Evidence map›Paper›PMID 24365456›Full record

ArticlePsychological medicine2014

Psychosis prevalence and physical, metabolic and cognitive co-morbidity: data from the second Australian national survey of psychosis.

V A Morgan, J J McGrath, A Jablensky, J C Badcock, A Waterreus, R Bush, V Carr, D Castle, M Cohen, C Galletly and 8 more

Abstract read
In one paragraph

Article in Psychological medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

V A MorganNeuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences,The University of Western Australia,Crawley, WA,Australia.
J J McGrathQueensland Brain Institute,The University of Queensland,Brisbane, QLD,Australia.
A JablenskyCentre for Clinical Research in Neuropsychiatry, School of Psychiatry and Clinical Neurosciences,The University of Western Australia,Crawley, WA,Australia.
J C BadcockSchool of Psychology,The University of Western Australia,Crawley,Western Australia.
A WaterreusNeuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences,The University of Western Australia,Crawley, WA,Australia.
R BushSchool of Population Health,The University of Queensland,Ipswich, QLD,Australia.
V CarrSchool of Psychiatry,The University of New South Wales,Sydney, NSW,Australia.
D CastleDepartment of Psychiatry,The University of Melbourne,Melbourne, VIC,Australia.
M CohenHunter New England Mental Health, Newcastle, NSW,Australia.
C GalletlySchool of Medicine,University of Adelaide,Adelaide, SA,Australia.
C HarveyDepartment of Psychiatry,The University of Melbourne,Melbourne, VIC,Australia.
B HockingSANE Australia, Melbourne, VIC,Australia.
P McGorryDepartment of Psychiatry,The University of Melbourne,Melbourne, VIC,Australia.
A L NeilMenzies Research Institute Tasmania,University of Tasmania,Hobart,Australia.
S SawAustralian Government Department of Health and Ageing, Canberra, ACT,Australia.
S ShahNeuropsychiatric Epidemiology Research Unit, School of Psychiatry and Clinical Neurosciences,The University of Western Australia,Crawley, WA,Australia.
H J StainCentre for Rural and Remote Mental Health,University of Newcastle,Newcastle, NSW,Australia.
A MackinnonOrygen Youth Health Research Centre, Melbourne, VIC,Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are insufficient data from nationwide surveys on the prevalence of specific psychotic disorders and associated co-morbidities.

methodThe 2010 Australian national psychosis survey used a two-phase design to draw a representative sample of adults aged 18-64 years with psychotic disorders in contact with public treatment services from an estimated resident population of 1 464 923 adults. This paper is based on data from 1642 participants with an International Classification of Diseases (ICD)-10 psychotic disorder. Its aim is to present estimates of treated prevalence and lifetime morbid risk of psychosis, and to describe the cognitive, physical health and substance use profiles of participants.

resultsThe 1-month treated prevalence of psychotic disorders was 3.10 cases per 1000 population aged 18-64 years, not accounting for people solely accessing primary care services; lifetime morbid risk was 3.45 per 1000. Mean premorbid intelligence quotient was approximately 0.5 s.d.s below the population mean; current cognitive ability (measured with a digit symbol coding task) was 1.6 s.d.s below the population mean. For both cognitive tests, higher scores were significantly associated with better independent functioning. The prevalence of the metabolic syndrome was high, affecting 60.8% of participants, and pervasive across diagnostic groups. Of the participants, two-thirds (65.9%) were current smokers, 47.4% were obese and 32.4% were sedentary. Of the participants, half (49.8%) had a lifetime history of alcohol abuse/dependence and 50.8% lifetime cannabis abuse/dependence.

conclusionsOur findings highlight the need for comprehensive, integrative models of recovery to maximize the potential for good health and quality of life for people with psychotic illness.

Indexed as

AdolescentAdultAffective Disorders, PsychoticAustraliaCardiovascular DiseasesCognition DisordersComorbidityFemaleHumansMaleMetabolic SyndromeMiddle AgedObesityPrevalencePsychotic DisordersSedentary Behavior

Identifiers

PMID24365456
PMCPMC4045165

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.