Evidence map›Paper›PMID 41357028›Full record

ReviewCureus2025

Psychosis in the Deaf Population: Prevalence, Phenomenology, and Diagnostic Challenges: A Narrative Review.

Hooria Sarwar, Kareem Hamoudeh, Muzzamil Ahmadzada, Myra Dhingra, Elyse Batmaz, Manahil Adnan, Charissa Nichols, Jacqueline Seikunas

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Hooria SarwarPsychiatry, Rutgers University New Jersey Medical School, Newark, USA.
Kareem HamoudehPsychiatry, Bergen New Bridge Medical Center, Paramus, USA.
Muzzamil AhmadzadaPsychiatry, Stanford University, Palo Alto, USA.
Myra DhingraPsychiatry, New York University, New York City, USA.
Elyse BatmazPsychiatry, Immaculate Heart Academy, Washington, USA.
Manahil AdnanPsychiatry, Scotch Plains High School, Scotch Plains, USA.
Charissa NicholsPsychiatry, Bergen New Bridge Medical Center, Paramus, USA.
Jacqueline SeikunasPsychiatry, Bergen New Bridge Medical Center, Paramus, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deaf and hard-of-hearing (DHH) individuals face unique challenges in psychiatric assessment, particularly in the diagnosis and treatment of psychotic disorders. Communication barriers, cultural misunderstandings, and clinician unfamiliarity with deaf language and norms may contribute to misdiagnosis, diagnostic uncertainty, and inadequate care. This narrative review synthesizes current literature on the prevalence, phenomenology, and diagnostic challenges of psychotic disorders in the deaf population, aiming to identify trends, gaps, and future research needs. A comprehensive search was conducted in three databases - PubMed, EBSCO Open Dissertations, and ScienceDirect - between April 1, 2025, and April 20, 2025. Keywords and MeSH terms related to psychosis, hallucinations, delusions, and deafness were used. Inclusion criteria encompassed peer-reviewed studies that investigated the prevalence, symptomatology, or diagnostic complexities of psychosis in DHH populations. Studies involving only hearing individuals, those without psychosis-related outcomes, or those lacking comparative or baseline data were excluded. Data were extracted independently by two reviewers and synthesized narratively. Nine studies were included, encompassing a total of 827 participants. The reported prevalence of psychotic disorders in deaf populations ranged from 28% to 58%. Schizoaffective disorder and schizophrenia were the most common diagnoses. Distinct phenomenological patterns emerged, with visual, tactile, and non-verbal auditory hallucinations frequently reported. High rates of diagnostic ambiguity, including overuse of psychotic disorder Not Otherwise Specified (NOS), were observed. Language dysfluency, cognitive impairment, and systemic barriers further complicated diagnostic accuracy. Psychotic disorders are prevalent in deaf psychiatric populations, yet cultural, linguistic, and systemic challenges often hinder assessment. Future research should focus on culturally adapted diagnostic tools, large-scale multisite prevalence studies, and qualitative investigations into deaf experiences of psychosis. Similar approaches should be extended to other sensory-impaired populations to uncover potential diagnostic disparities and inform equitable psychiatric care.

Indexed as

cultural competencedeafdiagnostic challengeshallucinationslanguage dysfluencymental health disparitiespsychosisschizoaffective disorderschizophrenia

Identifiers

PMID41357028
PMCPMC12680440

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.