Evidence map›Paper›PMID 28805304›Full record

SynthesisEarly intervention in psychiatry2018

A systematic review and meta-analysis of mental health service use in people who report psychotic experiences.

Vishal Bhavsar, Philip McGuire, James MacCabe, Dominic Oliver, Paolo Fusar-Poli

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Early intervention in psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  17. Psychotic experiences and future school performance in childhood: a population-based cohort study.Journal of child psychology and psychiatry, and allied disciplines · 2021
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  19. Trends in objectively measured and perceived mental health and use of mental health services: a population-based study in Ontario, 2002-2014.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
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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

5 authors.

Vishal BhavsarDepartment of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.
Philip McGuireDepartment of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.
James MacCabeDepartment of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.
Dominic OliverDepartment of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.
Paolo Fusar-PoliDepartment of Psychosis Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College, London, UK.

Funding

Wellcome TrustWellcome Trust 101681/Z/13/Z
6 · The paper itself

Abstract

backgroundSelf-reported psychotic experiences (PEs) are associated with psychopathology of all kinds, not just psychoses. However, systematic reviews on the relevance of this for health services are unavailable. Furthermore, whether association with service use is confounded by other psychopathology is unknown, and is relevant to prevention and treatment.

objectivesLiterature examining associations between PEs and service use was systematically reviewed. Study quality and the direction and extent of any associations were assessed, and meta-analysis conducted.

methodsSystematic review and meta-analysis was carried out as per PRISMA guidelines. A search of electronic databases was performed based on free-text and structured terms. Included studies were evaluated by two raters using a structured tool and estimates extracted for reporting.

resultsThirteen studies were returned. We found two prospective studies, and a minority of studies accounted for concurrent psychopathology, limiting our ability to test our main hypotheses. Five studies reported associations by different types of service use. Almost all studies assessed service use by self-report. Meta-analysis suggested that people who reported PEs were around twice as likely to report service use compared to those who did not (pooled OR for all included studies: 2.20,95% confidence intervals (95%CI): 1.66,2.91).

conclusionsThere was consistent evidence of association between PEs and mental health service use at the general population level. However, evidence for causation was poor due to a limited number of studies. Whether increased service use in this group is solely attributable to PEs, and therefore whether interventions aimed at limiting/preventing PEs might be effective, requires studies focusing on the relationships between PEs, psychopathology and service use.

Indexed as

Facilities and Services UtilizationHumansMental Health ServicesPatient Acceptance of Health CarePsychotic Disordersconfoundingepidemiologyhealth servicesself-reported psychotic experiencessystematic review

Identifiers

PMID28805304
PMCPMC6001621

What OpenQuestion holds

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LicenceCC BY
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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.