Sociodemographic and clinical correlates of psychotic symptoms in the general population: Findings from the MHGP survey

被引：51
作者：
Pignon, Baptiste [1 ,2 ,3 ,4 ,5 ]
Schurhoff, Franck [2 ,3 ,4 ,5 ]
Szoke, Andrei [2 ,3 ,4 ,5 ]
Geoffroy, Pierre A. [6 ,7 ,8 ,9 ]
Jardri, Renaud [1 ,10 ,11 ]
Roelandt, Jean-Luc [12 ]
Rolland, Benjamin [1 ,13 ]
Thomas, Pierre [1 ,10 ,11 ,14 ]
Vaiva, Guillaume [1 ,10 ,11 ,14 ]
Amad, Ali [1 ,10 ,11 ,14 ]
机构：
[1] CHRU Lille, Hop Fontan, Pole Psychiat, F-59000 Lille, France
[2] Hop Univ Henri Mondor, AP HP, DHU PePSY, Pole Psychiat, F-94000 Creteil, France
[3] INSERM, U955, Team 15, F-94000 Creteil, France
[4] Fdn FondaMental, F-94000 Creteil, France
[5] Univ Paris Est, UPEC, Fac Med, F-94000 Creteil, France
[6] INSERM, U1144, F-75006 Paris, France
[7] Univ Paris 05, UMR S 1144, F-75006 Paris, France
[8] Univ Paris Diderot, Sorbonne Paris Cite, UMR S 1144, F-75013 Paris, France
[9] GH St Louis Lariboisiere, AP HP, Dept Psychiat & Med Addictol, F-75475 Paris 10, France
[10] Univ Lille, CNRS, UMR 9193, SCA Lab, F-59000 Lille, France
[11] CHU Lille, Hop Fontan, CURE, F-59000 Lille, France
[12] EPSM Lille Metropole, Ctr Collaborateur Org Mondiale Sante Rech & Forma, Equipe Eceve, Inserm,UMR 1123, Lille, France
[13] Univ Lyon 1, CRNL, INSERM, U1028,CNRS,UMR5292,CH Le Vinatier, F-69500 Bron, France
[14] Federat Reg Rech Sante Mentale F2RSM Nord Pas de, F-59000 Lille, France
来源：
SCHIZOPHRENIA RESEARCH | 2018年 / 193卷
关键词：
Psychotic symptoms; Hallucinations; Delusional symptoms; Psychosis continuum; Sociodemographic correlates; Clinical correlates; MENTAL-HEALTH; SOCIAL-ENVIRONMENT; EXPERIENCES; PREVALENCE; DISORDERS; RISK; 3RD-GENERATION; METAANALYSIS; COMMUNITY; SCHIZOPHRENIA;
D O I：
10.1016/j.schres.2017.06.053
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Background: We aimed to explore the sociodemographic and psychiatric correlates of psychotic symptoms in a large general population sample. Methods: The French Mental Health in the General Population cross-sectional survey interviewed 38,694 individuals using the Mini International Neuropsychiatric Interview. We looked for associations between the presence of lifetime psychotic symptoms, sociodemographic characteristics (including migrant status over three generations) and clinical characteristics. We then looked for associations regarding only hallucinations, delusional symptoms, and the co-occurrence of both hallucinations and delusional symptoms. To test the psychosis continuum hypothesis, associations with sociodemographic characteristics were compared with the characterized psychotic disorders' associations. Results: We found that 22.3% of the population declared psychotic symptoms without psychotic disorders, including 5.7% who declared hallucinations, 20.5% delusional symptoms, 4.0% both hallucinations and delusional symptoms, and 2.8% characterized psychotic disorders. The presence of psychotic symptoms was associated with young age, migrant status (over three generations), secondary education level, low-income level and never-married and separated marital status. Hallucinations, delusional symptoms and the co-occurrence of both hallucinations and delusional symptoms showed the same correlates, and hallucinations were also associated with elementary education level. Characterized psychotic disorders showed the same correlates. Concerning clinical outcomes, the presence of psychotic symptoms, hallucinations and delusional symptoms was associated with all non-psychotic disorders, i.e., bipolar, depressive, alcohol use, generalized anxiety, social phobia, panic and post-traumatic stress disorders and dysthymia (except dysthymia, which was not associated with hallucinations). Conclusions: Our results indicate that psychotic symptoms are associated with broad psychopathologies and support the continuum model of psychosis. (c) 2017 Elsevier B.V. All rights reserved.
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收藏
页码：336 / 342
页数：7
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