Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries

BACKGROUND: The co-existence of depression and psychotic experiences (PEs) is associated with more pronounced adverse health outcomes compared to depression alone. However, data on its prevalence and correlates are lacking in the general adult population, and there is no published data on its associ...

Descripción completa

Detalles Bibliográficos
Autores: Koyanagi, Ai, Oh, Hans, Stubbs, Brendon, Haro Abad, Josep Maria, DeVylder, Jordan
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2017
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/123754
Acceso en línea:https://hdl.handle.net/2445/123754
Access Level:acceso abierto
Palabra clave:Depressió psíquica
Psicosi
Epidemiologia
Malalties cròniques
Mental depression
Psychoses
Epidemiology
Chronic diseases
id ES_f3335330e00a38f9d7d1af6c9a8ee0bf
oai_identifier_str oai:recercat.cat:2445/123754
network_acronym_str ES
network_name_str España
repository_id_str
spelling Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countriesKoyanagi, AiOh, HansStubbs, BrendonHaro Abad, Josep MariaDeVylder, JordanDepressió psíquicaPsicosiEpidemiologiaMalalties cròniquesMental depressionPsychosesEpidemiologyChronic diseasesBACKGROUND: The co-existence of depression and psychotic experiences (PEs) is associated with more pronounced adverse health outcomes compared to depression alone. However, data on its prevalence and correlates are lacking in the general adult population, and there is no published data on its association with chronic physical conditions. METHOD: Cross-sectional, community-based data from 201 337 adults aged ⩾18 years from 47 low- and middle-income countries from the World Health Survey were analyzed. The presence of past 12-month PE and DSM-IV depression was assessed with the Composite International Diagnostic Interview (CIDI). Information on six chronic medical conditions (chronic back pain, edentulism, arthritis, angina, asthma, diabetes) were obtained by self-report. Multivariable logistic regression analysis was performed. RESULTS: The crude overall prevalence of co-morbid depression/PEs was 2.5% [95% confidence interval (CI) 2.3-2.7%], with the age- and sex-adjusted prevalence ranging from 0.1% (Sri Lanka, Vietnam) to 9.03% (Brazil). Younger age, urban setting, current smoking, alcohol consumption, and anxiety were significant correlates of co-existing depression/PEs. Co-occurring depression/PEs was associated with significantly higher odds for arthritis, angina, and diabetes beyond that of depression alone after adjusting for sociodemographics, anxiety, and country, with odds ratios (depression/PEs v. depression only) being: arthritis 1.30 (95% CI 1.07-1.59, p = 0.0086); angina 1.40 (95% CI 1.18-1.67, p = 0.0002); diabetes 1.65 (95% CI 1.21-2.26, p = 0.0017). CONCLUSIONS: The prevalence of co-existing depression/PEs was non-negligible in most countries. Our study suggests that when depression/PE or a chronic condition (e.g. arthritis, angina, diabetes) is detected, screening for the other may be important to improve clinical outcomes.Cambridge University Press2018201820172018info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersion12 p.application/pdfhttps://hdl.handle.net/2445/123754Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésVersió postprint del document publicat a: https://doi.org/10.1017/S0033291716002750Psychological Medicine, 2017, vol. 47, num. 3, p. 531-542https://doi.org/10.1017/S0033291716002750(c) Cambridge University Press, 2017info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1237542026-05-29T05:05:01Z
dc.title.none.fl_str_mv Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries
title Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries
spellingShingle Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries
Koyanagi, Ai
Depressió psíquica
Psicosi
Epidemiologia
Malalties cròniques
Mental depression
Psychoses
Epidemiology
Chronic diseases
title_short Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries
title_full Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries
title_fullStr Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries
title_full_unstemmed Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries
title_sort Epidemiology of depression with psychotic experiences and its association with chronic physical conditions in 47 low- and middle-income countries
dc.creator.none.fl_str_mv Koyanagi, Ai
Oh, Hans
Stubbs, Brendon
Haro Abad, Josep Maria
DeVylder, Jordan
author Koyanagi, Ai
author_facet Koyanagi, Ai
Oh, Hans
Stubbs, Brendon
Haro Abad, Josep Maria
DeVylder, Jordan
author_role author
author2 Oh, Hans
Stubbs, Brendon
Haro Abad, Josep Maria
DeVylder, Jordan
author2_role author
author
author
author
dc.subject.none.fl_str_mv Depressió psíquica
Psicosi
Epidemiologia
Malalties cròniques
Mental depression
Psychoses
Epidemiology
Chronic diseases
topic Depressió psíquica
Psicosi
Epidemiologia
Malalties cròniques
Mental depression
Psychoses
Epidemiology
Chronic diseases
description BACKGROUND: The co-existence of depression and psychotic experiences (PEs) is associated with more pronounced adverse health outcomes compared to depression alone. However, data on its prevalence and correlates are lacking in the general adult population, and there is no published data on its association with chronic physical conditions. METHOD: Cross-sectional, community-based data from 201 337 adults aged ⩾18 years from 47 low- and middle-income countries from the World Health Survey were analyzed. The presence of past 12-month PE and DSM-IV depression was assessed with the Composite International Diagnostic Interview (CIDI). Information on six chronic medical conditions (chronic back pain, edentulism, arthritis, angina, asthma, diabetes) were obtained by self-report. Multivariable logistic regression analysis was performed. RESULTS: The crude overall prevalence of co-morbid depression/PEs was 2.5% [95% confidence interval (CI) 2.3-2.7%], with the age- and sex-adjusted prevalence ranging from 0.1% (Sri Lanka, Vietnam) to 9.03% (Brazil). Younger age, urban setting, current smoking, alcohol consumption, and anxiety were significant correlates of co-existing depression/PEs. Co-occurring depression/PEs was associated with significantly higher odds for arthritis, angina, and diabetes beyond that of depression alone after adjusting for sociodemographics, anxiety, and country, with odds ratios (depression/PEs v. depression only) being: arthritis 1.30 (95% CI 1.07-1.59, p = 0.0086); angina 1.40 (95% CI 1.18-1.67, p = 0.0002); diabetes 1.65 (95% CI 1.21-2.26, p = 0.0017). CONCLUSIONS: The prevalence of co-existing depression/PEs was non-negligible in most countries. Our study suggests that when depression/PE or a chronic condition (e.g. arthritis, angina, diabetes) is detected, screening for the other may be important to improve clinical outcomes.
publishDate 2017
dc.date.none.fl_str_mv 2017
2018
2018
2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/123754
url https://hdl.handle.net/2445/123754
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1017/S0033291716002750
Psychological Medicine, 2017, vol. 47, num. 3, p. 531-542
https://doi.org/10.1017/S0033291716002750
dc.rights.none.fl_str_mv (c) Cambridge University Press, 2017
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Cambridge University Press, 2017
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 12 p.
application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869424354234728448
score 15,812455

Similares en LA Referencia