Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.

Psychotic experiences are associated with a number of poor clinical outcomes, including multimorbid psychopathology, suicidal behavior, and poor treatment response. We wished to investigate the relationship between psychotic experiences and disability, including the following domains: cognition, mob...

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Authors: Oh H, Koyanagi A, Kelleher I, DeVylder J
Format: article
Status:Published version
Publication Date:2018
Country:España
Institution:Fundació Sant Joan de Déu
Repository:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p12867
Online Access:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=12867
Access Level:Open access
Keyword:*Disability
*Impairment
*Psychosis
*Psychotic experience
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spelling Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.Oh HKoyanagi AKelleher IDeVylder J*Disability*Impairment*Psychosis*Psychotic experiencePsychotic experiences are associated with a number of poor clinical outcomes, including multimorbid psychopathology, suicidal behavior, and poor treatment response. We wished to investigate the relationship between psychotic experiences and disability, including the following domains: cognition, mobility, self-care, social interaction, role functioning, and days out of role. We used three nationally representative and racially/ethnically diverse samples of the general US adult population: the National Comorbidity Survey Replication (NCS-R), the National Latino and Asian American Survey (NLAAS), and the National Survey of American Life (NSAL). Multi-variable logistic regression analyses were used to assess the associations between lifetime psychotic experiences (visual and auditory hallucinatory experiences and delusional ideation; WHO Composite International Diagnostic Interview psychosis screen) and 30-day impairments in functioning across disability domains (using the WHO Disability Assessment Schedule II). In all three samples, models were adjusted for socio-demographics and co-occurring psychiatric disorders. In the NCS-R, models were also adjusted for chronic health conditions. Across all three studies, our adjusted models showed that people with disability had anywhere from about 1.5 to over 3 times the odds of reporting lifetime psychotic experiences, depending on the domain. This was true for each disability domain, except self-care in the NLAAS and in the NSAL. Psychotic experiences are markers of risk for disability across a wide range of domains. This may explain the elevated rates of service utilization among individuals who report psychotic experiences and supports the need to assess for and respond to psychotic experiences even in the absence of psychotic disorder.ELSEVIER2018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=12867Schizophrenia ResearchISSN: 09209964ISSNe: 15732509reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déuinstname:Fundació Sant Joan de DéuInglésinfo:eu-repo/semantics/openAccessoai:fsjd.fundanetsuite.com:p128672026-05-27T12:37:41Z
dc.title.none.fl_str_mv Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.
title Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.
spellingShingle Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.
Oh H
*Disability
*Impairment
*Psychosis
*Psychotic experience
title_short Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.
title_full Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.
title_fullStr Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.
title_full_unstemmed Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.
title_sort Psychotic experiences and disability: Findings from the Collaborative Psychiatric Epidemiology Surveys.
dc.creator.none.fl_str_mv Oh H
Koyanagi A
Kelleher I
DeVylder J
author Oh H
author_facet Oh H
Koyanagi A
Kelleher I
DeVylder J
author_role author
author2 Koyanagi A
Kelleher I
DeVylder J
author2_role author
author
author
dc.subject.none.fl_str_mv *Disability
*Impairment
*Psychosis
*Psychotic experience
topic *Disability
*Impairment
*Psychosis
*Psychotic experience
description Psychotic experiences are associated with a number of poor clinical outcomes, including multimorbid psychopathology, suicidal behavior, and poor treatment response. We wished to investigate the relationship between psychotic experiences and disability, including the following domains: cognition, mobility, self-care, social interaction, role functioning, and days out of role. We used three nationally representative and racially/ethnically diverse samples of the general US adult population: the National Comorbidity Survey Replication (NCS-R), the National Latino and Asian American Survey (NLAAS), and the National Survey of American Life (NSAL). Multi-variable logistic regression analyses were used to assess the associations between lifetime psychotic experiences (visual and auditory hallucinatory experiences and delusional ideation; WHO Composite International Diagnostic Interview psychosis screen) and 30-day impairments in functioning across disability domains (using the WHO Disability Assessment Schedule II). In all three samples, models were adjusted for socio-demographics and co-occurring psychiatric disorders. In the NCS-R, models were also adjusted for chronic health conditions. Across all three studies, our adjusted models showed that people with disability had anywhere from about 1.5 to over 3 times the odds of reporting lifetime psychotic experiences, depending on the domain. This was true for each disability domain, except self-care in the NLAAS and in the NSAL. Psychotic experiences are markers of risk for disability across a wide range of domains. This may explain the elevated rates of service utilization among individuals who report psychotic experiences and supports the need to assess for and respond to psychotic experiences even in the absence of psychotic disorder.
publishDate 2018
dc.date.none.fl_str_mv 2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=12867
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=12867
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv Schizophrenia Research
ISSN: 09209964
ISSNe: 15732509
reponame:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
instname:Fundació Sant Joan de Déu
instname_str Fundació Sant Joan de Déu
reponame_str r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
collection r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
repository.name.fl_str_mv
repository.mail.fl_str_mv
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