Evidence map›Paper›PMID 31713511›Full record

ArticlePsychological medicine2021

Psychotic experiences, psychiatric comorbidity and mental health need in the general population: a cross-sectional and cohort study in Southeast London.

Vishal Bhavsar, Sarah Dorrington, Craig Morgan, Stephani L Hatch, Philip McGuire, Paolo Fusar-Poli, John Mills, James H MacCabe, Matthew Hotopf

Open access · hybridAbstract read
In one paragraph

Article in Psychological medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
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

14 citing papers in PubMed, 30 citations in OpenAlex.

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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

9 authors at 1 institution in 2 countries.

Vishal BhavsarDepartment of Psychosis Studies, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.ORCID 0000-0001-7519-0599
Sarah DorringtonSouth London and Maudsley NHS Foundation Trust, London, UK.
Craig MorganDepartment of Health Services and Population Research, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.
Stephani L HatchDepartment of Psychological Medicine, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.
Philip McGuireDepartment of Psychosis Studies, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.
Paolo Fusar-PoliEarly Psychosis: Interventions and Clinical-Detection (EPIC) lab, Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
John MillsDepartment of Psychosis Studies, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.
James H MacCabeDepartment of Psychosis Studies, Institute of Psychiatry Psychology and Neuroscience, King's College London, London, UK.
Matthew HotopfSouth London and Maudsley NHS Foundation Trust, London, UK.
King's College London · GB

Funding

Medical Research Council MC_PC_17214Wellcome Trust 101681
6 · The paper itself

Abstract

backgroundCo-occurrence of common mental disorders (CMD) with psychotic experiences is well-known. There is little research on the public mental health relevance of concurrent psychotic experiences for service use, suicidality, and poor physical health. We aim to: (1) describe the distribution of psychotic experiences co-occurring with a range of non-psychotic psychiatric disorders [CMD, depressive episode, anxiety disorder, probable post-traumatic stress disorder (PTSD), and personality dysfunction], and (2) examine associations of concurrent psychotic experiences with secondary mental healthcare use, psychological treatment use for CMD, lifetime suicide attempts, and poor self-rated health.

methodsWe linked a prospective cross-sectional community health survey with a mental healthcare provider database. For each non-psychotic psychiatric disorder, patients with concurrent psychotic experiences were compared to those without psychotic experiences on use of secondary mental healthcare, psychological treatment for CMD, suicide attempt, physical functioning, and a composite multimorbidity score, using logistic regression and Cox regressions.

resultsIn all disorders except for anxiety disorder, concurrent psychotic experiences were accompanied by a greater odds of all outcomes (odds ratios) for a unit change in composite multimorbidity score ranged between 2.21 [95% confidence interval (CI) 1.49-3.27] and 3.46 (95% CI 1.52-7.85). Hazard ratios for secondary mental health service use for non-psychotic disorders with concurrent psychotic experiences, ranged from 0.53 (95% CI 0.15-1.86) for anxiety disorders with psychotic experiences to 4.99 (95% CI 1.22-20.44) among those with PTSD with psychotic experiences.

conclusionsCo-occurring psychotic experiences indicate greater public mental health burden, suggesting psychotic experiences could be a marker for future preventive strategies improving public mental health.

Indexed as

AdolescentAdultAgedAnxietyCohort StudiesComorbidityCross-Sectional StudiesFemaleHumansLondonMaleMiddle AgedNeeds AssessmentPsychotic DisordersSuicide, AttemptedSurvival AnalysisCommon mental disorderscomorbidityepidemiologylongitudinal analysispsychological treatmentpsychotic experiencesPTSDpublic mental healthsurvey analysistransdiagnostic

Identifiers

PMID31713511
PMCPMC7116680
OpenAlexW2988883325

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.