Skip to main content

Predictors of parenting outcome in women with psychotic disorders discharged from mother and baby units

Buy Article:

$48.00 plus tax (Refund Policy)

Abstract:

Howard LM, Thornicroft G, Salmon M, Appleby L. Predictors of parenting outcome in women with psychotic disorders discharged from mother and baby units.

Acta Psychiatr Scand 2004: 1–9. © Blackwell Munksgaard 2004. Objective: 

To compare the social and clinical characteristics of mothers with psychotic disorders with parenting difficulties, with mothers with no significant parenting problems. Method: 

Descriptive and case–control study. Results: 

Over half of the women with psychotic disorders admitted to psychiatric mother and baby units had a good outcome at the time of discharge – 70% did not need social services supervision, and had no significant parenting problem as judged by clinical staff. Diagnosis was independently associated with all measures of poor parenting; compared with a diagnosis of psychotic depression, a diagnosis of schizophrenia was highly significantly associated with social services supervision [adjusted odds ratio (OR) 25.7; 95% CI 5.97, 111.05], and staff rated problems with emotional responsiveness (adjusted OR 3.39;95% CI 1.42, 8.08), practical baby care (adjusted OR 6.07; 95% CI 2.12, 17.39), and perceived risk of harm to baby (adjusted OR 7.81; 95% CI. 2, 30.53). Low social class and psychiatric illness in the partner were also significantly associated with poor parenting outcomes, including social services supervision (adjusted OR 3.88; 95% CI 2.07, 7.25 and 4.23; 95% CI 2.1, 8.55, respectively). Conclusions: 

Although these associations do not demonstrate causality, these findings suggest preventative interventions targeting socio-economic difficulties, early treatment of psychosis, and detection and treatment of psychiatric problems in the partner may be helpful in improving parenting outcomes in these vulnerable families.

Keywords: mother and baby unit; parenting; schizophrenia

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1600-0447.2004.00375.x

Affiliations: 1: Health Services Research Department, Institute of Psychiatry, De Crespigny Park, London 2: School of Psychiatry and Behavioural Sciences, The University of Manchester, Manchester, UK

Publication date: November 1, 2004

mksg/acp/2004/00000110/00000005/art00004
dcterms_title,dcterms_description,pub_keyword
6
5
20
40
5

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more