Prevalence and risk factors of psychotic symptoms: in the city of Izmir, Turkey
Prevalence and risk factors of psychotic symptoms: in the city of Izmir, Turkey
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DOI：
10.1007/s00127-009-0012-x
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发表时间：
2009-11-01
影响因子：
4.4
通讯作者：
Akvardar, Yildiz
中科院分区：
文献类型：
--
作者：
Alptekin, Koeksal;Ulas, Halis;Akvardar, Yildiz
背景 精神病症状、精神病样经历和精神分裂体征可能出现在不同的社会文化环境中，并导致临床或非临床表现。短暂或自我限制性精神病样经历比临床精神病更为普遍。本研究的目的是确定城市地区精神病症状的患病率和社会人口统计学相关性。方法对土耳其伊兹密尔市区两个地区的居民进行了横断面研究。在系统选取的 85,212 个研究人群的 1,500 名居民中，总共对 1,268 名个体（应答率：84.5%）进行了终生精神病症状筛查。 结果 采用综合国际诊断访谈（CIDI）来评估精神病症状。 3.6% 的筛查样本中发现 CIDI (?) 精神病症状。 Logistic回归分析显示，女性（OR = 2.4，95% CI = 1.2-5.1）、有任何精神障碍一级家族史（OR = 13.9，95% CI = 5.7-34.3）、缺乏社会支持（OR = 4.5，95% CI = 2.3-8.6）和饮酒（OR = 4.9，95% CI = 2.3-10.6）均与精神病症状相关。结论与欧洲研究相比，任何精神病症状的患病率均较低。在土耳其文化环境中，酒精可能被视为出现精神病症状的危险因素。
Background Psychotic symptoms, psychotic-like experiences and schizotypal signs can emerge in different sociocultural circumstances and cause clinical or non-clinical pictures. Transient or self-limiting psychotic-like experiences are more prevalent than clinical psychotic disorders. The aim of this study is to determine the prevalence and sociodemographic correlates of psychotic symptoms in an urban area.Methods A cross-sectional study was conducted among the residents of two districts in the urban area of Izmir, Turkey. Among the systematically selected 1,500 residents of 85,212-study population, a total of 1,268 individuals (response rate: 84.5%) were screened for any lifetime psychotic symptoms.Results Composite International Diagnostic Interview (CIDI) was used to assess psychotic symptoms. CIDI (?) psychotic symptoms were found in 3.6% of the screened sample. Logistic regression analysis showed that being a female (OR = 2.4, 95% CI = 1.2-5.1), having a first degree family history of any mental disorders (OR = 13.9, 95% CI = 5.7-34.3), lack of social support (OR = 4.5, 95% CI = 2.3-8.6) and alcohol use (OR = 4.9, 95% CI = 2.3-10.6) were all related to psychotic symptoms.Conclusion Prevalence of any psychotic symptom is lower compared to European studies. Alcohol might be considered as a risk factor for developing psychotic symptoms in the Turkish cultural setting.