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KMID : 0368819960350040753
Journal of the Korean Neuropsychiatr Association
1996 Volume.35 No. 4 p.753 ~ p.762
Gender Differences of Socidemographic Factors and Clinical Features in Schizophrenia


Abstract
Objects:
@EN During the last decade, there has been growing knowledge on the gender differences of many features in schizophrenia. We tried to find out gender differences in sociodemographic factors and clinical features in schizophrenic patients.
@ES Methods:
@EN Ninety inpatients, 44 men and 46 women, who met the diagnostic criteria for schizophrenia, schizoaffective disorder and schizophreniform disorder by Diagnosis and Statistical Manual II Revised(DSM-III-R) were studied. Interview with subjects
or
the
review of medical records were performed in order to examine sociodemographic factors, age of onset, total number of admission and total hospital, days during 18 months since the first admission, and the highest dosage of
antipsychotics(chlorpromazine
equivalent dose) and diagnosis. Positive and Negative Symptom Scale(PANSS) was used to examine the severity of symptoms at the first admission and at discharge, and the digrer of improvement was assessed.
@ES Results;
@EN 1) No gender difference was found in sociodemographic factors, such as mean age, season of birth, education level, occupation, religion and marital status.
2) Earlier age of onset and the longer hospital stays was noted in male schizophrenics than in females(p<0.05). But the total number of admission and the highest dosage of antipsychotics did not differ between genders.
3) The total scores of positive scale, negative and general psychopathology at admission and at discharge and the differences of improvement showed statistically significant differences
@ES Conclusion:
@EN Later onset and shorter hospital stay in female schizophrenic patients compared to males are supposed to due to protective effect of estrogen, lesser social stress in females, and structural vulnerability to schizophrenia in males.
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