Self-reported psychotic experiences in the general population: a valid screening tool for DSM-III-R psychotic disorders?

被引:120
作者
Hanssen, MSS
Bijl, RV
Vollebergh, W
van Os, J
机构
[1] Maastricht Univ, Dept Psychiat & Neuropsychol, EURON, AZM Mondriaan Riagg Vijverdal Acad Ctr, NL-6200 MD Maastricht, Netherlands
[2] Minist Justice, Res & Documentat Ctr WODC, The Hague, Netherlands
[3] Trimnos Inst, Inst Mental Hlth & Addict, Utrecht, Netherlands
[4] Inst Psychiat, Div Psychol Med, London, England
关键词
psychosis; diagnostic test; screening;
D O I
10.1034/j.1600-0447.2003.00058.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To examine the diagnostic value of self-reported psychotic-like experiences for DSM-III-R psychotic disorders . Method: A general population sample of 7076 subjects aged 18-64 years was interviewed with the Composite International Diagnostic Interview (CIDI) and, if there was evidence of psychotic experiences, the Structured Clinical Interview for DSM-III-R. Results: The probability of having a psychotic disorder increased in a dose-response fashion with the level of self-reported psychotic experiences, but individual CIDI psychotic experience ratings had relatively low post-test probabilities (PPs) (range: 5.1-26.5%). However, limiting the sample to individuals who had been in contact with mental health services substantially improved PPs (range: 13.3-43.1%). Conclusion: Screening for psychosis in the population carries a high risk of stigmatization in false-positive cases and violation of the right 'not to know' in true-positive cases. However, in mental health care users, self-reported psychotic experiences may be a useful screening tool in individuals who have already developed help-seeking.
引用
收藏
页码:369 / 377
页数:9
相关论文
共 50 条
[1]  
[Anonymous], STATA STAT SOFTW REL
[2]  
[Anonymous], 1997, CAN MED ASSOC J, DOI DOI 10.1136/BMJ.313.7069.1410
[3]  
ANTHONY JC, 1985, ARCH GEN PSYCHIAT, V42, P667
[4]   Maastricht Assessment of Coping Strategies (MACS-I): a brief instrument to assess coping with psychotic symptoms [J].
Bak, M ;
van der Spil, F ;
Gunther, N ;
Radstake, S ;
Delespaul, P ;
van Os, J .
ACTA PSYCHIATRICA SCANDINAVICA, 2001, 103 (06) :453-459
[5]   MACS-II: does coping enhance subjective control over psychotic symptoms? [J].
Bak, M ;
van der Spil, F ;
Gunther, N ;
Radstake, S ;
Delespaul, P ;
van Os, J .
ACTA PSYCHIATRICA SCANDINAVICA, 2001, 103 (06) :460-464
[6]  
BEBBINGTON P, 1995, INT J METHOD PSYCH, V5, P11
[7]   The Netherlands Mental Health Survey and Incidence Study (NEMESIS): objectives and design [J].
Bijl, RV ;
van Zessen, G ;
Ravelli, A ;
de Rijk, C ;
Langendoen, Y .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 1998, 33 (12) :581-586
[8]   Prevalence of psychiatric disorder in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS) [J].
Bijl, RV ;
Ravelli, A ;
van Zessen, G .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 1998, 33 (12) :587-595
[9]   A risk factor screening and assessment protocol for schizophrenia and related psychosis [J].
Carr, V ;
Halpin, S ;
Lau, N ;
O'Brien, S ;
Beckmann, J ;
Lewin, T .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2000, 34 :S170-S180
[10]   PHYSICAL ANHEDONIA, PERCEPTUAL ABERRATION, AND PSYCHOSIS PRONENESS [J].
CHAPMAN, LJ ;
EDELL, WS ;
CHAPMAN, JP .
SCHIZOPHRENIA BULLETIN, 1980, 6 (04) :639-653