Prevalence and correlates of self-reported psychotic symptoms in the British population

Prevalence and correlates of self-reported psychotic symptoms in the British population
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DOI:
10.1192/bjp.185.4.298
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发表时间:
2004-10-01
影响因子:
10.5
通讯作者:
Meltzer, H
Meltzer, H
中科院分区:
医学1区
文献类型:
--
作者:
Johns, LC;Cannon, M;Meltzer, H

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背景 精神病表型通常被认为是一个分类实体。然而,越来越多的证据表明,精神病作为一种严重程度的连续体存在于人群中,而不是一种全有或全无的现象。目的 使用 2000 年英国国家精神病发病率调查的数据来调查自我报告的精神病症状的患病率和相关性。方法 总共采访了 8580 名 16-74 岁的受访者。问题涵盖心理健康、身体健康、药物使用、生活事件和社会人口变量。精神病筛查问卷 (PSQ) 用于识别精神病症状。结果 在受访者中,5.5% 的人赞同 PSQ 上的一项或多项。与精神病症状独立相关的因素是大麻依赖、酒精依赖、受害、最近的压力生活事件、智力低下和神经症症状。男性与偏执想法有关,而女性则预示着幻觉经历。 结论 由于所使用的测量方法,本研究中自我报告的精神病症状比其他地方报告的要少见。这些症状具有类似于临床精神病的人口统计学和临床​​相关性。利益声明 无。
Background The psychosis phenotype is generally thought of as a categorical entity However, there is increasing evidence that psychosis exists in the population as a continuum of severity rather than an all-or-none phenomenon.Aims To investigate the prevalence and correlates of self-reported psychotic symptoms using data from the 2000 British National Survey of Psychiatric Morbidity.Method A total of 8580 respondents aged 16-74 years were interviewed. Questions covered mental health, physical health, substance use, life events and socio-demographic variables. The Psychosis Screening Questionnaire (PSQ) was used to identify psychotic symptoms.Results Of the respondents, 5.5% endorsed one or more items on the PSQ. Factors independently associated with psychotic symptoms were cannabis dependence, alcohol dependence, victimisation, recent stressful life events, lower intellectual ability and neurotic symptoms. Male gender was associated with paranoid thoughts, whereas female gender predicted hallucinatory experiences.Conclusions Self-reported psychotic symptoms are less common in this study than reported elsewhere, because of the measure used. These symptoms have demographic and clinical correlates similar to clinical psychosis.Declaration of interest None.