Distress related to psychotic experiences: Enhancing the world health organization composite international diagnostic interview psychosis screen

IF 2.4 3区医学 Q2 PSYCHIATRY International Journal of Methods in Psychiatric Research Pub Date : 2023-05-17 DOI:10.1002/mpr.1977

Hans Oh, Nicole R. Karcher, Nirit Soffer-Dudek, Ai Koyanagi, Megan Besecker, Jordan E. DeVylder

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Abstract

Background

The abbreviated version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI) psychosis screen tends to yield high prevalence in online samples. Psychotic Experiences (PE) may not necessarily indicate current or imminent psychopathology; however, distressing PE appear to be more clinically informative.

Methods

We analyzed data collected from an online survey administered to a Qualtrics panel (N = 2522 adults). Using multivariable logistic regression, we examined the association between PE (with and without associated distress) and several mental health outcomes, adjusting for age, gender, and race/ethnicity.

Results

Individuals with distressing PE had greater odds of most mental health outcomes when compared with individuals with non-distressing PE. This was true for being in mental health treatment, loneliness, probable mental illness, suicidal ideation, and suicide attempt, adjusting for age, gender, race/ethnicity, and education level. The only exception was for hazardous alcohol use, for which there was no significant association with distressing PE.

Conclusion

As screening for PE gains traction in public health and preventive medicine, using an abbreviated version of the WHO CIDI psychosis screen may be clinically informative, especially when eliciting the distressful nature of PE.

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与精神病经历有关的压力：加强世界卫生组织综合国际诊断访谈精神病筛查。

背景：世界卫生组织（WHO）国际综合诊断访谈（CIDI）精神病筛查的缩略版往往在网上样本中产生较高的患病率。精神病性体验（PE）并不一定表示当前或即将发生精神病理学；然而，令人痛苦的精神病性体验似乎在临床上更有参考价值：我们分析了从 Qualtrics 小组（N = 2522 名成人）进行的在线调查中收集的数据。我们使用多变量逻辑回归法研究了PE（伴有或不伴有痛苦）与几种心理健康结果之间的关联，并对年龄、性别和种族/民族进行了调整：结果：与不伴有困扰的 PE 患者相比，伴有困扰的 PE 患者出现大多数心理健康结果的几率更大。在对年龄、性别、种族/民族和教育水平进行调整后，接受心理健康治疗、孤独、可能患有精神疾病、有自杀倾向和企图自杀的几率都是如此。唯一的例外是危险饮酒，这与令人痛苦的 PE 没有显著关联：结论：随着PE筛查在公共卫生和预防医学中越来越受到重视，使用简略版的世界卫生组织CIDI精神病筛查可能会为临床提供信息，尤其是在激发PE的痛苦性质时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Methods in Psychiatric Research 医学-精神病学

CiteScore

5.20

自引率

6.50%

发文量

审稿时长

>12 weeks

期刊介绍： The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.