Format

Send to

Choose Destination
Acta Psychiatr Scand. 2019 Aug;140(2):126-134. doi: 10.1111/acps.13057. Epub 2019 Jun 17.

Home visits in the Danish High Risk and Resilience Study - VIA 7: assessment of the home environment of 508 7-year-old children born to parents diagnosed with schizophrenia or bipolar disorder.

Author information

1
Psychosis Research Unit, Aarhus University Hospital Psychiatry, Aarhus, Denmark.
2
The Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Aarhus, Denmark.
3
Child and Adolescent Mental Health Center, Mental Health Services, Copenhagen, Denmark.
4
Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
5
Mental Health Centre Copenhagen, Copenhagen University Hospital, Mental Health Services Capital Region, Copenhagen, Denmark.
6
Section of Biostatistics, Department of Public Health, Copenhagen University, Copenhagen, Denmark.
7
Centre for Neuropsychiatric Schizophrenia Research & Centre for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Copenhagen University Hospital, Copenhagen, Denmark.
8
Service of Child and Adolescent Psychiatry, Department of Psychiatry, University Medical Center, University of Lausanne, Lausanne, Switzerland.
9
Department of Clinical Medicine, Faculty of Health and Medical Sciences, Aarhus University, Aarhus, Denmark.

Abstract

OBJECTIVE:

The home environment provided by the caregivers of a child is an influential single factor for development and well-being. We aimed to compare the quality of the home environment of children at familial high risk of schizophrenia or bipolar disorder with population-based controls.

METHODS:

Danish nationwide registers were used to retrieve a cohort of 522 7-year-old children of parents diagnosed with schizophrenia (N = 202), bipolar disorder (N = 120) or none of these diagnoses (N = 200). The home environment was assessed using the Middle Childhood-Home Observation for Measurement of the Environment Inventory (MC-HOME Inventory).

RESULTS:

The proportion of children living in home environments that were evaluated not to meet the needs of a 7-year-old child was significantly larger in the two familial high-risk groups. This was true for 21% of the children with familial predisposition for schizophrenia and 7% of children with familial disposition for bipolar disorder.

CONCLUSION:

Children born to parents diagnosed with schizophrenia and to a lesser extent bipolar disorder are at an increased risk of growing up in a home environment with an insufficient level of stimulation and support. Identifying families with inadequate home environments is a necessary step towards specialized help and support to at-risk families.

KEYWORDS:

bipolar disorder; familial high-risk; home environment; risk factor; schizophrenia

PMID:
31155701
DOI:
10.1111/acps.13057

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center