The objective of this study was to conduct a systematic review and meta-analysis of the literature to summarize prior evidence on the sex and gender differences in the symptoms of early psychosis. We conducted an electronic database search (MEDLINE, Scopus, PsycINFO, and CINAHL) from 1990 to present to identify quantitative studies focused on sex or gender differences in the symptoms of early psychosis. We used random effects models to compute pooled standardized mean differences (SMD) and risk ratios (RR), with 95% confidence intervals (CI), for a range of symptoms. Thirty-five studies met the inclusion criteria for the systematic review, and 30 studies were included in the meta-analysis. All studies examined sex differences. Men experienced more severe negative symptoms (SMD = − 0.15, 95%CI = − 0.21, − 0.09), whereas women experienced more severe depressive symptoms (SMD = 0.21, 95%CI = 0.14, 0.27) and had higher functioning (SMD = 0.16, 95%CI = 0.10, 0.23). Women also had a lower prevalence of substance use issues (RR = 0.65, 95%CI = 0.61, 0.69). Symptoms of early psychosis varied between men and women; however, we were limited in our ability to differentiate between biological sex and gender factors. These findings may help to inform early detection and intervention efforts to better account for sex and gender differences in early psychosis presentation. © The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2022 |
| abstractGer |
Abstract First-episode psychosis (FEP) can be quite variable in clinical presentation, and both sex and gender may account for some of this variability. Prior literature on sex or gender differences in symptoms of psychosis have been inconclusive, and a comprehensive summary of evidence on the early course of illness is lacking. The objective of this study was to conduct a systematic review and meta-analysis of the literature to summarize prior evidence on the sex and gender differences in the symptoms of early psychosis. We conducted an electronic database search (MEDLINE, Scopus, PsycINFO, and CINAHL) from 1990 to present to identify quantitative studies focused on sex or gender differences in the symptoms of early psychosis. We used random effects models to compute pooled standardized mean differences (SMD) and risk ratios (RR), with 95% confidence intervals (CI), for a range of symptoms. Thirty-five studies met the inclusion criteria for the systematic review, and 30 studies were included in the meta-analysis. All studies examined sex differences. Men experienced more severe negative symptoms (SMD = − 0.15, 95%CI = − 0.21, − 0.09), whereas women experienced more severe depressive symptoms (SMD = 0.21, 95%CI = 0.14, 0.27) and had higher functioning (SMD = 0.16, 95%CI = 0.10, 0.23). Women also had a lower prevalence of substance use issues (RR = 0.65, 95%CI = 0.61, 0.69). Symptoms of early psychosis varied between men and women; however, we were limited in our ability to differentiate between biological sex and gender factors. These findings may help to inform early detection and intervention efforts to better account for sex and gender differences in early psychosis presentation. © The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2022 |
| abstract_unstemmed |
Abstract First-episode psychosis (FEP) can be quite variable in clinical presentation, and both sex and gender may account for some of this variability. Prior literature on sex or gender differences in symptoms of psychosis have been inconclusive, and a comprehensive summary of evidence on the early course of illness is lacking. The objective of this study was to conduct a systematic review and meta-analysis of the literature to summarize prior evidence on the sex and gender differences in the symptoms of early psychosis. We conducted an electronic database search (MEDLINE, Scopus, PsycINFO, and CINAHL) from 1990 to present to identify quantitative studies focused on sex or gender differences in the symptoms of early psychosis. We used random effects models to compute pooled standardized mean differences (SMD) and risk ratios (RR), with 95% confidence intervals (CI), for a range of symptoms. Thirty-five studies met the inclusion criteria for the systematic review, and 30 studies were included in the meta-analysis. All studies examined sex differences. Men experienced more severe negative symptoms (SMD = − 0.15, 95%CI = − 0.21, − 0.09), whereas women experienced more severe depressive symptoms (SMD = 0.21, 95%CI = 0.14, 0.27) and had higher functioning (SMD = 0.16, 95%CI = 0.10, 0.23). Women also had a lower prevalence of substance use issues (RR = 0.65, 95%CI = 0.61, 0.69). Symptoms of early psychosis varied between men and women; however, we were limited in our ability to differentiate between biological sex and gender factors. These findings may help to inform early detection and intervention efforts to better account for sex and gender differences in early psychosis presentation. © The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2022 |
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| title_short |
Sex and gender differences in symptoms of early psychosis: a systematic review and meta-analysis |
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https://dx.doi.org/10.1007/s00737-022-01247-3 |
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Wootten, Jared Archie, Suzanne Terry, Amanda L. Anderson, Kelly K. |
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