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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

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DOI

  • D. L. Gantriis
  • Anne Amalie Elgaard Thorup, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Research Unit at Child and Adolescent Mental Health Center and Research Unit at Mental Health Center Copenhagen
  • ,
  • S. Harder, Psykologisk Institut, Københavns Universitet, Denmark
  • A. N. Greve
  • M. T. Henriksen, The Lundbeck Foundation Initiative for Integrative Psychiatric Research
  • ,
  • H. Stadsgaard
  • K. K. Zahle, The Lundbeck Foundation Initiative for Integrative Psychiatric Research
  • ,
  • D. Ellersgaard, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Mental Health Centre Copenhagen, Copenhagen University Hospital, Mental Health Services Capital Region, Hellerup, Denmark
  • ,
  • B. K. Burton, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Child and Adolescent Mental Health Centre–Mental Health Services Capital Region
  • ,
  • C. J. Christiani, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Mental Health Centre Copenhagen, Copenhagen University Hospital, Mental Health Services Capital Region, Hellerup, Denmark
  • ,
  • K. Spang, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Mental Health Centre Copenhagen, Copenhagen University Hospital, Mental Health Services Capital Region, Hellerup, Denmark
  • ,
  • N. Hemager, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Child and Adolescent Mental Health Centre–Mental Health Services Capital Region, Mental Health Centre Copenhagen, Copenhagen University Hospital, Mental Health Services Capital Region, Hellerup, Denmark
  • ,
  • Md J. Uddin, Mental Health Centre Copenhagen, Copenhagen University Hospital, Mental Health Services Capital Region, Hellerup, Denmark, Section of Biostatistics, Department of Public Health, University of Copenhagen, Denmark
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  • J. R.M. Jepsen, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Child and Adolescent Mental Health Centre–Mental Health Services Capital Region, Centre for Neuropsychiatric Schizophrenia Research & Centre for Clinical Intervention and Neuropsychiatric Schizophrenia Research, Mental Health Centre Copenhagen, Copenhagen University Hospital, Mental Health Services Capital Region, Hellerup, Denmark
  • ,
  • K. J. Plessen, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Child and Adolescent Mental Health Centre–Mental Health Services Capital Region, Service of Child and Adolescent Psychiatry, Department of Psychiatry, University Medical Center, University of Lausanne, Lausanne, Switzerland.
  • ,
  • M. Nordentoft, The Lundbeck Foundation Initiative for Integrative Psychiatric Research, Mental Health Centre Copenhagen, Copenhagen University Hospital, Mental Health Services Capital Region, Hellerup, Denmark
  • ,
  • O. Mors
  • V. Bliksted

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.

Original languageEnglish
JournalActa Psychiatrica Scandinavica
Volume140
Issue2
Pages (from-to)126-134
Number of pages9
ISSN0001-690X
DOIs
Publication statusPublished - Aug 2019

Bibliographical note

© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

    Research areas

  • bipolar disorder, familial high-risk, home environment, risk factor, schizophrenia

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