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Psychotic experiences in the context of mood and anxiety disorders and their associations with health outcomes among people of color in the United States

Research output: Contribution to journalArticle

Hans Oh, Kyle Waldman, Brendon Stubbs, Ai Koyanagi

Original languageEnglish
Pages (from-to)27-33
Number of pages7
JournalJournal of Psychosomatic Research
Volume118
DOIs
Publication statusPublished - Mar 2019

Bibliographical note

Copyright © 2019 Elsevier Inc. All rights reserved.

King's Authors

Abstract

BACKGROUND: Psychotic experiences appear to increase risk for health outcomes above and beyond mood/anxiety disorders. However, existing studies that have found this association were conducted mostly in low- and middle-income countries, calling for more studies to explore the association in other contexts, such as the U.S., where people of color face considerable health disparities.

MATERIALS/METHODS: Data from the National Latino and Asian American Survey, and the National Survey of American Life were analyzed. After restricting the analytic sample to individuals with at least one mood or anxiety disorder (N = 2929), multivariable logistic regression was used to examine the associations between psychotic experiences and health outcomes, disabilities, and help-seeking behaviors, adjusting for socio-demographic characteristics and psychiatric disorders.

RESULTS: Among people of color with mood/anxiety disorders, 16.58% (n = 519) of the weighted analytic sample reported psychotic experiences. Psychotic experiences were associated with 1.75 times greater odds (95% CI: 1.24-2.47) for reporting a lifetime health condition, with varying odds depending on the specific conditions (e.g. arthritis, heart disease, ulcers, and asthma), and specific disabilities (e.g. cognition, mobility, social interaction, and time out of role). Psychotic experiences were associated with 1.66 times the odds of seeking any treatment (95% CI: 1.20-2.29), and the perceived need for help among people who did not seek treatment (e.g. feeling the need for treatment, being encouraged to seek treatment by others).

CONCLUSIONS: Mental health practitioners serving people of color who have mood/anxiety disorders should routinely screen for psychotic experiences, which may suggest health problems and disabilities that warrant integrated healthcare.

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