9 février 2022
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info:eu-repo/semantics/altIdentifier/doi/10.1186/s12888-022-03733-5
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info:eu-repo/semantics/altIdentifier/pmid/35139818
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info:eu-repo/semantics/altIdentifier/eissn/1471-244X
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info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_6480F0A635705
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AAE Thorup et al., « Exploring protective and risk factors in the home environment in high-risk families - results from the Danish High Risk and Resilience Study-VIA 7. », Serveur académique Lausannois, ID : 10.1186/s12888-022-03733-5
Exposure to inadequate home environment may put the healthy development of familial high-risk children at risk. This study aimed to investigate associations between risk factors and an adequate home environment of children having a parent diagnosed with schizophrenia or bipolar disorder. From a cohort of 522 children, data from 463 7-year-old children was included. Of these 172 children had familial risk for schizophrenia, 109 children had familial risk for bipolar disorder, and 190 were population-based controls. As part of a comprehensive battery, all participants were assessed with the Middle Childhood-Home Observation for Measurement of the Environment Inventory (MC-HOME Inventory) measuring the quality of the home environment. When analyzing all families together, we found that having a parent diagnosed with schizophrenia would have a negative impact on the home environment (ß = -1.08; 95% CI (-2.16;-0.01); p = 0.05), while familial risk for bipolar disorder did not show significant predictive value. Being a single caregiver and child having experienced severe life events from ages 4 to 7 showed significant negative impact, while child having a mental illness diagnosis did not. Being a female caregiver, good social functioning of the caregiver, high child IQ and not being a single caregiver were found to predict positive values for the home environment. We found similar results when analyzing caregivers with and without a diagnosis separately. Knowledge of what predicts good home environment should be used to inform development of early interventions for families at risk.