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Journal Articles Schizophrenia Research Year : 2018

The association between psychotic experiences and health-related quality of life: a cross-national analysis based on World Mental Health Surveys

Carmen C.W. Lim
  • Function : Author
Juan Carlos Stagnaro
  • Function : Author
Maria Carmen Viana
  • Function : Author
Jordi Alonso
  • Function : Author
Sukanta Saha
  • Function : Author
Carmen C W Lim
  • Function : Author
Sergio Aguilar-Gaxiola
  • Function : Author
Ali Al-Hamzawi
  • Function : Author
Corina Benjet
  • Function : Author
Evelyn J Bromet
  • Function : Author
Louisa Degenhardt
  • Function : Author
Giovanni de Girolamo
Oluyomi Esan
  • Function : Author
Silvia Florescu
  • Function : Author
Oye Gureje
Josep M Haro
  • Function : Author
Chiyi Hu
  • Function : Author
Elie G Karam
  • Function : Author
Georges Karam
  • Function : Author
Jean-Pierre Lepine
  • Function : Author
Sing Lee
  • Function : Author
Zeina Mneimneh
  • Function : Author
Fernando Navarro-Mateu
  • Function : Author
Jose Posada-Villa
  • Function : Author
Nancy A Sampson
  • Function : Author
Kate M Scott
  • Function : Author
Juan Carlos Stagnaro
  • Function : Author
Margreet ten Have
  • Function : Author
Maria Carmen Viana
  • Function : Author
Ronald C Kessler
  • Function : Author
John J Mcgrath
  • Function : Author
  • PersonId : 1089617

Abstract

Psychotic experiences (PEs) are associated with a range of mental and physical disorders, and disability, but little is known about the association between PEs and aspects of health-related quality of life (HRQoL). We aimed to investigate the association between PEs and five HRQoL indicators with various adjustments. Using data from the WHO World Mental Health surveys (n = 33,370 adult respondents from 19 countries), we assessed for PEs and five HRQoL indicators (self-rated physical or mental health, perceived level of stigma (embarrassment and discrimination), and social network burden). Logistic regression models that adjusted for socio-demographic characteristics, 21 DSM-IV mental disorders, and 14 general medical conditions were used to investigate the associations between the variables of interest. We also investigated dose-response relationships between PE-related metrics (number of types and frequency of episodes) and the HRQoL indicators. Those with a history of PEs had increased odds of poor perceived mental (OR = 1.5, 95% CI = 1.2-1.9) and physical health (OR = 1.3, 95% CI = 1.0-1.7) after adjustment for the presence of any mental or general medical conditions. Higher levels of perceived stigma and social network burden were also associated with PEs in the adjusted models. Dose-response associations between PE type and frequency metrics and subjective physical and mental health were non-significant, except those with more PE types had increased odds of reporting higher discrimination (OR = 2.2, 95% CI = 1.3-3.5). Our findings provide novel insights into how those with PEs perceive their health status.

Dates and versions

hal-03123979 , version 1 (28-01-2021)

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Cite

Carmen C.W. Lim, Juan Carlos Stagnaro, Maria Carmen Viana, Jordi Alonso, Sukanta Saha, et al.. The association between psychotic experiences and health-related quality of life: a cross-national analysis based on World Mental Health Surveys. Schizophrenia Research, 2018, 201, pp.46-53. ⟨10.1016/j.schres.2018.04.044⟩. ⟨hal-03123979⟩
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