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The association between psychotic experiences and disability: results from the WHO World Mental Health Surveys.
Navarro-Mateu, F; Alonso, J; Lim, C C W; Saha, S; Aguilar-Gaxiola, S; Al-Hamzawi, A; Andrade, L H; Bromet, E J; Bruffaerts, R; Chatterji, S; Degenhardt, L; de Girolamo, G; de Jonge, P; Fayyad, J; Florescu, S; Gureje, O; Haro, J M; Hu, C; Karam, E G; Kovess-Masfety, V; Lee, S; Medina-Mora, M E; Ojagbemi, A; Pennell, B-E; Piazza, M; Posada-Villa, J; Scott, K M; Stagnaro, J C; Xavier, M; Kendler, K S; Kessler, R C; McGrath, J J.
Afiliación
  • Navarro-Mateu F; UDIF-SM, Subdirección General de Planificación, Innovación y Cronicidad, Servicio Murciano de Salud. IMIB-Arrixaca. CIBERESP-Murcia, Murcia, Spain.
  • Alonso J; Health Services Research Unit, IMIM-Hospital del Mar Medical Research Institute, Barcelona, Spain.
  • Lim CCW; Pompeu Fabra University (UPF), Barcelona, Spain.
  • Saha S; CIBER en Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
  • Aguilar-Gaxiola S; Queensland Brain Institute, The University of Queensland, St. Lucia, QLD, Australia.
  • Al-Hamzawi A; Queensland Centre for Mental Health Research, University of Queensland, St. Lucia, QLD, Australia.
  • Andrade LH; Queensland Brain Institute, University of Queensland, St. Lucia, QLD, Australia.
  • Bromet EJ; Center for Reducing Health Disparities, UC Davis Health System, Sacramento, CA, USA.
  • Bruffaerts R; College of Medicine, Al-Qadisiya University, Diwaniya governorate, Iraq.
  • Chatterji S; Section of Psychiatric Epidemiology - LIM 23, Institute of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil.
  • Degenhardt L; Department of Psychiatry, Stony Brook University School of Medicine, Stony Brook, NY, USA.
  • de Girolamo G; Campus Gasthuisberg, Universitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Leuven, Belgium.
  • de Jonge P; Department of Information, Evidence and Research, World Health Organization, Geneva, Switzerland.
  • Fayyad J; National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia.
  • Florescu S; Unit of Epidemiological and Evaluation Psychiatry, Istituti di Ricovero e Cura a Carattere Scientifico (IRCCS)-St. John of God Clinical Research Centre, Brescia, Italy.
  • Gureje O; Developmental Psychology, Department of Psychology, Rijksuniversiteit Groningen, Groningen, The Netherlands.
  • Haro JM; Interdisciplinary Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical, Center Groningen, Groningen, The Netherlands.
  • Hu C; Institute for Development, Research, Advocacy & Applied Care (IDRAAC), Beirut, Lebanon.
  • Karam EG; National School of Public Health, Management and Professional Development, Bucharest, Romania.
  • Kovess-Masfety V; Department of Psychiatry, University College Hospital, Ibadan, Nigeria.
  • Lee S; Parc Sanitari Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Barcelona, Spain.
  • Medina-Mora ME; Shenzhen Institute of Mental Health & Shenzhen Kangning Hospital, Shenzhen, China.
  • Ojagbemi A; Department of Psychiatry and Clinical Psychology, Faculty of Medicine, Balamand University, Beirut, Lebanon.
  • Pennell BE; Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Center, Beirut, Lebanon.
  • Piazza M; Institute for Development Research Advocacy and Applied Care (IDRAAC), Beirut, Lebanon.
  • Posada-Villa J; Ecole des Hautes Etudes en Santé Publique (EHESP), Paris Descartes University, Paris, France.
  • Scott KM; Department of Psychiatry, Chinese University of Hong Kong, Tai Po, Hong Kong.
  • Stagnaro JC; National Institute of Psychiatry Ramón de la Fuente, Mexico City, Mexico.
  • Xavier M; College of Medicine, University of Ibadan; University College Hospital, Ibadan, Nigeria.
  • Kendler KS; Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
  • Kessler RC; Universidad Cayetano Heredia, Lima, Peru.
  • McGrath JJ; National Institute of Health, Lima, Peru.
Acta Psychiatr Scand ; 136(1): 74-84, 2017 07.
Article en En | MEDLINE | ID: mdl-28542726
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Salud Mental / Salud Global / Personas con Discapacidad Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: Acta Psychiatr Scand Año: 2017 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trastornos Psicóticos / Salud Mental / Salud Global / Personas con Discapacidad Tipo de estudio: Prognostic_studies / Risk_factors_studies Límite: Adult / Humans Idioma: En Revista: Acta Psychiatr Scand Año: 2017 Tipo del documento: Article País de afiliación: España Pais de publicación: Estados Unidos