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Analysis of educational attainment in a Mexican psychiatric patient population with bipolar or psychotic disorders

dc.creatorCano-Ramirez, Hugoes_ES
dc.creatorDiaz-Castro, Linaes_ES
dc.creatorLeroy Hoffman, Kurtes_ES
dc.date2023
dc.date.accessioned2025-03-20T17:17:08Z
dc.date.available2025-03-20T17:17:08Z
dc.date.issued2023
dc.identifierJC31DIEP23es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8258
dc.identifier.urihttps://doi.org/10.3390/brainsci13060881
dc.descriptionSchizophrenia has been associated with premorbid poor educational performance and low educational attainment (EA). However, some studies have found positive associations between psychotic disorders and excellent scholastic performance. In the present study, we examined the association between EA and several clinical and nonclinical characteristics in psychiatric patients diagnosed with psychotic or bipolar disorders. Data were obtained from the files of 1132 patients who entered a major Mexico City psychiatric hospital during the years 2009-2010 for the treatment of psychotic symptoms and who were subsequently diagnosed with schizophrenia, bipolar, schizoaffective, or another psychotic disorder. Chi-squared tests, t-tests, and Cox regression analysis were applied to explore associations between EA and factors including gender, familial history of mental illness, premorbid personality characteristics, age of symptom onset, diagnosis, civil status, and current employment. Family history of mental illness decreased the hazard of having lower EA (B = -0.137, p = 0.025, ExpB = 0.872, 95% CI = 0.774-0.983), while a schizophrenia diagnosis independently increased it (B = 0.201, p = 0.004, ExpB = 1.223, 95% CI = 1.068-1.401). In male patients (but not in females), family history of mental illness was significantly associated with higher EA, while in female patients, premorbid schizoid-like personality characteristics were associated with lower EA. For both genders, lower EA was associated with having more children and being employed in manual labor, while higher EA was associated with professional employment. Conclusions: Compared with bipolar disorder, a schizophrenia diagnosis is associated with lower EA; however, familial history of mental illness and premorbid schizoid-like characteristics independently favor higher and lower EA in males and females, respectively. Since lower EA is generally associated with a lower economic status, special preventative attention should be given to students at high risk for schizophrenia, particularly those displaying a schizoid-like personality.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.relation13(6):881
dc.rightsAcceso Cerradoes_ES
dc.titleAnalysis of educational attainment in a Mexican psychiatric patient population with bipolar or psychotic disorderses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationCenter for Investigation in Reproduction, Autonomous University of Tlaxcala-CINVESTAV, Tlaxcala 90000, Mexico
dc.contributor.emailrexvitro@hotmail.com (Kurt Leroy Hoffman)
dc.relation.jnabreviadoBRAIN SCI
dc.relation.journalBrain Sciences
dc.identifier.placeSuiza
dc.date.published2023
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn2076-3425
dc.identifier.doi10.3390/brainsci13060881
dc.subject.kwSchizophrenia
dc.subject.kwBipolar
dc.subject.kwSchizoaffective
dc.subject.kwEducational attainment


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