Psychotic experiences in the population: Association with functio.pdf (631.46 kB)

Psychotic experiences in the population: Association with functioning and mental distress.

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posted on 22.11.2019, 17:13 by Ian Kelleher, Johanna TW Wigman, Michelle Harley, Erik O'Hanlon, Helen Coughlan, Caroline Rawdon, Jennifer Murphy, Emmet Power, Niamh M. Higgins, Mary Cannon

Psychotic experiences are far more common in the population than psychotic disorder. They are associated with a number of adverse outcomes but there has been little research on associations with functioning and distress. We wished to investigate functioning and distress in a community sample of adolescents with psychotic experiences. Two hundred and twelve school-going adolescents were assessed for psychotic experiences, mental distress associated with these experiences, global (social/occupational) functioning on the Children's Global Assessment Scale, and a number of candidate mediator variables, including psychopathology, suicidality, trauma (physical and sexual abuse and exposure to domestic violence) and neurocognitive functioning. Seventy five percent of participants who reported psychotic experiences reported that they found these experiences distressing (mean score for severity of distress was 6.9 out of maximum 10). Participants who reported psychotic experiences had poorer functioning than participants who did not report psychotic experiences (respective means: 68.6, 81.9; OR=0.25, 95% CI=0.14-0.44). Similarly, participants with an Axis-1 psychiatric disorder who reported psychotic experiences had poorer functioning than participants with a disorder who did not report psychotic experiences (respective means: 61.8, 74.5; OR=0.28, 95% CI=0.12-0.63). Candidate mediator variables explained some but not all of the relationship between psychotic experiences and functioning (OR=0.48, 95% CI=0.22-1.05, P

Funding

The Adolescent Brain Development Study was supported by an Essel NARSAD/Brain and BehaviorResearch Foundation Independent Investigator award and a Clinician Scientist Award (CSA/2004/1) from the Health Research Board (Ireland) to M. Cannon.

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This article is also available at http://www.schres-journal.com/article/S0920-9964(15)00157-7/abstract

Published Citation

Kelleher I, Wigman JTW, Harley M, O’Hanlon E, Coughlan H, Rawdon C, Murphy J,Power E , Higgins NM, Cannon M. Psychotic experiences in the population: association with functioning and mental distress. Schizophrenia Research. 2015; 165(1):9-14.

Publication Date

01/06/2015

Publisher

Elsevier

PubMed ID

25868930

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