The association between psychotic experiences and disability: results from the WHO World Mental Health Surveys

OBJECTIVE: While psychotic experiences (PEs) are known to be associated with a range of mental and general medical disorders, little is known about the association between PEs and measures of disability. We aimed to investigate this question using the World Mental Health surveys. METHOD: Lifetime oc...

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Bibliographic Details
Authors: Navarro Mateu, Fernando, Alonso, Jordi, Lim, Carmen C. W., Saha, Sukanta, Aguilar Gaxiola, Sergio, Al-Hamzawi, Ali Obaid, Andrade, Laura Helena, Bromet, Evelyn J., Bruffaerts, Ronny, Chatterji, Somnath, Degenhardt, Louisa, Girolamo, Giovanni de, Jonge, Peter de, Fayyad, John, Florescu, Silvia E., Gureje, Oye, Haro Abad, Josep Maria, Hu, Chiyi, Karam, Elie Georges, Kovess-Masfety, Viviane, Lee, Sing, Medina Mora, Maria Elena, Ojagbemi, Akin, Pennell, Beth-Ellen, Posada Villa, José, Scott, Kate M. (Kate Margaret), 1960-, Stagnaro, Juan Carlos, Kendler, Kenneth S., Kessler, Ronald C., McGrath, John J., WHO World Mental Health Survey Collaborators
Format: article
Status:Versión aceptada para publicación
Publication Date:2017
Country:España
Institution:Universidad de Barcelona
Repository:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/128037
Online Access:https://hdl.handle.net/2445/128037
Access Level:Open access
Keyword:Discapacitats
Malalties mentals
People with disabilities
Mental illness
Description
Summary:OBJECTIVE: While psychotic experiences (PEs) are known to be associated with a range of mental and general medical disorders, little is known about the association between PEs and measures of disability. We aimed to investigate this question using the World Mental Health surveys. METHOD: Lifetime occurrences of six types of PEs were assessed along with 21 mental disorders and 14 general medical conditions. Disability was assessed with a modified version of the WHO Disability Assessment Schedule. Descriptive statistics and logistic regression models were used to investigate the association between PEs and high disability scores (top quartile) with various adjustments. RESULTS: Respondents with PEs were more likely to have top quartile scores on global disability than respondents without PEs (19.1% vs. 7.5%; χ2 = 190.1, P < 0.001) as well as greater likelihood of cognitive, social, and role impairment. Relationships persisted in each adjusted model. A significant dose-response relationship was also found for the PE type measures with most of these outcomes. CONCLUSIONS: Psychotic experiences are associated with disability measures with a dose-response relationship. These results are consistent with the view that PEs are associated with disability regardless of the presence of comorbid mental or general medical disorders.

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