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Psychotic experiences and general medical conditions: a cross-national analysis based on 28,002 respondents from 16 countries in the WHO World Mental Health Surveys

dc.creatorScott, Kate M.es_ES
dc.creatorSaha, Sukantaes_ES
dc.creatorLim, Carmen C. W.es_ES
dc.creatorAguilar-Gaxiola, Sergioes_ES
dc.creatorAl-Hamzawi, Alies_ES
dc.creatorAlonso, Jordies_ES
dc.creatorBenjet, Corinaes_ES
dc.creatorBromet, Evelyn J.es_ES
dc.creatorBruffaerts, Ronnyes_ES
dc.creatorCaldas-de-Almeida, José Migueles_ES
dc.creatorGirolamo, Giovanni dees_ES
dc.creatorJonge, Peter dees_ES
dc.creatorDegenhardt, Louisaes_ES
dc.creatorFlorescu, Silviaes_ES
dc.creatorGureje, Oyees_ES
dc.creatorHaro, Josep M.es_ES
dc.creatorHu, Chiyies_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorKovess-Masfety, Vivianees_ES
dc.creatorLee, Singes_ES
dc.creatorLepine, Jean-Pierrees_ES
dc.creatorMneimneh, Zeinaes_ES
dc.creatorNavarro-Mateu, Fernandoes_ES
dc.creatorPiazza, Marinaes_ES
dc.creatorPosada-Villa, Josées_ES
dc.creatorSampson, Nancy A.es_ES
dc.creatorStagnaro, Juan Carloses_ES
dc.creatorKessler, Ronald C.es_ES
dc.creatorMcGrath, John J.es_ES
dc.creatorWHO World Mental Health Survey Collaboratorses_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorMedina-Mora, Maria Elenaes_ES
dc.date2018
dc.date.accessioned2022-07-08T18:10:10Z
dc.date.available2022-07-08T18:10:10Z
dc.date.issued2018es_ES
dc.identifierJC012es_ES
dc.identifier.issn0033-2917es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7551
dc.identifier.urihttps://doi.org/10.1017/S0033291718000363es_ES
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109618/es_ES
dc.descriptionBackground. Previous work has identified associations between psychotic experiences (PEs) and general medical conditions (GMCs) but their temporal direction remains unclear as does the extent to which they are independent of comorbid mental disorders. Methods. 28,002 adults in 16 countries from the WHO World Mental Health Surveys were assessed for PEs, GMCs, and 21 DSM-IV mental disorders. Discrete-time survival analyses were used to estimate the associations between PEs and GMCs with various adjustments. Results. After adjustment for comorbid mental disorders, temporally prior PEs were significantly associated with subsequent onset of 8/12 GMCs (arthritis, back or neck pain, frequent or severe headache, other chronic pain, heart disease, high blood pressure, diabetes, and peptic ulcer) with odds ratios ranging from 1.3 (95% CI=1.1–1.5) to 1.9 (95% CI=1.4–2.4). In contrast, only three GMCs (frequent or severe headache, other chronic pain, and asthma) were significantly associated with subsequent onset of PEs after adjustment for comorbid GMCs and mental disorders, with odds ratios ranging from 1.5 (95% CI = 1.2–1.9) to 1.7 (95% CI = 1.2–2.4). Conclusions. PEs were associated with the subsequent onset of a wide range of general medical conditions, independent of comorbid mental disorders. There were also associations between some medical conditions (particularly those involving chronic pain) and subsequent PEs. Although these findings will need to be confirmed in prospective studies, clinicians should be aware that psychotic symptoms may be risk markers for a wide range of adverse health outcomes. Whether PEs are causal risk factors will require further research.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherCambridge University Presses_ES
dc.relation48(16)2730-2739es_ES
dc.rightsAcceso Cerradoes_ES
dc.titlePsychotic experiences and general medical conditions: a cross-national analysis based on 28,002 respondents from 16 countries in the WHO World Mental Health Surveyses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationDepartment of Psychological Medicine, University of Otago, Dunedin, New Zealandes_ES
dc.contributor.emailProf. John McGrath j.mcgrath@uq.edu.aues_ES
dc.relation.jnabreviadoPSYCHOL MEDes_ES
dc.relation.journalPsychological Medicinees_ES
dc.identifier.placeInglaterraes_ES
dc.date.published2018
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1469-8978es_ES
dc.identifier.doi10.1017/S0033291718000363.es_ES
dc.subject.kwPsychotic experienceses_ES
dc.subject.kwGeneral medical conditionses_ES
dc.subject.kwPhysical disorderses_ES
dc.subject.kwMental disorderses_ES
dc.subject.kwAsthmaes_ES
dc.subject.kwArthritises_ES
dc.subject.kwPain
dc.subject.kwHeadachees_ES
dc.subject.kwHeart diseasees_ES
dc.subject.kwDiabeteses_ES


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