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Prevalence, incidence, and persistence of psychotic experiences in the general population: results of a 9-year follow-up study

Published online by Cambridge University Press:  19 September 2022

Karin Monshouwer Open the ORCID record for Karin Monshouwer [Opens in a new window] ,
Margreet ten Have ,
Marlous Tuithof ,
Saskia van Dorsselaer ,
Maarten Bak ,
Nicole Gunter ,
Philippe Delespaul ,
Jim van Os  and
Ron de Graaf
Karin Monshouwer*
Affiliation:
Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands
Margreet ten Have
Affiliation:
Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands
Marlous Tuithof
Affiliation:
Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands
Saskia van Dorsselaer
Affiliation:
Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands
Maarten Bak
Affiliation:
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Maastricht University Medical Centre, Maastricht, The Netherlands FACT, Mondriaan, Heerlen/Maastricht, The Netherlands
Nicole Gunter
Affiliation:
School of Psychology, Open University, Heerlen, The Netherlands
Philippe Delespaul
Affiliation:
School for Mental Health & Neurosciences, Maastricht University, Maastricht, The Netherlands Mondriaan, Heerlen, The Netherlands
Jim van Os
Affiliation:
Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNS), Maastricht University Medical Centre, Maastricht, The Netherlands Department Psychiatry, UMC Utrecht Brain Center, Utrecht, The Netherlands King's Health Partners Department of Psychosis Studies, King's College London, Institute of Psychiatry, Psychology & Neuroscience, London, UK
Ron de Graaf
Affiliation:
Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, the Netherlands
*
Author for correspondence: Karin Monshouwer, E-mail: [email protected]
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Abstract

Background

Psychotic experiences (PEs) frequently occur and are associated with a range of negative health outcomes. Prospective studies on PEs are scarce, and to date no study investigated PE prevalence, incidence, persistence, their risk indicators, and psychiatric comorbidity, in one dataset. Furthermore, most studies are based on self-report, and it is unclear how this compares to clinical interviews.

Methods

Data are used from the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2), a psychiatric cohort study among a representative sample of adults (baseline characteristics: N = 6646; 49.6% female; 18–64 years). Results are presented for self-reported and clinically validated PEs. Associations are assessed for mental disorders, socio-demographic, vulnerability, physical health, and substance use factors.

Results

Based on self-report, at baseline 16.5% of respondents had at least one PE in their lifetime, of those, 30.1% also reported a PE at 3-year follow-up. 4.8% had a first PE at 3-year follow up. The 3-year prevalence of PE was associated with almost all studied risk indicators. Generally, the strongest associations were found for mental health disorders. Prevalence and incidence rates were two to three times higher in self-report than in clinical interview but results on associated factors were similar.

Conclusions

Validated prevalence and incidence estimates of PE are substantially lower than self-reported figures but results on associated factors were similar. Therefore, future studies on associations of PEs can rely on relatively inexpensive self-reports of PEs. The associations between PE and mental disorders underline the importance of assessment of PE in general practice.

Keywords

Psychotic experiencesincidencepersistencecohortrisk indicators
Type
Original Article
Information
Psychological Medicine , Volume 53 , Issue 8 , June 2023 , pp. 3750 - 3761
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Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press

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