Anne Ranning1, Thomas Munk Laursen2, Anne Thorup3, Carsten Hjorthøj4, Merete Nordentoft4. 1. Copenhagen University Hospital, Mental Health Centre Copenhagen, Mental Health Services, Capital Region of Denmark, and the Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Copenhagen, Denmark. Electronic address: Anne.ranning@regionh.dk. 2. Aarhus University, the National Center for Register-based Research, Aarhus, Denmark, and the Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH. 3. Copenhagen University Hospital, Mental Health Centre Copenhagen, Mental Health Services, Capital Region of Denmark, and the Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Copenhagen, Denmark; Center for Child and Adolescent Psychiatry Capital Region, Copenhagen. 4. Copenhagen University Hospital, Mental Health Centre Copenhagen, Mental Health Services, Capital Region of Denmark, and the Lundbeck Foundation Initiative for Integrative Psychiatric Research, iPSYCH, Copenhagen, Denmark.
Abstract
OBJECTIVE: To provide an overview of living arrangements during childhood for children of parents with schizophrenia, bipolar disorder, and depression. METHOD: Information was obtained from Danish registers on children's addresses and used to calculate the proportion living in different household living arrangements. The study was conducted as a prospective, register-based cohort study covering all children in the entire Danish population born after 1982 (N = 1,823,625) and their parents with a diagnosis of schizophrenia, bipolar disorder, depression, or none of these disorders. Regression analyses were performed assessing the risk of dissolution of the conjugal family. RESULTS: Children's living arrangements were characterized by fewer nuclear families and more single-parent-headed households when parents had serious mental illness (SMI). From birth, 15% to 20% of children lived with a single mother with SMI. Conjugal families were dissolved at higher rates if a parent had SMI, especially if the mother (incidence rate ratio 2.98; 95% CI 2.80-3.17) or the father (incidence rate ratio 2.60; 95% CI 2.47-2.74) had schizophrenia. Risks for family dissolution varied greatly with parents' socioeconomic position in all diagnostic groups. CONCLUSION: Parents' SMI affects children's family living arrangements because fewer children live with both parents and more children live with a single parent or are separated from both parents. Family cohesion seems especially difficult to maintain when parents have schizophrenia.
OBJECTIVE: To provide an overview of living arrangements during childhood for children of parents with schizophrenia, bipolar disorder, and depression. METHOD: Information was obtained from Danish registers on children's addresses and used to calculate the proportion living in different household living arrangements. The study was conducted as a prospective, register-based cohort study covering all children in the entire Danish population born after 1982 (N = 1,823,625) and their parents with a diagnosis of schizophrenia, bipolar disorder, depression, or none of these disorders. Regression analyses were performed assessing the risk of dissolution of the conjugal family. RESULTS:Children's living arrangements were characterized by fewer nuclear families and more single-parent-headed households when parents had serious mental illness (SMI). From birth, 15% to 20% of children lived with a single mother with SMI. Conjugal families were dissolved at higher rates if a parent had SMI, especially if the mother (incidence rate ratio 2.98; 95% CI 2.80-3.17) or the father (incidence rate ratio 2.60; 95% CI 2.47-2.74) had schizophrenia. Risks for family dissolution varied greatly with parents' socioeconomic position in all diagnostic groups. CONCLUSION: Parents' SMI affects children's family living arrangements because fewer children live with both parents and more children live with a single parent or are separated from both parents. Family cohesion seems especially difficult to maintain when parents have schizophrenia.
Authors: Anne Ranning; Michael E Benros; Anne A E Thorup; Kirstine Agnete Davidsen; Carsten Hjorthøj; Merete Nordentoft; Thomas Munk Laursen; Holger Sørensen Journal: Schizophr Bull Date: 2020-01-04 Impact factor: 9.306
Authors: Emma K Stapp; Rashelle J Musci; Janice M Fullerton; Anne L Glowinski; Melvin McInnis; Philip B Mitchell; Leslie A Hulvershorn; Neera Ghaziuddin; Gloria M P Roberts; Kathleen R Merikangas; John I Nurnberger; Holly C Wilcox Journal: J Psychiatr Res Date: 2019-05-03 Impact factor: 4.791
Authors: Anne D Müller; Ida C T Gjøde; Mette S Eigil; Helle Busck; Merete Bonne; Merete Nordentoft; Anne A E Thorup Journal: Trials Date: 2019-02-08 Impact factor: 2.279
Authors: Aja Neergaard Greve; Ole Mors; Erik Lykke Mortensen; Sandra Melanie Meier; John J McGrath; Liselotte Petersen Journal: Schizophr Res Cogn Date: 2017-07-26