Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.

PURPOSE: Informal caregivers may be at high risk for psychotic experiences (PE) due to caregiving related stress, sleep issues, or other potential mechanisms, but this has not been previously investigated in the general adult population. Thus, we examined the association between caregiving and PE, a...

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Autores: Koyanagi A, Oh H, DeVylder J, Shin JI, Kostev K, Smith L, Jacob L, López Sánchez GF, Abduljabbar AS, Haro JM
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Fundació Sant Joan de Déu
Repositorio:r-FSJD. Repositorio Institucional de Producción Científica de la Fundació Sant Joan de Déu
OAI Identifier:oai:fsjd.fundanetsuite.com:p21664
Acceso en línea:https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21664
https://link.springer.com/article/10.1007/s00127-022-02312-z
Access Level:acceso abierto
Palabra clave:Epidemiology
Informal caregiving
Low- and middle-income countries
Psychotic experience
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spelling Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.Koyanagi AOh HDeVylder JShin JIKostev KSmith LJacob LLópez Sánchez GFAbduljabbar ASHaro JMEpidemiologyInformal caregivingLow- and middle-income countriesPsychotic experiencePURPOSE: Informal caregivers may be at high risk for psychotic experiences (PE) due to caregiving related stress, sleep issues, or other potential mechanisms, but this has not been previously investigated in the general adult population. Thus, we examined the association between caregiving and PE, and its mediators, in a large sample of adults from 48 low- and middle-income countries (LMICs). METHODS: Cross-sectional, community-based data from the World Health Organization (WHO) World Health Survey were analyzed. Informal caregivers referred to those who provided help to a relative or friend (adult or child) in the past year, because this person has a long-term physical or mental illness or disability, or is getting old and weak. PE were assessed using the WHO Composite International Diagnostic Interview psychosis screen. Multivariable logistic regression and mediation analyses were conducted. RESULTS: Data on 224,842 individuals were analyzed. The mean (SD) age was 38.3 (16.0) years (range 18-120 years) and 50.7% were females. After adjustment for age, sex, and country, in the overall sample, caregiving was associated with 1.67 (95%CI = 1.56-1.79) times higher odds for PE. Sleep/energy explained the largest proportion of the association between caregiving and PE (13.9%), followed by pain/discomfort (11.5%), perceived stress (7.6%), depression (6.2%), and cognition (3.5%). CONCLUSION: Caregivers in LMICs are at higher risk of PE. Future studies are warranted to gain a further understanding of the underlying mechanisms, and to assess whether addressing the identified mediators can lead to lower risk for PE among caregivers.SPRINGER HEIDELBERG2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21664https://link.springer.com/article/10.1007/s00127-022-02312-zSOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGYISSN: 09337954ISSNe: 14339285reponame: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:p216642026-05-27T12:37:41Z
dc.title.none.fl_str_mv Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.
title Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.
spellingShingle Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.
Koyanagi A
Epidemiology
Informal caregiving
Low- and middle-income countries
Psychotic experience
title_short Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.
title_full Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.
title_fullStr Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.
title_full_unstemmed Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.
title_sort Psychotic experiences among informal caregivers: findings from 48 low- and middle-income countries.
dc.creator.none.fl_str_mv Koyanagi A
Oh H
DeVylder J
Shin JI
Kostev K
Smith L
Jacob L
López Sánchez GF
Abduljabbar AS
Haro JM
author Koyanagi A
author_facet Koyanagi A
Oh H
DeVylder J
Shin JI
Kostev K
Smith L
Jacob L
López Sánchez GF
Abduljabbar AS
Haro JM
author_role author
author2 Oh H
DeVylder J
Shin JI
Kostev K
Smith L
Jacob L
López Sánchez GF
Abduljabbar AS
Haro JM
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Epidemiology
Informal caregiving
Low- and middle-income countries
Psychotic experience
topic Epidemiology
Informal caregiving
Low- and middle-income countries
Psychotic experience
description PURPOSE: Informal caregivers may be at high risk for psychotic experiences (PE) due to caregiving related stress, sleep issues, or other potential mechanisms, but this has not been previously investigated in the general adult population. Thus, we examined the association between caregiving and PE, and its mediators, in a large sample of adults from 48 low- and middle-income countries (LMICs). METHODS: Cross-sectional, community-based data from the World Health Organization (WHO) World Health Survey were analyzed. Informal caregivers referred to those who provided help to a relative or friend (adult or child) in the past year, because this person has a long-term physical or mental illness or disability, or is getting old and weak. PE were assessed using the WHO Composite International Diagnostic Interview psychosis screen. Multivariable logistic regression and mediation analyses were conducted. RESULTS: Data on 224,842 individuals were analyzed. The mean (SD) age was 38.3 (16.0) years (range 18-120 years) and 50.7% were females. After adjustment for age, sex, and country, in the overall sample, caregiving was associated with 1.67 (95%CI = 1.56-1.79) times higher odds for PE. Sleep/energy explained the largest proportion of the association between caregiving and PE (13.9%), followed by pain/discomfort (11.5%), perceived stress (7.6%), depression (6.2%), and cognition (3.5%). CONCLUSION: Caregivers in LMICs are at higher risk of PE. Future studies are warranted to gain a further understanding of the underlying mechanisms, and to assess whether addressing the identified mediators can lead to lower risk for PE among caregivers.
publishDate 2022
dc.date.none.fl_str_mv 2022
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=21664
https://link.springer.com/article/10.1007/s00127-022-02312-z
url https://fsjd.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=21664
https://link.springer.com/article/10.1007/s00127-022-02312-z
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 SPRINGER HEIDELBERG
publisher.none.fl_str_mv SPRINGER HEIDELBERG
dc.source.none.fl_str_mv SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
ISSN: 09337954
ISSNe: 14339285
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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