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Acta Psychiatr Scand. 2008 Mar;117(3):225-31. doi: 10.1111/j.1600-0447.2007.01143.x. Epub 2008 Jan 30.

Self-report of family functioning and risk for psychotic disorders in male adolescents with behavioural disturbances.

Author information

1
Department of Psychiatry, Sheba Medical Center, Tel-Hashomer, Israel. mweiser@netvision.net.il

Abstract

OBJECTIVE:

Previous studies indicate that a poor family environment might affect vulnerability for the later manifestation of psychotic illness. The current study aims to examine family functioning prior to the onset of psychosis.

METHOD:

Subjects were 42,948, 17-year old males with behavioural disturbances who were asked about the functioning of their family by the Israeli Draft Board. Data on later psychiatric hospitalizations were obtained from a National Psychiatric Hospitalization Registry.

RESULTS:

Poorer self-reported family functioning was associated with greater risk for later hospitalization for psychosis [adjusted hazard ratio (HR) = 1.16, 95% CI = 1.05-1.27], with a trend in the same direction for schizophrenia (adjusted HR = 1.1, 95% CI = 0.98-1.24).

CONCLUSION:

In male adolescents with behavioural disturbances, perceived poorer family functioning is associated with increased risk for non-affective psychotic disorders and schizophrenia. These data do not enable us to determine if perceived familial dysfunction increases vulnerability for psychosis, if premorbid behavioural abnormalities disrupt family life, or neither.

[Indexed for MEDLINE]

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