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Health and work disability outcomes in parents of patients with schizophrenia associated with antipsychotic exposure by the offspring
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- Taipale, H (author)
- Karolinska Institutet
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- Rahman, S (author)
- Karolinska Institutet
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- Tanskanen, A (author)
- Karolinska Institutet
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- Mehtala, J (author)
- Hoti, F (author)
- Jedenius, E (author)
- Enkusson, D (author)
- Leval, A (author)
- Sermon, J (author)
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- (creator_code:org_t)
- 2020-01-27
- 2020
- English.
- In: Scientific reports. - : Springer Science and Business Media LLC. - 2045-2322. ; 10:1, s. 1219-
- Journal article (peer-reviewed)
Abstract
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- This study aimed to identify if antipsychotic exposure in offspring is associated with psychiatric and non-psychiatric healthcare service use and work disability of their parents. This Swedish population-based cohort study was based on data comprising 10,883 individuals with schizophrenia, who had at least one identifiable parent in the nationwide registers, and their parents (N = 18,215). The register-based follow-up during 2006–2013 considered the level of antipsychotic exposure and persistence of use of the offspring, further categorized into first (FG) and second generation (SG) antipsychotics, and orals versus long-acting injections (LAIs). The main outcome measure was parental psychiatric healthcare service use, secondary outcomes were non-psychiatric healthcare use and long-term sickness absence. SG-LAI use was associated with a decreased risk (relative risks [RR] 0.81-0.85) of parental psychiatric healthcare use compared with not using SG-LAI, whereas oral antipsychotics were associated with an increased risk (RRs 1.10–1.29). Both FG- and SG-LAI use by the offspring were associated with a lower risk of long-term sickness absence (range of odds ratios 0.34–0.47) for the parents, compared with non-use of these drugs. The choice of antipsychotic treatment for the offspring may have an impact on work disability and healthcare service use of their parents.
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- Tanskanen, A
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- Jedenius, E
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- Leval, A
- Sermon, J
- Tiihonen, J
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