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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

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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. / Oh, Hans; Waldman, Kyle; Stubbs, Brendon; Koyanagi, Ai.

In: Journal of Psychosomatic Research, Vol. 118, 03.2019, p. 27-33.

Research output: Contribution to journalArticle

Harvard

Oh, H, Waldman, K, Stubbs, B & Koyanagi, A 2019, 'Psychotic experiences in the context of mood and anxiety disorders and their associations with health outcomes among people of color in the United States', Journal of Psychosomatic Research, vol. 118, pp. 27-33. https://doi.org/10.1016/j.jpsychores.2019.01.004

APA

Oh, H., Waldman, K., Stubbs, B., & Koyanagi, A. (2019). Psychotic experiences in the context of mood and anxiety disorders and their associations with health outcomes among people of color in the United States. Journal of Psychosomatic Research, 118, 27-33. https://doi.org/10.1016/j.jpsychores.2019.01.004

Vancouver

Oh H, Waldman K, Stubbs B, Koyanagi A. Psychotic experiences in the context of mood and anxiety disorders and their associations with health outcomes among people of color in the United States. Journal of Psychosomatic Research. 2019 Mar;118:27-33. https://doi.org/10.1016/j.jpsychores.2019.01.004

Author

Oh, Hans ; Waldman, Kyle ; Stubbs, Brendon ; Koyanagi, Ai. / Psychotic experiences in the context of mood and anxiety disorders and their associations with health outcomes among people of color in the United States. In: Journal of Psychosomatic Research. 2019 ; Vol. 118. pp. 27-33.

Bibtex Download

@article{d11bff85542e41029f18f5a456a20668,
title = "Psychotic experiences in the context of mood and anxiety disorders and their associations with health outcomes among people of color in the United States",
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.",
keywords = "Disability, Ethnicity, Health conditions, Psychotic experience, Race, Treatment utilization",
author = "Hans Oh and Kyle Waldman and Brendon Stubbs and Ai Koyanagi",
note = "Copyright {\circledC} 2019 Elsevier Inc. All rights reserved.",
year = "2019",
month = "3",
doi = "10.1016/j.jpsychores.2019.01.004",
language = "English",
volume = "118",
pages = "27--33",
journal = "Journal of Psychosomatic Research",
issn = "0022-3999",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Psychotic experiences in the context of mood and anxiety disorders and their associations with health outcomes among people of color in the United States

AU - Oh, Hans

AU - Waldman, Kyle

AU - Stubbs, Brendon

AU - Koyanagi, Ai

N1 - Copyright © 2019 Elsevier Inc. All rights reserved.

PY - 2019/3

Y1 - 2019/3

N2 - 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.

AB - 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.

KW - Disability

KW - Ethnicity

KW - Health conditions

KW - Psychotic experience

KW - Race

KW - Treatment utilization

UR - http://www.scopus.com/inward/record.url?scp=85060374535&partnerID=8YFLogxK

U2 - 10.1016/j.jpsychores.2019.01.004

DO - 10.1016/j.jpsychores.2019.01.004

M3 - Article

C2 - 30782351

VL - 118

SP - 27

EP - 33

JO - Journal of Psychosomatic Research

JF - Journal of Psychosomatic Research

SN - 0022-3999

ER -

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