ArticlePsychological medicine2023
Functioning, symptom expression and risk along the psychosis continuum.
Article in Psychological medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The association between attachment insecurity and negative symptoms in clinical and non-clinical populations: A systematic review and meta-analysis.Psychology and psychotherapy · 2026Pooled it
- Mapping Psychosocial Interventions for Psychosis and Schizophrenia Across Gulf Countries: A Scoping and Narrative Review.Journal of clinical medicine · 2026Review
- Lived experiences of auditory verbal hallucinations in a Northern Tanzania mental health clinic and implications for intervention adaptation.Global mental health (Cambridge, England) · 2026Article
- Voice-Hearing in the General Population: The Relationship Between Inner Speech, Absorption, and Voice-Like Hallucinations.Schizophrenia bulletin · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe psychosis continuum implies that subclinical psychotic experiences (PEs) can be differentiated from clinically relevant expressions since they are not accompanied by a 'need for care'.
methodsUsing data from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC;
resultsA graded trend was present such that, compared to those with no PEs, the Diagnosed group had the poorest functioning, followed by the PE-Impaired then PE-Experienced Only groups. In relation to symptom expression, the PE-Impaired group were more likely than the PE-Experienced Only and the Diagnosed groups to endorse most PEs. Predictors of group membership tended to vary quantitatively rather than qualitatively. Trauma, current mental health diagnoses (anxiety and depression) and drug use variables differentiated between all levels of the continuum, with the exception of the extreme end (PE-Impaired
conclusionsThe findings highlight the importance of continuum-based interpretations of the psychosis phenotype and afford valuable opportunities to consider if and how impairment, symptom expression and risk change along the continuum.
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Registered trials
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