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

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• dc.contributor.author Navarro Mateu, Fernando
• dc.contributor.author Alonso Caballero, Jordi
• dc.contributor.author Saha, S.
• dc.contributor.author Aguilar Gaxiola, Sergio
• dc.contributor.author Al-Hamzawi, Ali
• dc.contributor.author Andrade, Laura Helena
• dc.contributor.author Bromet, Evelyn J.
• dc.contributor.author Bruffaerts, Ronny
• dc.contributor.author Chatterji, Somnath
• dc.contributor.author Degenhardt, Louisa
• dc.contributor.author Girolamo, Giovanni de
• dc.contributor.author Jonge, Peter de
• dc.contributor.author Fayyad, John
• dc.contributor.author Florescu, Silvia
• dc.contributor.author Gureje, Oye
• dc.contributor.author Haro Abad, Josep Maria
• dc.contributor.author Hu, Chiyi
• dc.contributor.author Karam, Elie G.
• dc.contributor.author Kovess, Viviane
• dc.contributor.author Lee, Sing
• dc.contributor.author Medina Mora, Maria Elena
• dc.contributor.author Ojagbemi, A.
• dc.contributor.author Pennell, Beth-Ellen
• dc.contributor.author Piazza, Marina
• dc.contributor.author Posada Villa, José
• dc.contributor.author Scott, Kate M.
• dc.contributor.author Stagnaro, J. C.
• dc.contributor.author Xavier, Miguel
• dc.contributor.author Kendler, K. S.
• dc.contributor.author Kessler, Ronald C.
• dc.contributor.author McGrath, John J.
• dc.contributor.author Lim, Carmen
• dc.date.accessioned 2018-11-15T10:48:40Z
• dc.date.available 2018-11-15T10:48:40Z
• dc.date.issued 2017
• dc.description.abstract 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.
• dc.description.sponsorship This study was funded by the International Center (R03 TW006481‐01), anonymous private donations to IDRAAC, Lebanon, and unrestricted grants from, Algorithm, AstraZeneca, Benta, Bella Pharma, Eli Lilly, Glaxo Smith Kline, Lundbeck, Novartis, Servier, Phenicia, UPO. The Mexican National Comorbidity Survey (MNCS) is supported by The National Institute of Psychiatry Ramon de la Fuente (INPRFMDIES 4280) and by the National Council on Science and Technology (CONACyT‐G30544‐H). The São Paulo Megacity Mental Health Survey is supported by the State of São Paulo Research Foundation (FAPESP) Thematic Project Grant 03/00204‐3. The US National Comorbidity Survey Replication (NCS‐R) is supported by the National Institute of Mental Health (NIMH; U01‐MH60220) with supplemental support from the National Institute of Drug Abuse (NIDA), the Substance Abuse and Mental Health Services Administration (SAMHSA), the Robert Wood Johnson Foundation (RWJF; Grant 044708), and the John W. Alden Trust. John McGrath received John Cade Fellowship APP1056929 from the National Health and Medical Research Council and Niels Bohr Professorship from the Danish National Research Foundation
• dc.format.mimetype application/pdf
• dc.identifier.citation Navarro-Mateu F, Alonso J, Lim CCW, Saha S, Aguilar-Gaxiola S, Al-Hamzawi A et al. The association between psychotic experiences and disability: results from the WHO World Mental Health Surveys. Acta Psychiatr Scand. 2017 Jul; 136(1): 74-84. DOI: 10.1111/acps.12749
• dc.identifier.doi http://dx.doi.org/10.1111/acps.12749
• dc.identifier.issn 0001-690X
• dc.identifier.uri http://hdl.handle.net/10230/35760
• dc.language.iso eng
• dc.publisher Wiley
• dc.relation.ispartof Acta Psychiatrica Scandinavica. 2017 Jul;136(1):74-84
• dc.rights This is the peer reviewed version of the following article: Navarro-Mateu F, Alonso J, Lim CCW, Saha S, Aguilar-Gaxiola S, Al-Hamzawi A et al. The association between psychotic experiences and disability: results from the WHO World Mental Health Surveys. Acta Psychiatr Scand. 2017 Jul; 136(1): 74-84, which has been published in final form at http://dx.doi.org/10.1111/acps.12749. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.other Invàlids
• dc.subject.other Salut mundial
• dc.subject.other Salut mental
• dc.subject.other Psicosi
• dc.title The association between psychotic experiences and disability: results from the WHO World Mental Health Surveys
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion