Home environment of 11-year-old children born to parents with schizophrenia or bipolar disorder - A controlled, 4-year follow-up study: The Danish High Risk and Resilience Study - VIA 11

Mette Falkenberg Krantz*, Carsten Hjorthøj, Julie Marie Brandt, Åsa Kremer Prøsch, Sinnika Birkehøj Rohd, Martin Wilms, Lotte Veddum, Nanna Lawaetz Steffensen, Christina Bruun Knudsen, Anna Krogh Andreasen, Henriette Stadsgaard, Nicoline Hemager, Birgitte Klee Burton, Maja Gregersen, Anne Søndergaard, Aja Greve, Ditte Lou Gantriis, Marianne Melau, Jessica Ohland, Preben Bo MortensenVibeke Bliksted, Ole Mors, Anne A.E. Thorup, Merete Nordentoft

*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Abstract

Background The home environment has a major impact on child development. Parental severe mental illness can pose a challenge to the home environment of a child. We aimed to examine the home environment of children of parents with schizophrenia or bipolar disorder and controls longitudinally through at-home assessments. Methods Assessments were conducted within The Danish High Risk and Resilience Study, a nationwide multi-center cohort study of children of parents with schizophrenia or bipolar disorder and population-based controls. The level of at-home stimulation and support was measured at age 7 (N = 508 children) and age 11 (N = 430 children) with the semi-structured HOME Inventory. Results from the 11-year follow-up study were analyzed and compared with 7-year baseline results to examine change across groups. Results At age 11, children of parents with schizophrenia and bipolar disorder had lower levels of stimulation and support than controls (mean (s.d.) = 46.16 (5.56), 46.87 (5.34) and 49.25 (4.37) respectively, p < 0.001). A higher proportion of children with parental schizophrenia or bipolar disorder lived in inadequate home environments at age 11, compared with controls (N (%) = 24 (15.0), 12 (12.2) and 6 (3.5) respectively, p < 0.003). The changes in home environment scores did not differ across groups from age 7 to age 11. Conclusions Assessed longitudinally from the children's age of 7 to 11, children of parents with schizophrenia or bipolar disorder had lower levels of stimulation and support in their homes than controls. Integrated support which can target practical, economic, social and health issues to improve the home environment is indicated.

Original languageEnglish
JournalPsychological Medicine
Volume53
Issue6
Pages (from-to)2563-2573
Number of pages11
ISSN0033-2917
DOIs
Publication statusPublished - Apr 2023

Keywords

  • bipolar
  • Home environment
  • offspring
  • schizophrenia

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